The value of MRI dynamic enhancement versus diffusion-weighted imaging in the diagnosis of breast cancer
MRI动态增强与扩散加权成像在乳腺癌诊断中的价值

摘要

目的 探讨MRI动态增强（DCE-MRI）与扩散加权成像（DWI）在乳腺癌临床诊断中的价值。方法本研究以本院收治的72例乳腺病变患者作为研究样本，所有患者均接受了DCE-MRI检查、DWI检查以及病理学检查。将病理学检测结果确立为金标准，进而对DCE-MRI检查、DWI检查以及二者联合检查的诊断效能进行了系统且全面的对比分析。结果 在纳入的72例乳腺病变患者中，经病理学检查有43例属于恶性病变，29例属于良性病变。相较于DCE-MRI与DWI单独使用，二者联合应用的特异度、灵敏度及准确度均展现出显著优势，差异具有统计学意义（P＜0.05）。结论 联合运用DCE-MRI与DWI技术，能够显著增强对乳腺癌的诊断效能，为临床提供更为精准的诊断依据。

Abstract

Objective To explore the value of dynamic enhancement of MRI (DCE-MRI) and diffusion-weighted imaging (DWI) in the clinical diagnosis of breast cancer.
Methods In this study, 72patients with breast lesions admitted to our hospital were used as research samples, and all patients underwent DCE-MRI examination, DWI examination and pathological examination. The results of pathological testing were established as the gold standard, and the diagnostic performance of DCE-MRI, DWI and their combined examinations was systematically and comprehensively compared.
Results Among the 72 patients with breast lesions, 43 were malignant and 29 were benign. Compared with DCE-MRI and DWI alone, the specificity, sensitivity and accuracy of the combined application of DCE-MRI showed significant advantages, and the difference was statistically significant (P<0.05).
Conclusion   The combined use of DCE-MRI and DWI technology can significantly enhance the diagnostic efficiency of breast cancer and provide a more accurate diagnosis basis for clinical practice.