Application of dynamic contrast magnetic resonance imaging in breast-conserving surgery

ZHAO Dan; LUO Yahong

doi:10.19732/j.cnki.1008-617X.2018.05.007

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Application of dynamic contrast magnetic resonance imaging in breast-conserving surgery

更新时间：2025-12-15

- Application of dynamic contrast magnetic resonance imaging in breast-conserving surgery
- Vol. 27, Issue 5, Pages: 375-378(2018)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.1008-617X.2018.05.007
  CLC：
- Published Online：14 November 2018，
  
  Published：14 November 2018
- 稿件说明：
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赵丹,罗娅红. 动态增强MRI在乳腺癌保乳手术中的应用价值[J]. 肿瘤影像学, 2018, 27(5): 375-378 https://doi.

org/10.19732/j.cnki.1008-617X.2018.05.007
赵丹,罗娅红. 动态增强MRI在乳腺癌保乳手术中的应用价值[J]. 肿瘤影像学, 2018, 27(5): 375-378 https://doi. DOI： 10.19732/j.cnki.1008-617X.2018.05.007.

org/10.19732/j.cnki.1008-617X.2018.05.007 DOI：

摘要

目的：

探讨动态增强磁共振成像（magnetic resonance imaging，MRI）在乳腺癌保乳手术中的应用价值。

方法：

选择保乳手术治疗并经病理证实的乳腺癌患者54例。术前均行动态增强MRI检查，观察病灶的位置、大小和强化类型等，并与术后病理学诊断结果相对照。

结果：

手术后病理学检查发现54个病灶。动态增强MRI对病灶的检出率为100%，对病灶的定位与病理学诊断结果完全符合；对病灶大小的测量与病理学诊断结果具有较高的一致性（

0.05）；不均匀强化的病灶多为低分化癌（13/19）。

结论：

动态增强MRI可评估乳腺癌保乳手术的可能性和预后，具有重要的临床应用价值。

Abstract

Objective:

To explore the clinical value of dynamic contrast magnetic resonance imaging (MRI) in breast-conserving surgery.

Methods:

A total of 54 pathologically confirmed breast cancer patients who received breast-conserving surgery were chosen. All cases were examined by dynamic contrast MRI before operation.

Results:

54 lesions were confirmed by pathology after operation. The detection rate of dynamic contrast MRI was 100%. Lesion localization detected by dynamic contrast MRI was completely in accord with pathological results. Lesion size detected by dynamic contrast MRI had high consistency with pathological results (

0.05). The lesions with heterogeneous enhancement

were mostly poorly differentiated carcinoma (13/19).

Conclusion:

Dynamic contrast MRI has significant clinical value in the evaluation of operation feasibility and prognosis of breast-conserving surgery.

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