Efficacy of MR mammography (MRM) in providing preoperative locoregional information on breast cancer: correlation between MRM and histological findings.

Efficacy of MR mammography (MRM) in providing preoperative locoregional information on breast cancer: correlation between MRM and histological findings.
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DOI:
10.2463/mrms.1.73
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发表时间:
2002-07-01
期刊:
Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine
影响因子:
--
通讯作者:
Hayashi, Takayuki
Hayashi, Takayuki
中科院分区:
其他
文献类型:
--
作者:
Kuroki, Yoshifumi;Nawano, Shigeru;Hayashi, Takayuki

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依据和目标:目的:评价磁共振成像(MRI)在乳腺癌术前提供局部信息中的作用。采用1.5T磁共振成像系统,采用SPGR脉冲序列,行脂肪抑制T1 WI、T2 WI及动态增强扫描。结果:从MRM获得的大小与组织学获得的大小,包括导管内扩散的癌症(R:0.853),以及与MRM测量的癌症的程度证实在所有patients.RESULTS:相关。至于形状,从MRM明显的圆形/椭圆形的相关性更准确(R:0.934)比不明确的类型与线性和/或团块状增强区(R:0.744)。在大多数患者(93.5%)中,从MRM获得的大小和组织学获得的大小(包括IDS)之间的差异小于15 mm。结论:MRM准确地揭示了癌症的程度,包括IDS,并有效地为乳腺癌的保乳治疗提供术前局部信息。
RATIONALE AND OBJECTIVES: To assess the efficacy of MRM in providing preoperative locoregional information on patients with breast cancer.METHODS: MRI was performed on 62 female breast cancer patients. A 1.5T MR-system was used to acquire fat-suppressed T(1)WI, T(2)WI and dynamic-contrast-enhanced images with an SPGR pulse sequence. The extent of the cancer measured with MRM was confirmed histologically in all patients.RESULTS: The size obtained from MRM correlated well with the size obtained histologically, including intraductal spread of cancer (R: 0.853). As for shape, the round/oval type evident from MRM correlated more accurately (R: 0.934) than the ill-defined type associated with a linear and/or clumped enhanced area (R: 0.744). The difference between the size obtained from MRM and the size obtained histologically, including IDS, was less than 15 mm in the majority of patients (93.5%).CONCLUSIONS: MRM accurately reveals the extent of cancer, including IDS, and is effective at providing preoperative locoregional information for breast-conserving therapy for breast cancer.