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MRI 对乳腺癌新辅助化疗的疗效评价。

Efficacy Evaluation of Neoadjuvant Chemotherapy in Breast Cancer by MRI.

机构信息

Radiology Department, Shenzhen People's Hospital, Shenzhen 518020, China.

Shenzhen Hospital of Southern Medical University, Shenzhen 518000, China.

出版信息

Contrast Media Mol Imaging. 2022 Aug 4;2022:4542288. doi: 10.1155/2022/4542288. eCollection 2022.

Abstract

Breast cancer is a highly harmful malignancy, which often causes great distress to patients and seriously affects their physical and mental health. Breast cancer causes patients to experience decreased appetite, decreased eating, and indigestion, which in turn leads to malnutrition, body wasting, resistance, immune compromise, progressive anemia, cachexia, and, as a result, severe secondary infections. To investigate the efficacy evaluation of neoadjuvant chemotherapy in breast cancer by MRI, forty-eight subjects treated at the hospital from June 2014 to August 2019 were recruited. After the neoadjuvant chemotherapy, the patients were divided into two groups based on the results of histopathological examination, namely, the ineffective group ( = 14) and the effective group ( = 34). Changes in MRI indicators were compared between the two groups before and after the neoadjuvant chemotherapy. The maximum diameter of lesions decreased significantly after the neoadjuvant chemotherapy than before. The apparent diffusion coefficient (ADC) increased considerably, and the time-intensity curve (TIC) showed a transition from type III to type II/I and from type II to type I. MRI can indicate the maximum diameter of the breast cancer lesion, ADC, and TIC type. Therefore, it can be used to evaluate the efficacy of neoadjuvant chemotherapy for breast cancer and be widely applied in clinical practice.

摘要

乳腺癌是一种危害性极大的恶性肿瘤,常给患者带来极大痛苦,严重影响其身心健康。乳腺癌导致患者食欲下降、进食减少、消化不良,进而导致营养不良、身体消瘦、抵抗力下降、免疫功能受损、进行性贫血、恶病质,从而引发严重的继发感染。为了探讨 MRI 对乳腺癌新辅助化疗的疗效评价,选取 2014 年 6 月至 2019 年 8 月在我院治疗的 48 例患者进行研究。新辅助化疗后,根据组织病理学检查结果将患者分为无效组( = 14)和有效组( = 34)。比较两组患者新辅助化疗前后 MRI 指标的变化。新辅助化疗后,患者的病灶最大直径明显小于化疗前,病灶的表观扩散系数(ADC)明显增加,时间-强度曲线(TIC)由 III 型转变为 II/Ⅰ型和 II 型转变为 I 型。MRI 可以反映乳腺癌病灶的最大直径、ADC 和 TIC 类型,因此可用于评估乳腺癌新辅助化疗的疗效,在临床实践中有广泛的应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba3f/9371822/a372f304e388/CMMI2022-4542288.001.jpg

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