CAJ | 학술논문

目的：探讨3.0T磁共振在乳腺疾病中的应用。方法使用西门子3.0T磁共振仪和8通道乳腺线圈对32例乳腺疾病患者进行平扫加增强检查。结果所有患者诊断均结合平扫T1、T2、DWI及增强图像进行分析其病变的信号变化，并测量DWI-ADC值，24例良性患者在（1.82±0.30）×10-3mm2/s，8例恶性患者在（1.010±0.16）×10-3mm2/s；绘制DCE-TIC曲线，32例患者Ⅰ型20例，Ⅱ型5例，Ⅲ型7例；计算DWI-ADC值与病理诊断符合率(χ2=6.710，P＜0.01)，有统计学意义；比较DCE-TIC结果与病理诊断符合率(χ2=4.270，P＜0.05)，有统计学意义。结论应用3.0T磁共振检查乳腺病变，对确诊良、恶性具有较高的敏感性，但须在平扫基础上结合DWI和DCE来进行分析，才能增加诊断准确率。
목적：탐토3.0T자공진재유선질병중적응용。방법사용서문자3.0T자공진의화8통도유선선권대32례유선질병환자진행평소가증강검사。결과소유환자진단균결합평소T1、T2、DWI급증강도상진행분석기병변적신호변화，병측량DWI-ADC치，24례량성환자재（1.82±0.30）×10-3mm2/s，8례악성환자재（1.010±0.16）×10-3mm2/s；회제DCE-TIC곡선，32례환자Ⅰ형20례，Ⅱ형5례，Ⅲ형7례；계산DWI-ADC치여병리진단부합솔(χ2=6.710，P＜0.01)，유통계학의의；비교DCE-TIC결과여병리진단부합솔(χ2=4.270，P＜0.05)，유통계학의의。결론응용3.0T자공진검사유선병변，대학진량、악성구유교고적민감성，단수재평소기출상결합DWI화DCE래진행분석，재능증가진단준학솔。
Objective To discuss the application of 3.0 T MRI in breast diseases. Methods 32 patients with mammary gland disease were scaned and strengthen inspection with the Siemens 3.0T MRI and 8 channel breast coil. Results Combining the pathological signal of T1,T2,DWI and enhance image to diagnosis in all patients,and to measure DWI-ADC values;The ADC val-ues of 24 cases was (1.82+0.30) ×10-3mm2/s,and the ADC values of 8 patients was (1.010+0.16) ×10-3mm2/s;Drawing DCE-TIC curve,there are 20 cases withⅠtype in 32 patients,andⅡtype 5 cases,Ⅲtype 7 cases;Calculated the coincidence rate of ADC values and pathological diagnosis,(χ2=6.710,P<0.01), there was a statistical significance;Compared the coincidence rate of patho-logical diagnosis to the type of DCE-TIC(χ2=4.270,P<0.05),there was a statistical significance. Conclusion There was a high sen-sitivity in diagnosis the benign and malignant of breast disease with 3.0 T MRI,but it must be based on the DWI and DCE scan to increase the diagnostic accuracy.