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MRI在乳腺良恶性病变鉴别诊断中的应用 被引量:1

Application of MRI in Differential Diagnosis of Breast Benign and Malignant Lesions
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摘要 目的:探究MRI在乳腺良恶性病变鉴别诊断中的应用价值。方法:选取2017年7月~2019年12月凌源市中心医院接诊的70例乳腺病变患者为研究对象,所有研究对象均进行MRI检查,以病理诊断作为金标准,观察MRI检查结果。结果:经病理诊断,70例患者中,恶性病变29例,良性病变41例,MRI诊断敏感度86.21%、特异度100.00%,准确性96.29%;恶性病变形体不规则82.76%,结节或肿块79.31%,毛刺样强化86.21%,周围组织受累44.83%,高于良性病变,P<0.05;恶性病变早期增强率(201.28±59.37)%,最大增强率(222.73±65.28)%,相对最大增强率(2.24±0.37)%/s,高于良性病变,P<0.05。结论:在乳腺良恶性病变鉴别诊断中,MRI能提供参考,应用价值较高,值得借鉴。 Objective:To explore the value of MRI in differential diagnosis of breast benign and malignant lesions.Methods:70 patients with breast lesions received by Lingyuan Central Hospital from July 2017 to December 2019 were selected as the study objects.All the subjects were examined with MRI,and the pathological diagnosis was regarded as the gold standard.The results of MRI were observed.Results:Of the 70 patients,29 were malignant and 41 were benign.The sensitivity,specificity and accuracy of MRI were 86.21%,100.00%and 96.29%,respectively.The irregular shape,79.31%,burr like enhancement and peripheral tissue involvement were 82.76%,82.76%,79.31%,86.21%and 44.83%,respectively,which were higher than those of benign lesions(P<0.05).The early enhancement rate of malignant lesions was(201.28±59.37)%.The maximum enhancement rate was(222.73±65.28)%,the relative maximum enhancement rate was(2.24±0.37)%/s,which was higher than that of benign lesions(P<0.05).Conclusion:In the differential diagnosis of breast benign and malignant lesions,MRI can provide a reference with high application value.
作者 康秀梅 KANG Xiu-mei(Medical Imaging Center,Lingyuan Central Hospital,Liaoning Lingyuan 122500)
出处 《中国医疗器械信息》 2021年第10期121-122,共2页 China Medical Device Information
关键词 MRI 乳腺病变 影像学诊断 鉴别诊断 MRI breast lesions imaging diagnosis differential diagnosis
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