Breast Unit - Piazza Sacco e Vanzetti, Carrara Hospital (MS), Italy.
Eur J Radiol. 2010 Dec;76(3):386-90. doi: 10.1016/j.ejrad.2010.03.009. Epub 2010 Apr 21.
This article is a review of the current published clinical applications of DWI and perfusion of breast MR explaining possibilities and limits of both techniques. DWI in a fast time acquisition and without contrast medium gives information as regards cellularity of breast lesions. The technique can be used for distinguishing between benign and malignant breast lesions and monitoring therapies in locally advanced breast cancer. Perfusion can give additional information as regards vascularization of breast lesions, useful in the characterization of breast lesions doubt at DCE-MRI and also in monitoring chemotherapic effect.
这篇文章回顾了目前已发表的关于乳腺磁共振弥散加权成像和灌注的临床应用,解释了这两种技术的可能性和局限性。DWI 具有快速采集和无需造影剂的特点,可以提供有关乳腺病变细胞密度的信息。该技术可用于鉴别良恶性乳腺病变,并监测局部晚期乳腺癌的治疗效果。灌注技术可以提供有关乳腺病变血管生成的额外信息,有助于在 DCE-MRI 表现不典型的乳腺病变的定性诊断中发挥作用,也可用于监测化疗效果。