CAJ | 학술논문

目的：探讨3.0T磁共振动态增强检查VIBRANT( Volume Imaging for Breast Assessment,乳腺容积成像序列)技术在乳腺疾病诊断中的价值。方法：回顾性分析经手术病理证实的32例乳腺疾病病人的MRI资料,分析病变信号、形态、时间-信号强度曲线,计算VIBRANT动态增强扫描技术用于诊断良恶性病变的灵敏度、特异度、准确度。结果：采用VIBRANT乳腺动态增强扫描技术后,在保证图像信噪比的条件下,克服了传统动态增强检查的缺点,并且结合病变动态增强后的征象和时间-信号曲线图,明显提高了对乳腺良、恶性病变的诊断,其诊断的敏感性为100%,特异性为81.25%,准确性为93%。乳腺肿瘤动态增强曲线流入型与流出型( P=0.000)、平台型与流出型(P=0.001),差异有统计学意义；流入型与平台型(P=0.209),差异无统计学意义。结论：VIBRANT动态增强扫描技术为乳腺磁共振动态增强检查提供了更新、更好的方法,对提高乳腺疾病诊断的正确性无疑是一种更先进的技术。
목적：탐토3.0T자공진동태증강검사VIBRANT( Volume Imaging for Breast Assessment,유선용적성상서렬)기술재유선질병진단중적개치。방법：회고성분석경수술병리증실적32례유선질병병인적MRI자료,분석병변신호、형태、시간-신호강도곡선,계산VIBRANT동태증강소묘기술용우진단량악성병변적령민도、특이도、준학도。결과：채용VIBRANT유선동태증강소묘기술후,재보증도상신조비적조건하,극복료전통동태증강검사적결점,병차결합병변동태증강후적정상화시간-신호곡선도,명현제고료대유선량、악성병변적진단,기진단적민감성위100%,특이성위81.25%,준학성위93%。유선종류동태증강곡선류입형여류출형( P=0.000)、평태형여류출형(P=0.001),차이유통계학의의；류입형여평태형(P=0.209),차이무통계학의의。결론：VIBRANT동태증강소묘기술위유선자공진동태증강검사제공료경신、경호적방법,대제고유선질병진단적정학성무의시일충경선진적기술。
Objective:To study the diagnosis value of 3 . 0 T dynamic enhanced MRI VIBRANT technique in breast diseases. Methods:A retrospective analysis of 32 patients proved by pathology of breast disease. Analysis of lesion morphology, signal, time-signal intensity curve, calculating the sensitivity,specificity and accuracy of dynamic enhanced MRI VIBRANT technique in the diagnosis of breast diseases. Results:By using dynamic enhanced MRI VIBRANT technique, the sensitivity of diagnosis was 100%,the specificity of diagnosis was 81. 25%and the accuracy of diagnosis was 93%. About dynamic enhancement curve, the differences of inflow and outflow type was statistically significant(P=0. 000),and the differences of platform and outflow type was statistically significant(P=0. 001),the differences of inflow and platform type was not statistically significant(P=0. 209). Con-clusion:Dynamic enhanced MRI VIBRANT technique could improve the diagnosis of breast diseases.