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T2弛豫时间定量分析在鉴别乳腺良恶性病变中的作用

Role of quantitative analysis of T2 relaxation time in differentiating benign from malignant breast lesions.

作者信息

Liu Li, Yin Bo, Shek Kawai, Geng Daoying, Lu Yiping, Wen Jianbo, Kuai Xinping, Peng Weijun

机构信息

1 Department of Radiology, 162765 Fudan University Shanghai Cancer Centre, Shanghai, China; Department of Oncology , Shanghai Medical College, Fudan University, Shanghai, China.

2 Department of Radiology, Huashan Hospital, Fudan University, Shanghai, China.

出版信息

J Int Med Res. 2018 May;46(5):1928-1935. doi: 10.1177/0300060517721071. Epub 2018 Mar 20.

Abstract

Objective To investigate the role of quantitative analysis of T2 relaxation time in the magnetic resonance imaging (MRI) diagnosis of breast cancer. Methods The study enrolled patients with clinical breast masses who were examined using MRI at eight different echo times. The differences in T2 relaxation time of benign and malignant breast lesions were analysed. Results A total of 67 patients (67 breast lesions: 46 malignant, 21 benign) were examined. The mean ± SD T2 relaxation time was significantly lower in the 46 malignant lesions compared with the 21 benign lesions (82.69 ± 15.37 ms versus 95.48 ± 26.51 ms, respectively). The area under the curve was 0.731. Using 79.52 ms as the cut-off between benign and malignant breast lesions, a sensitivity of 85.7% and a specificity of 58.7% were obtained. Conclusions There was a significant difference in T2 relaxation time between benign and malignant breast lesions. The specificity of using T2 relaxation time alone for the differentiation of benign from malignant lesions was not high, but it could constitute a new adjunct in the MRI diagnosis of breast cancer.

摘要

目的 探讨T2弛豫时间定量分析在乳腺癌磁共振成像(MRI)诊断中的作用。方法 本研究纳入临床乳腺肿块患者,在8个不同回波时间进行MRI检查。分析乳腺良恶性病变T2弛豫时间的差异。结果 共检查67例患者(67个乳腺病变:46个恶性,21个良性)。46个恶性病变的平均±标准差T2弛豫时间显著低于21个良性病变(分别为82.69±15.37 ms和95.48±26.51 ms)。曲线下面积为0.731。以79.52 ms作为乳腺良恶性病变的分界值,敏感性为85.7%,特异性为58.7%。结论 乳腺良恶性病变的T2弛豫时间存在显著差异。单独使用T2弛豫时间鉴别良恶性病变的特异性不高,但可为乳腺癌的MRI诊断提供新的辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5741/5991255/a2d76899c74d/10.1177_0300060517721071-fig1.jpg

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