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表观扩散系数(ADC)值评估乳腺影像报告和数据系统(BI-RADS)4类乳腺病变:与病理结果的相关性

Apparent diffusion coefficient (ADC) value to evaluate BI-RADS 4 breast lesions: correlation with pathological findings.

作者信息

Ramírez-Galván Yazmín Aseret, Cardona-Huerta Servando, Ibarra-Fombona Elfa, Elizondo-Riojas Guillermo

出版信息

Clin Imaging. 2015 Jan-Feb;39(1):51-5. doi: 10.1016/j.clinimag.2014.09.015. Epub 2014 Oct 16.

DOI:10.1016/j.clinimag.2014.09.015
PMID:25457520
Abstract

Diffusion-weighted imaging and apparent diffusion coefficient (ADC) of 36 breast lesions previously categorized as 4 according to the Breast Imaging Reporting and Data System (BI-RADS) were prospectively studied. The pathological results were 21 benign lesions and 15 malignant. The ADC of malignant lesions was significantly lower than that of the benign ones (0.87 ± 0.12 × 10(-3) mm(2)/s vs. 1.41 ± 0.22 × 10(-3) mm(2)/s, respectively) (P<.001). Using a threshold ADC value of 1.08 × 10(-3) mm(2)/s, a sensitivity of 95% and specificity of 100% were obtained.

摘要

对36个先前根据乳腺影像报告和数据系统(BI-RADS)分类为4类的乳腺病变进行了扩散加权成像和表观扩散系数(ADC)的前瞻性研究。病理结果为21个良性病变和15个恶性病变。恶性病变的ADC显著低于良性病变(分别为0.87±0.12×10⁻³mm²/s和1.41±0.22×10⁻³mm²/s)(P<0.001)。使用1.08×10⁻³mm²/s的ADC阈值,获得了95%的敏感性和100%的特异性。

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