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通过磁共振成像(MRI)和基因表达检测对早期乳腺癌进行联合诊断

Combined diagnosis of breast cancer in the early stage by MRI and detection of gene expression.

作者信息

Ke Dena, Yang Rong, Jing Lina

机构信息

Radiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, P.R. China.

出版信息

Exp Ther Med. 2018 Aug;16(2):467-472. doi: 10.3892/etm.2018.6242. Epub 2018 May 31.

Abstract

Breast cancer is one of the most common cancer types in humans. Magnetic resonance imaging (MRI) is an efficient method for the detection of human breast cancer. However, the efficacy of MRI in detecting breast cancer in the early stage requires to be improved. The present study investigated the diagnostic efficacy of a combination of MRI and detection of gene expression in patients with breast cancer in the early stage. The gene expression levels of Ki-67, BCL11A, FOXC1, HOXD13, PCDHGB7 and her-2 were used as an auxiliary diagnostic index for patients with breast cancer in the early stage. Higher expression levels of TPA and C2erbB22 were observed in tumor tissue obtained from diagnostic biopsy and determined by immunohistochemistry, which indicated a higher risk of breast cancer in a total of 84 participants. Diagnostic data revealed that combination MRI and detection of gene expression had a significantly higher diagnostic rate (66/84) in diagnosing breast cancer in an early stage compared with either MRI (78/360) or detection of gene expression (72/84; P<0.01). It was indicated that the combination of MRI and detection of gene expression had a higher diagnostic rate (94.5%) than either MRI (81.4%) or detection of gene expression (75.5%). Histological analysis confirmed the diagnosis determined by MRI and detection of gene expression. These results suggest that the combination of MRI and detection of gene expression may be a potential diagnostic method for assessing patients with early-stage breast cancer.

摘要

乳腺癌是人类最常见的癌症类型之一。磁共振成像(MRI)是检测人类乳腺癌的一种有效方法。然而,MRI在早期检测乳腺癌方面的功效仍有待提高。本研究调查了MRI与基因表达检测相结合在早期乳腺癌患者中的诊断功效。将Ki-67、BCL11A、FOXC1、HOXD13、PCDHGB7和her-2的基因表达水平用作早期乳腺癌患者的辅助诊断指标。通过免疫组织化学法测定,在诊断性活检获得的肿瘤组织中观察到TPA和C2erbB22的表达水平较高,这表明在总共84名参与者中患乳腺癌的风险较高。诊断数据显示,与单独使用MRI(78/360)或基因表达检测(72/84;P<0.01)相比,MRI与基因表达检测相结合在早期乳腺癌诊断中的诊断率显著更高(66/84)。结果表明,MRI与基因表达检测相结合的诊断率(94.5%)高于单独使用MRI(81.4%)或基因表达检测(75.5%)。组织学分析证实了由MRI和基因表达检测所确定的诊断。这些结果表明,MRI与基因表达检测相结合可能是评估早期乳腺癌患者的一种潜在诊断方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c3/6090468/35d5d018eb57/etm-16-02-0467-g00.jpg

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