Heywang S H, Fenzl G, Beck R, Hahn D, Eiermann W, Permanetter W, Lissner J
Rofo. 1986 Nov;145(5):565-71. doi: 10.1055/s-2008-1048990.
55 patients with altogether 60 breast masses have been examined postoperatively by plain MR, MR with Gd-DTPA and mammography at our institution. All breast carcinomas and fibroadenomas did enhance significantly. Non-proliferative dysplasia, normal breast tissue and scar tissue did not enhance significantly. Borderline enhancement has been found in cases of proliferative dysplasia. The diagnostic accuracy has been improved by MR with Gd-DTPA. Advantages have been an improved visualization of tumors in dense breasts, an improved differentiation between irregular dysplasia and carcinoma and an improved differentiation between post-therapeutic changes (after radiation, surgery or silicon implants) and carcinoma. Nevertheless both technical improvements and further clinical experience is necessary.
我院对55例共60个乳腺肿块患者进行了术后平扫磁共振成像(MR)、钆喷酸葡胺(Gd-DTPA)增强MR及乳腺钼靶检查。所有乳腺癌和纤维腺瘤均有明显强化。非增殖性发育异常、正常乳腺组织及瘢痕组织无明显强化。增殖性发育异常病例可见边缘强化。钆喷酸葡胺增强MR提高了诊断准确性。其优势在于能更好地显示致密型乳腺中的肿瘤,更好地区分不规则发育异常与癌,以及更好地区分治疗后改变(放疗、手术或硅植入后)与癌。然而,技术改进和更多临床经验仍很有必要。