Tomczak R, Rieber A, Zeitler H, Rilinger N, Kreienberg R, Brambs H J
Klinik für Röntgendiagnostik, Universität Ulm.
Rofo. 1996 Aug;165(2):148-51. doi: 10.1055/s-2007-1015730.
The distinction between mastitis and inflammatory breast carcinoma is an important one. Current methods of evaluation including mammography, ultrasound and clinical examination do not enable this distinction. Dynamic magnetic resonance mammography (MRM) is a study with potential in this regard.
12 patients, in whom clinical examination, mammography and ultrasound could not distinguish between both diseases, were reviewed retrospectively by means of MRM using a 1.5 T Siemens Magnetom SP and a circular mamma coil. We used dynamic 3-D gradient echo sequences with a duration of one minute.
At present MRM cannot definitely distinguish between mastitis and inflammatory carcinoma, 80% of the inflammatory carcinomas were found to enhance more than 100% in the first minute, compared to 43% for mastitis. No other differences were seen.
MRM proved useful in the follow-up of treated mastitis to demonstrate the success of antibiotic treatment of mastitis and to diagnose a histologically unconfirmed inflammatory carcinoma by means of a different follow-up.
乳腺炎与炎性乳腺癌的鉴别诊断至关重要。目前包括乳腺钼靶、超声及临床检查在内的评估方法无法实现这一鉴别。动态磁共振乳腺成像（MRM）在这方面具有潜在价值。
回顾性分析12例患者，这些患者经临床检查、乳腺钼靶及超声均无法鉴别两种疾病，采用1.5T西门子Magnetom SP及环形乳腺线圈行MRM检查。使用持续时间为1分钟的动态三维梯度回波序列。
目前MRM尚不能明确区分乳腺炎与炎性癌，80%的炎性癌在第1分钟强化超过100%，而乳腺炎为43%。未见其他差异。
MRM在乳腺炎治疗后的随访中被证明是有用的，可显示乳腺炎抗生素治疗的效果，并通过不同的随访方式诊断组织学未确诊的炎性癌。
