实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2014年
10期
1245-1247
,共3页
MRI%B超%乳腺癌%新辅助化疗%疗效
MRI%B超%乳腺癌%新輔助化療%療效
MRI%B초%유선암%신보조화료%료효
MRI%B-ultrasonic wave%Breast cancer%Neoadjuvant chemotherapy%Clinical effect
目的：探讨MRI在乳腺癌新辅助化疗疗效评价中的应用价值。方法回顾性分析44例乳腺癌患者新辅助化疗前、化疗2个疗程后和手术前的MRI和B超检查资料，比较MRI和B超对乳腺癌新辅助化疗疗效评价的准确性。结果本组44例患者中24例MRI图像显示为向心型缩小，20例为树枝型缩小；MRI检查测得肿瘤的最大径与病理检查结果的平均误差略小于B超，但差异无统计学意义（P＞0．05）；MRI与B超对乳腺癌新辅助化疗疗效评价结果比较，差异无统计学意义（P＞0．05）；MRI对诊断PCR的敏感性、特异性、阳性预测值、阴性预测值及总体符合率均略高于B超，MRI对诊断PCR的假阳性率和假阴性率均略低于B超，但二者比较，差异无统计学意义（P＞0．05）。结论 MRI能够准确显示乳腺癌新辅助化疗后肿瘤形态变化，准确评估乳腺癌新辅助化疗后残存肿瘤范围及新辅助化疗疗效。
目的：探討MRI在乳腺癌新輔助化療療效評價中的應用價值。方法迴顧性分析44例乳腺癌患者新輔助化療前、化療2箇療程後和手術前的MRI和B超檢查資料，比較MRI和B超對乳腺癌新輔助化療療效評價的準確性。結果本組44例患者中24例MRI圖像顯示為嚮心型縮小，20例為樹枝型縮小；MRI檢查測得腫瘤的最大徑與病理檢查結果的平均誤差略小于B超，但差異無統計學意義（P＞0．05）；MRI與B超對乳腺癌新輔助化療療效評價結果比較，差異無統計學意義（P＞0．05）；MRI對診斷PCR的敏感性、特異性、暘性預測值、陰性預測值及總體符閤率均略高于B超，MRI對診斷PCR的假暘性率和假陰性率均略低于B超，但二者比較，差異無統計學意義（P＞0．05）。結論 MRI能夠準確顯示乳腺癌新輔助化療後腫瘤形態變化，準確評估乳腺癌新輔助化療後殘存腫瘤範圍及新輔助化療療效。
목적：탐토MRI재유선암신보조화료료효평개중적응용개치。방법회고성분석44례유선암환자신보조화료전、화료2개료정후화수술전적MRI화B초검사자료，비교MRI화B초대유선암신보조화료료효평개적준학성。결과본조44례환자중24례MRI도상현시위향심형축소，20례위수지형축소；MRI검사측득종류적최대경여병리검사결과적평균오차략소우B초，단차이무통계학의의（P＞0．05）；MRI여B초대유선암신보조화료료효평개결과비교，차이무통계학의의（P＞0．05）；MRI대진단PCR적민감성、특이성、양성예측치、음성예측치급총체부합솔균략고우B초，MRI대진단PCR적가양성솔화가음성솔균략저우B초，단이자비교，차이무통계학의의（P＞0．05）。결론 MRI능구준학현시유선암신보조화료후종류형태변화，준학평고유선암신보조화료후잔존종류범위급신보조화료료효。
Objective To explore the application value of MRI on the clinical effects of neoadjuvant chemotherapy . Methods 44 cases of patients with breast cancer were researched retrospectively .The clinical data MRI and B-ultrasonic wave before chemotherapy ,after 2 course of chemotherapy and before surgery were analyzed .The accuracy of MRI and B-ultrasonic wave for neoadjuvant chemotherapy were compared .Results The MRI showed that 24 cases were centripetal type narrowing ,20 cases were branch type narrowing;The tumor sizes and pathological examination of the MRI results were less than B-ultrasonic wave,there was no significant difference (P>0.05);There was no significant difference on the results of breast cancer neoadju-vant chemotherapy curative effect(P>0.05);The sensibility,specificity,positive predictive value,negative predictive value and the overall coincidence rate for the MRI on diagnosis PCR were higher than the B-ultrasonic wave ,the false positive rate and the false negative rate of the MRI on diagnosis PCR were lower than the B-ultrasonic wave,there was no significant difference (P>0.05).Conclusion MRI can accuratly display the tumor morphology change after adjuvant chemotherapy ,and evaluate the re-sidual tumor range and the clinical effects of neoadjuvant chemotherapy .
