乳腺癌扩散加权磁共振成像中肿瘤细胞与表观扩散系数值的关系。

Radiation medicine Pub Date : 2008-05-01 Epub Date: 2008-05-29 DOI:10.1007/s11604-007-0218-3
Miho I Yoshikawa, Shozo Ohsumi, Shigenori Sugata, Masaaki Kataoka, Shigemitsu Takashima, Teruhito Mochizuki, Hirohiko Ikura, Yutaka Imai
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引用次数: 161

摘要

目的:探讨乳腺癌弥散加权磁共振成像中肿瘤细胞数量与表观扩散系数(ADC)值的关系。材料与方法:研究对象为27例接受过乳腺癌手术治疗的女性。27例乳腺癌病变,其中浸润性导管癌(invasive ductal carcinoma, IDC) 24例,非浸润性导管癌(noninvasive ductal carcinoma, NIDC) 3例。结果:IDC、NIDC、正常乳腺的平均ADC值分别为1.07 +/- 0.19.10(-3)、1.42 +/- 0.17.10(-3)、1.96 +/- 0.21.10 (-3)mm(2)/s。IDC和NIDC的平均ADC值与正常乳腺差异有统计学意义(P < 0.001)。平均ADC值在IDC和NIDC之间也有显著差异(P < 0.001)。ADC值与肿瘤细胞无相关性。结论:乳腺癌的平均ADC值与正常乳腺有显著差异。乳腺癌的平均ADC值与癌细胞数量没有显著相关性,但与组织学类型相关。
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Relation between cancer cellularity and apparent diffusion coefficient values using diffusion-weighted magnetic resonance imaging in breast cancer.

Purpose: The purpose of this study was to examine the relation between cancer cellularity and the apparent diffusion coefficient (ADC) value using diffusion-weighted magnetic resonance imaging in breast cancer.

Materials and methods: The subjects were 27 women who had undergone operation for breast cancer. There were 27 breast cancer lesions, 24 of which were invasive ductal carcinoma (IDC) and 3 of which were noninvasive ductal carcinoma (NIDC).

Results: The mean ADC values of IDC, NIDC, and normal breasts were 1.07 +/- 0.19 .10(-3), 1.42 +/- 0.17 .10(-3), and 1.96 +/- 0.21 .10(-3) mm(2)/s, respectively. The mean ADC values of IDC and NIDC were significantly different from that of normal breasts (P < 0.001 each). The mean ADC values were also significantly different between IDC and NIDC (P < 0.001). There was no correlation between the ADC value and cancer cellularity.

Conclusion: The mean ADC values for breast cancer were significantly different from that of normal breasts. The mean ADC value for breast cancer did not significantly correlate with cancer cellularity but did correlate with histological types.

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