术前3-T磁共振成像能否预测乳腺癌患者乳头乳晕复合体受累情况？
Can preoperative 3-T MRI predict nipple-areolar complex involvement in patients with breast cancer?
作者信息
Cho Jooyeon, Chung Jin, Cha Eun-Suk, Lee Jee Eun, Kim Jeoung Hyun
机构信息
Department of Radiology, Ewha Womans University, School of Medicine, Seoul, Korea.
Department of Radiology, Ewha Womans University, School of Medicine, Seoul, Korea.
出版信息
Clin Imaging. 2016 Jan-Feb;40(1):119-24. doi: 10.1016/j.clinimag.2015.08.002. Epub 2015 Aug 7.
PURPOSE
To evaluate the diagnostic performances of preoperative 3-T breast MRI for predicting nipple-areolar complex (NAC) involvement.
MATERIALS AND METHODS
We analyzed the predictors of NAC involvement in breast cancer, with diagnostic performances.
RESULTS
Among the 403 patients, 43 cases were surgically confirmed for NAC involvement. For predicting NAC involvement, sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 60.5%, 87.5%, 36.6%, 94.9%, and 84.6%, respectively. Continuity to NAC, unilateral enhancement of NAC and thickening of NAC were significant magnetic resonance findings predictive of NAC involvement.
CONCLUSIONS
Preoperative 3-T breast MRI is a useful method to predict NAC involvement in breast cancer patients.
目的
评估术前3T乳腺磁共振成像（MRI）预测乳头乳晕复合体（NAC）受累情况的诊断性能。
材料与方法
我们分析了乳腺癌中NAC受累的预测因素及其诊断性能。
结果
在403例患者中，43例经手术证实NAC受累。对于预测NAC受累，敏感性、特异性、阳性预测值、阴性预测值和准确性分别为60.5%、87.5%、36.6%、94.9%和84.6%。NAC连续性、NAC单侧强化及NAC增厚是预测NAC受累的重要磁共振表现。
结论
术前3T乳腺MRI是预测乳腺癌患者NAC受累情况的一种有用方法。
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