The Value of Magnetic Resonance Imaging for Breast Invasive Ductal Carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HANG Lizhi , ZENG Hanjiang , HUANG Zixing , YU Jianqun

Department of Radiology， West China Hospital， Sichuan Univeraity， Chengdu 610041， Sichuan Province， China;

Corresponding author：

Keywords：

Breast invasive ductal carcinoma; Magnetic resonance imaging; Diagnosis

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Objective 　To investigate the value of MRI on the preoperative diagnosis for breast invasive ductal carcinoma combined with histopathology.
Methods 　Seventy-five patients with breast invasive ductal carcinoma confirmed with surgery and pathology were reviewed， which were treated in our hospital from Jan to Jun in 2012. The data of MRI before operation were retrospectively analyzed.
Results 　The morphological classification of lesions was mass in 54 cases， micronodular in 21 cases， and cystoid solid in 0 case， respectively. The shape of neoplasm was circular in 3 cases， ovoid in 9 cases， and irregular in 63 cases， respectively. The edge of lesions was irregular in 66 cases，regular in 9 cases， and slightest lobulated in 56 cases， respectively. There was 1 case within the tumor calcification and lymph node metastasis in 18 cases. The MRI features of the T1WI were low signal intensity in 65 cases， signal intensity similar in 10 cases， and the T2WI were low signal intensity in 3 cases and mixed slightly high signals in 72 cases. After enhancement， the tumor had homogeneous enhancement in 64 cases， heterogeneous enhancement in 11 cases.
Conclusion 　The analysis of MRI characteristic features of invasive ductal carcinoma can provid b evidence of imaging for clinical diagnosis of breast invasive ductal carcinoma.

Citation： HANG Lizhi,ZENG Hanjiang,HUANG Zixing,YU Jianqun,.. The Value of Magnetic Resonance Imaging for Breast Invasive Ductal Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(9): 1008-1011. doi: Copy

1.	闵庆华，许玲辉，彭卫军，等. 乳腺导管原位癌的MRI分析[J]. 实用放射学杂志， 2010， 26(11)：1643-1646.
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11.	杨军乐，郭佑民，宁文德，等. 乳腺恶性病变的钼靶X线及磁共振表现对照研究[J]. 放射学实践， 2007， 22(11)：1148-1150.
12.	Bartella L， Liberman L， Morris EA， et al. Nonpalpable mammographically occult invasive breast cancers detected by MRI[J]. AJR， 2006， 86(1)：865-870.
13.	Van Goethem M，Schelfout K，Dijckmans L， et al. MR mammography in the preoperative staging of breast cancer in patients with dense breast tissue：comparison with mammography and ultrasound[J]. Eur Radiol， 2004， 14(5)：809-816．.
14.	Brennan M，Spillane A，Houssami N. The role of breast MRI in clinical practice[J]. Aust Fam Physician， 2009， 38(7)：513-519.
15.	吴勇建，尹肖睿，王立兴. 乳腺钼靶摄影与磁共振动态增强在乳腺癌诊断中的应用对比分析[J]. 实用医技杂志， 2011， 18(9)：922-923.
16.	刘佩芳. 乳腺影像诊断必读[M]. 北京：人民军医出版社，2009：3-6．.
17.	Saslow D，Boetes C，Burke W，et al. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography[J]. CA Cancer J Clin， 2007，57(2)：75-89．.
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19.	Kuhl CK， Jost P， Morakkabati N， et a1. Contrast-enhanced MR imaging of the breast at 3.0 and 1.5 T in the same patients：initial-experience[J]. Radiology， 2006， 239(3)：666-676.
20.	王黎明. 乳腺浸润性导管癌3T磁共振动态增强特征与预后的相关性研究[J]. 中国医学影像学杂志， 2011， 19(8)：596-600.
21.	Szabo BK， Aspelin P， Kristofersen Wiberg M， et a1. Invasive breast cancer：correlation of dynamic MR foatus with prognostic factors[J]. Eur Radiol， 2003， 13(11)：2425-2435.
22.	Kuhl CK， Sehild HH， Morakkabati N. Dynamic bilateral contrast-enhanced MR imaging of the breast：trade-off between spatial and temporal resolution[J]. Radiology， 2005， 236(3)：789-800.
23.	Macura KJ，Ouwerkerk R， Jacobs MA， et al. Patterns ofenhancement on breast MR images：interpretation and imaging pitfalls[J]. Radiographics， 2006， 26(6)：1719-1734．.
24.	罗建东，叶泳松，张雪林，等. MRI 三维动态增强减影技术鉴别乳腺良恶性病变的研究[J]. 实用放射学杂志， 2007， 23(5)：688-692．.
25.	Buckley DL，Drew PJ，Mussurakis S， et al. Microvessel density of invasive breast cancer assessed by dynamic Gd-DTPA enhancedMRI[J]. J Magn Reson Imaging， 1997，7(3)：461-464.

1. 闵庆华，许玲辉，彭卫军，等. 乳腺导管原位癌的MRI分析[J]. 实用放射学杂志， 2010， 26(11)：1643-1646.
2. Biglia N， Bounous VE， Martincich L， et al. Role of MRI (magnetic resonance imaging) versus conventional imaging for breast cancer presurgical staging in young women or with dense breast[J]. Eur J Surg Oncol， 2011， 37(3)：199-204.
3. Gutierrez RL， De Martini WB， Silbergeld JJ， et al. High cancer yield and positive predictive value：outcomes at a center routinely using preoperative breast MRI for staging[J]. AJR Am J Roentgenol， 2011， 196(1)：W93-W99.
4. 张缙熙，姜玉新. 浅表器官及组织超声诊断学[M]. 北京：科学技术文献出版社， 2003：127-142．.
5. 沈旭霞，杨文涛. 乳腺导管原位癌伴微浸润[J]. 中华病理学杂志， 2010， 39(11)：781-784.
6. 许玲辉，彭卫军，顾雅佳，等. 乳腺导管原位癌的MRI表现[J]. 中华放射学杂志， 2011， 45(2)： 159-163.
7. 汪洁，邬剑华，梁杰，等. 微小钙化在乳腺导管原位癌诊断中的意义[J]. 实用放射学杂志， 2009， 25(10)： 1493-1495.
8. Teifke A， Hlawatsch A， Beier T， et a1. Undetected malignancies of the breast：dynamic contrast-enhanced MR imaging at 1.0T[J]. Radiology， 2002， 224(3)：881-888.
9. LaTrenta LR， Jeunifer H， Menell EA， et a1. Breast lesionsdetected with MR imaging：utility and histopathologic importance of identification with US[J]. Radiology， 2003， 227(3)：856-861.
10. 赵红兰，刘颖，程丽，等. 3. 0T 磁共振在乳腺成像中的应用[J]. 中国CT和MR杂志， 2009， 7(1)：18-22.
11. 杨军乐，郭佑民，宁文德，等. 乳腺恶性病变的钼靶X线及磁共振表现对照研究[J]. 放射学实践， 2007， 22(11)：1148-1150.
12. Bartella L， Liberman L， Morris EA， et al. Nonpalpable mammographically occult invasive breast cancers detected by MRI[J]. AJR， 2006， 86(1)：865-870.
13. Van Goethem M，Schelfout K，Dijckmans L， et al. MR mammography in the preoperative staging of breast cancer in patients with dense breast tissue：comparison with mammography and ultrasound[J]. Eur Radiol， 2004， 14(5)：809-816．.
14. Brennan M，Spillane A，Houssami N. The role of breast MRI in clinical practice[J]. Aust Fam Physician， 2009， 38(7)：513-519.
15. 吴勇建，尹肖睿，王立兴. 乳腺钼靶摄影与磁共振动态增强在乳腺癌诊断中的应用对比分析[J]. 实用医技杂志， 2011， 18(9)：922-923.
16. 刘佩芳. 乳腺影像诊断必读[M]. 北京：人民军医出版社，2009：3-6．.
17. Saslow D，Boetes C，Burke W，et al. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography[J]. CA Cancer J Clin， 2007，57(2)：75-89．.
18. Whitson BA， Groth SS， Duval SJ， et al. Surgery for early-stage non-small cell lung cancer：asystematic review of the video-assisted thoacoscopic surgery versus thoracotomy approaches to lobectomy[J] . Ann Thorac Surg， 2008， 86(6)：2008-2016.
19. Kuhl CK， Jost P， Morakkabati N， et a1. Contrast-enhanced MR imaging of the breast at 3.0 and 1.5 T in the same patients：initial-experience[J]. Radiology， 2006， 239(3)：666-676.
20. 王黎明. 乳腺浸润性导管癌3T磁共振动态增强特征与预后的相关性研究[J]. 中国医学影像学杂志， 2011， 19(8)：596-600.
21. Szabo BK， Aspelin P， Kristofersen Wiberg M， et a1. Invasive breast cancer：correlation of dynamic MR foatus with prognostic factors[J]. Eur Radiol， 2003， 13(11)：2425-2435.
22. Kuhl CK， Sehild HH， Morakkabati N. Dynamic bilateral contrast-enhanced MR imaging of the breast：trade-off between spatial and temporal resolution[J]. Radiology， 2005， 236(3)：789-800.
23. Macura KJ，Ouwerkerk R， Jacobs MA， et al. Patterns ofenhancement on breast MR images：interpretation and imaging pitfalls[J]. Radiographics， 2006， 26(6)：1719-1734．.
24. 罗建东，叶泳松，张雪林，等. MRI 三维动态增强减影技术鉴别乳腺良恶性病变的研究[J]. 实用放射学杂志， 2007， 23(5)：688-692．.
25. Buckley DL，Drew PJ，Mussurakis S， et al. Microvessel density of invasive breast cancer assessed by dynamic Gd-DTPA enhancedMRI[J]. J Magn Reson Imaging， 1997，7(3)：461-464.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Value of Magnetic Resonance Imaging for Breast Invasive Ductal Carcinoma

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