月经周期对乳腺MRI动态增强的影响

Effects of menstrual cycle on dynamic contrast-enhanced breast MRI

  • 摘要: 目的 探讨月经周期对乳腺动态增强检查的影响。方法 16例女性分别在月经来潮前1周(分泌晚期)和经期结束后1周(增殖早期)内进行乳腺动态增强MRI检查,进行自身对照比较。采用双盲法进行病灶的BI-RADS-MRI分级,测量病灶的动态增强曲线90s增强率,比较两时期差别。结果 分泌晚期和增殖早期预测BI-RADS-MRI4、3、2级病灶数量分别为19、97、68和8、62、42,90s增强率分别为(114.1±17.6)%和(69.2±15.2)%,两者之间具有统计学差异(P<0.01)。结论 在月经周期增殖早期进行乳腺动态增强检查比分泌晚期可降低病灶的BI-RADS-MRI分级,降低MRI检查假阳性率。

     

    Abstract: Objective To investigate the effects of different menstrual cycles on dynamic contrast-enhanced breast MRI. Methods Dynamic contrast-enhanced breast MRI was performed in 16 females at the late extravotory phase(within 1 week before menstrum) and early proliferation phase(within 1 week after menstrum) of menstrual cycle using the same image protocol.BI-RADS-MRI was double-blindly categorized and early 90s enhancement ratio was detected.Differences in the two phases were compared. Results The number of lesions categorized as 4,3 and 2 was 19,97 and 68,respectively,at the late extravotory phase and 8,62 and 42,respectively,at the early proliferation phase.The early 90s enhancement ratio was(114.1±17.6)%,(69.2±15.2)%,respectively(P<0.01). Conclusion Dynamic contrast-enhanced breast MRI at the early proliferation phase can decrease BI-RADS-MRI categories and its false positive prediction.

     

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