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Clinical Article
Clinical significance of time-signal intensity curve type I on dynamic contrast-enhanced MRI of the breasts
GU Shuang  SU Tian-hao  JIN Er-hu  LIANG Yu-ting  MA Da-qing 

DOI:10.3969/j.issn.1674-8034.2011.03.006.


[Abstract] Objective: To explore the value of time-signal intensity curve (TIC) type I in identifying enhanced lesions of the breasts on dynamic contrast-enhanced MRI (DCE-MRI).Materials and methods: Fifty-three patients with breast lesions performed MRI examinations at 3.0 T scanner. Numbers and features of the lesions were analyzed on axial FSE T1WI, axial and sagittal STIR T2WI, and 3-dimentional DCE-MRI after intravenous gadolinium administration. TIC types of the enhanced lesions were classified according to their shapes as type I, which was steady enhancement; type II, plateau of signal intensity; or type III, washout of signal intensity.Results: Among fifty-three female patients, abnormally enhanced lesions with TIC type I on DCE-MRI included benign lesions in 36 (breast adenosis 17, breast cystic hyperplasia 4, breast fibroadenoma 13, intraductal papilloma 2), untreated malignant lesions in 8 (ductal carcinoma in situ 3, mucinous carcinoma 4, invasive ductal carcinoma 1) and residual lesions of breast carcinoma following neoadjuvant chemotherapy in 9.Conclusion: TIC type I may be found in both benign and malignant lesions of the breasts, it is necessary to combine with morphological characteristics and clinical history for a correct judgment.
[Keywords] Breast diseases;Breast carcinomas;Magnetic resonance imaging

GU Shuang Department of Radiology, Fuxing Hospital, Capital Medical University, Beijing 100038, China

SU Tian-hao Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

JIN Er-hu* Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

LIANG Yu-ting Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

MA Da-qing Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

*Correspondence to: Jin EH, E-mail: erhujin@263.net

Conflicts of interest   None.

Received  2010-10-20
Accepted  2011-03-11
DOI: 10.3969/j.issn.1674-8034.2011.03.006
DOI:10.3969/j.issn.1674-8034.2011.03.006.

[1]
Smith RA. The evolving role of MRI in the detection and evaluation of breast cancer. N Engl J Med, 2007, 356(13):1362-1364.
[2]
Orel SG, Schnall MD. MR imaging of the breast for the detection, diagnosis, and staging of breast cancer. Radiology, 2001, 220(1):13-30.
[3]
Kuhl CK, Mielcareck P, Klaschik S, et al. Dynamic breast MRI imaging: are signal intensity time course data useful for differential diagnosis of enhancing lesions? Radiology, 1999, 211(1):101-110.
[4]
赵红兰,刘颖,程丽,等. 3.0T磁共振在乳腺成像中的应用.中国CT和MRI杂志, 2009, 7(1):18-22.
[5]
姜军,詹新恩,柳凤轩.乳腺导管不典型增生与癌变的关系.肿瘤防治研究, 1990, 17(3):133-135.
[6]
Kuhl CK, Schild HH. Dynamic image interpretation of MRI of the breast. J Magn Reson Imaging, 2000, 12(6):965-974.
[7]
李敏,金真,李功杰,等.乳腺动态增强MRI参数与肿瘤血管的相关性及其鉴别诊断价值.磁共振成像,2010, 1(1): 36-42.
[8]
Teifke A, Behr O, Schmidt M, et al. Dynamic MR imaging of breast lesions: correlation with microvessel distribution pattern and histologic characteristics of prognosis. Radiology, 2006, 239(2):351-360.
[9]
彭卫军,蒋朝霞,刘佩芳,等.客观认识乳腺癌术前MRI的诊断价值——COMICE研究结果解读.磁共振成像, 2010, 1(3):164-168.
[10]
靳二虎,吴晓华,梁宇霆,等.3.0T MRI诊断和化疗后评估乳腺癌的可行性研究.中国医学影像技术,2008, 24(7):1036-1038.
[11]
程流泉,刘梅,张爱莲,等.月经周期对乳腺MRI动态增强的影响.军医进修学院学报, 2010, 31(8):754-756.

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