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网络出版:2019-12-28,
纸质出版:2019-12-28
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石琴,付志明,张文,等. 乳腺癌动态增强磁共振成像特征与分子预后标志物的关系[J]. 肿瘤影像学, 2019, 28(6): 371-376 https://doi.
org/10.19732/j.cnki.2096-6210.2019.06.004
石琴,付志明,张文,等. 乳腺癌动态增强磁共振成像特征与分子预后标志物的关系[J]. 肿瘤影像学, 2019, 28(6): 371-376 https://doi. DOI: 10.19732/j.cnki.2096-6210.2019.06.004.
org/10.19732/j.cnki.2096-6210.2019.06.004 DOI:
目的:
探讨乳腺癌动态增强磁共振成像(dynamic contrast-enhanced magnetic resonance imaging,DCE-MRI)特征与分子预后标志物的关系。
方法:
回顾性分析68例乳腺癌患者术前DCE-MRI图像特征,比较不同分子预后标志物表达情况的DCE-MRI图像特征差异。
结果:
与雌激素受体(estrogen receptor,ER)阳性者比较,ER阴性者大肿块病灶(直径2 cm)、病灶边缘光整的比例明显升高(
2
=4.55,8.27;
P
<0.05);与孕激素受体(progesterone receptor,PR)阳性者比较,PR阴性者病灶边缘光整的比例明显升高(
=7.23;
<0.05);与人类表皮生长因子受体-2(human epidermal growth factor receptor-2,HER2)阳性者比较,HER2阴性者大肿块病灶的比例明显降低(
=4.57;
<0.05);与Ki-67阳性者比较,Ki-67阴性者大肿块病灶、病灶边缘光整的比例明显降低(
=4.72,7.88;
<0.05)。乳腺癌患者MRI达峰时间为(203.1515.46)s,早期强化率为(125.1718.24)%。达峰时间与ER、PR阳性表达呈正相关(
r
=0.388,0.359;
<0.05),与HER2表达、Ki-67标记指数均无显著相关性(
=-0.281,-0.310;
>0.05)。
结论:
乳腺癌DCE-MRI图像特征,尤其是肿瘤大小、边缘状态及早期强化率,与PR、ER、HER2表达及Ki-67标记指数具有良好相关性,可为乳腺癌患者术前预测、治疗方案的制定及预后评估提供参考依据。
Objective:
To investigate the correlation between dynamic contrast-enhanced magnetic resonance
imaging (DCE-MRI) features and molecular prognostic markers in breast cancer.
Methods:
The preoperative DCE-MRI image features of 68 patients with breast cancer were analyzed retrospectively
and the difference in DCE-MRI image features among different molecular prognostic markers were compared.
Results:
Compared with estrogen receptor (ER) positive
the proportion of large lesions (2 cm) and smooth edge of lesions were significantly increased in negative ER (
=4.55
8.27;
<0.05). Compared with progesterone receptor (PR) positive
the proportion of smooth edge of lesions in PR negative patients was significantly increased (
=7.23;
<0.05). Compared with human epidermal growth factor receptor-2 (HER2) positive
the proportion of large lesions in those with negative HER2 was significantly reduced (
=4.57;
<0.05). Compared with Ki-67 positive
negative Ki-67 patients had significantly lower proportion of large lesion and smooth edge of lesions (
=4.72
7.88;
<0.05). The peak time of MRI in breast cancer patients was (203.1515.46) s
and the rate of early enhancement was (125.1718.24) %. The peaking time was positively correlated with the positive expression of ER and PR (
=0.388
0.359;
<0.05)
but was not significantly correlated with HER2 expression and Ki-67 labeling index (
=-0.281
-0.310;
>0.05).
Conclusion:
DCE-MRI image features of breast cancer
especially tumor size
marginal state and rate of early enhancement
are well correlated with the expressions of PR
ER
HER2 and Ki-67 labelingindex
which can provide reference for preoperative prediction
treatment plan formulation and prognosis evaluation of breast cancer.
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