乳腺癌的双能量计算机断层扫描图:与动态对比增强磁共振成像技术的比较
Noriko Goda1, Mahito Funakoshi2, Chiaki Ono3
1Department of Breast Surgery, Hiroshima City North Medical Center Asa Citizens Hospital, Hiroshima, Japan; yoshimuranoriko32@gmail.com.
双能计算断层扫描 (DECT) 图显示出评估可操作乳腺癌的程度的前景,在许多情况下与MRI相似. 瘤特征影响DECT的准确性,这表明一种可行的替代成像方法.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 乳腺癌中双能计算断层扫描 (DECT) 的特征还没有得到很好的定义.
- 对DECT和MRI进行瘤扩张的比较是缺乏的.
研究的目的:
- 为了评估DECT图与对比增强的MRI对手术可行的乳腺癌程度评估.
- 为了澄清DECT和MRI在瘤范围评估中的差异.
主要方法:
- 追溯分析了858名接受DECT和MRI的乳腺癌患者.
- 从DECT地图分析的瘤度 (IC).
- 影像检测结果与切除标本病理诊断的比较.
主要成果:
- 根据组织学类型,ER状态,等级和Ki-67的不同,IC参数有所不同.
- DECT图显示了侵入性瘤与内导延伸 (86.2%) 的病理学高度一致.
- 在9.8%的病例中,MRI的准确性更高,在2.1%的病例中,DECT的准确性更高;与IC和背景辅酶增强相关的差异.
结论:
- DECT图提供了一种可行的方法,用于评估可手术的乳腺癌中瘤的扩大程度.
- 在DECT与MRI评估中的差异受IC参数和背景辅酶增强的影响.
- 考虑到这些因素,需要对DECT进行进一步评估.
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