\u653e\u5c04\u79d1\u533b\u751f\u5728\u5de5\u4f5c\u4e2d\u7ecf\u5e38\u4f1a\u5904\u4e8e<\/p>\n
\u201c\u4e24\u9762\u5939\u51fb\u201d\u7684\u5c34\u5c2c\u5883\u5730\u3002<\/p>\n
\u4e00\u8fb9\u662f\u4e34\u5e8a\u533b\u751f\u7684\u7075\u9b42\u62f7\u95ee:<\/p>\n
\u201c\u8fd9\u4e2a\u75c5\u53d8\u6211\u5230\u5e95\u8be5\u600e\u4e48\u5904\u7406?\u201d<\/p>\n
\u800c\u53e6\u4e00\u8fb9\u662f\u60a3\u8005\u201c\u4e9a\u5386\u5c71\u5927\u201d\u5730\u8be2\u95ee:<\/p>\n
\u201c\u533b\u751f\u533b\u751f\uff0c\u6211\u662f\u4e0d\u662f\u5f97\u764c\u5566?\u201d<\/p>\n
\u4e0b\u56fe\u662f\u4e00\u4f4d34\u5c81\u5973\u6027\u60a3\u8005\u7684\u4e73\u817aMRI\u589e\u5f3a\u56fe\u50cf\uff0c\u53f3\u4e73\u5b9e\u6027\u5f3a\u5316\u7ed3\u8282(\u9ec4\u7bad\u5934)\u3002<\/p>\n
\u653e\u5c04\u79d1\u533b\u5e08\u5982\u4f55\u5199\u597d\u4e73\u817aMRI\u62a5\u544a\uff0c\u4e3a\u4e34\u5e8a\u533b\u751f\u548c\u60a3\u8005\u63d0\u4f9b\u5408\u7406\u7684\u5904\u7406\u610f\u89c1?<\/p>\n
(\u8bfb\u5230\u6700\u540e\u4e3a\u60a8\u63ed\u6653\u7b54\u6848)<\/p>\n
\u56fe1\u56fe\u7247\u6765\u6e90\uff1a\u6e05\u534e\u5927\u5b66\u9644\u5c5e\u5782\u6768\u67f3\u533b\u9662<\/p>\n
\u4e00\u3001\u6b63\u5e38\u4e73\u817aMRI\u8868\u73b0<\/p>\n
1. \u7ea4\u7ef4\u817a\u4f53\u7ec4\u7ec7\u7684\u8bc4\u4ef7: \u6839\u636e\u4e73\u817a\u7ea4\u7ef4\u817a\u4f53\u7ec4\u7ec7\u7684\u81f4\u5bc6\u7a0b\u5ea6\u5206\u4e3a4\u7c7b\uff0c\u901a\u5e38\u4e8eT1WI\u89c2\u5bdf\u3002<\/p>\n
\uff081\uff09\u8102\u80aa\u578b\uff1b<\/p>\n
\uff082\uff09\u6563\u5728\u7ea4\u7ef4\u817a\u4f53\u578b\uff1b<\/p>\n
\uff083\uff09\u4e0d\u5747\u5300\u81f4\u5bc6\u578b\uff1b<\/p>\n
\uff084\uff09\u6781\u5ea6\u81f4\u5bc6\u578b\u3002[1]<\/sup><\/p>\n \u53ef\u53c2\u8003\u4e0b\u56fe2\u89c2\u5bdf\u3002<\/p>\n \u56fe2: A\u8102\u80aa\u578b\uff0cB.\u6563\u5728\u7ea4\u7ef4\u817a\u4f53\u578b\uff0cC.\u4e0d\u5747\u5300\u81f4\u5bc6\u578b D.\u6781\u5ea6\u81f4\u5bc6\u578b<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n 2.\u80cc\u666f\u5b9e\u8d28\u5f3a\u5316(BPE): \u6307\u52a8\u6001\u589e\u5f3a\u7b2c\u4e00\u671f\u76f8\u7684\u7ea4\u7ef4\u817a\u4f53\u7ec4\u7ec7\u7684\u5f3a\u5316\u3002<\/p>\n \u6309\u5f3a\u5316\u7a0b\u5ea6\u5206\u4e3a\uff1a<\/p>\n \uff081\uff09\u6781\u8f7b\u5ea6\u5f3a\u5316<\/p>\n \uff082\uff09\u8f7b\u5ea6\u5f3a\u5316<\/p>\n \uff083\uff09\u4e2d\u5ea6\u5f3a\u5316<\/p>\n \uff084\uff09\u660e\u663e\u5f3a\u5316\u3002[1]<\/sup><\/p>\n \u6709\u4ee5\u4e0b4\u70b9\u9700\u7279\u522b\u6ce8\u610f\uff1a<\/p>\n (1) \u591a\u7076\u6027\u5f3a\u5316\u662fBPE\u7684\u4e00\u79cd\u8868\u73b0\uff0c\u4e0d\u8981\u8bef\u8ba4\u4e3a\u75c5\u7076\u3002<\/p>\n \u56fe3: \u589e\u5f3a\u526a\u5f71\u56fe\u50cf\u793a\u53cc\u4fa7\u4e73\u817a\u591a\u53d1\u7076\u72b6\u5f3a\u5316\uff0c\u4e3aBPE\u7684\u8868\u73b0<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u6e05\u534e\u5927\u5b66\u9644\u5c5e\u5782\u6768\u67f3\u533b\u9662<\/p>\n (2) BPE\u4e3b\u8981\u4e0e\u6708\u7ecf\u5468\u671f\u6fc0\u7d20\u6c34\u5e73\u6709\u5173\uff0c\u800c\u4e0e\u7ea4\u7ef4\u817a\u4f53\u7ec4\u7ec7\u7684\u81f4\u5bc6\u7a0b\u5ea6\u65e0\u5173\u3002\u5728\u975e\u7d27\u6025\u60c5\u51b5\u4e0b\uff0c\u4e00\u822c\u63a8\u8350\u5728\u6708\u7ecf\u5468\u671f\u7684\u7b2c\u4e8c\u5468\u505a\u4e73\u817aMRI\u68c0\u67e5\uff0c\u4ee5\u51cf\u5c11BPE\u5bf9\u75c5\u53d8\u7684\u906e\u6321\u3002[1]<\/sup><\/p>\n \u56fea \u56feb<\/p>\n \u56fe4: \u56feaT1Wl\u5e73\u626b\u793a\u4e73\u817a\u817a\u4f53\u81f4\u5bc6; \u56feb\u793a\u817a\u4f53\u5f3a\u5316\u4e0d\u660e\u663e\uff0cBPE\u4e0e\u817a\u4f53\u81f4\u5bc6\u7a0b\u5ea6\u65e0\u5173<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u6e05\u534e\u5927\u5b66\u9644\u5c5e\u5782\u6768\u67f3\u533b\u9662<\/p>\n \u56fea \u56feb<\/p>\n \u56fe5: \u56fea\u4e3a41\u5c81\u5973\u6027\u4e8e\u6708\u7ecf\u5468\u671f\u7b2c2\u5468\u4e73\u817a\u589e\u5f3aMRI\u56fe\u50cf\uff0cBPE\u51cf\u5c11\uff1b\u56feb\u4e3a\u540c\u4e00\u60a3\u8005\u6708\u7ecf\u5468\u671f\u7b2c4\u5468\u589e\u5f3a\u56fe\u50cf\uff0cBPE\u589e\u52a0<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n \u56fe6: \u589e\u5f3a\u526a\u5f71\u56fe\u50cf\u793a\uff1aBPE\u660e\u663e\u589e\u52a0\uff0c\u53f3\u4fa7\u4e73\u817a\u75c5\u53d8\u5bb9\u6613\u88ab\u63a9\u76d6<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u6e05\u534e\u5927\u5b66\u9644\u5c5e\u5782\u6768\u67f3\u533b\u9662<\/p>\n (3) \u53cc\u4e73\u5bf9\u79f0\u6027\u5f3a\u5316: \u4e3aBPE\u7684\u5178\u578b\u7279\u5f81\u3002<\/p>\n \u975e\u5bf9\u79f0\u6027\u5f3a\u5316: \u53ef\u4e3a\u826f\u6027\u4e5f\u53ef\u4e3a\u6076\u6027\uff0c\u9700\u8981\u7ed3\u5408\u60a3\u8005\u662f\u5426\u6709\u5355\u4fa7\u4e73\u817a\u7684\u653e\u7597\u75c5\u53f2\u3002[1]<\/sup><\/p>\n \u56fe7: A\u56fe\u793a\u53cc\u4fa7\u4e73\u817a\u5bf9\u79f0\u6027\u5f3a\u5316, B\u56fe\u793a\u53cc\u4fa7\u4e73\u817a\u975e\u5bf9\u79f0\u6027\u5f3a\u5316<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n (4) \u54fa\u4e73\u671f\u4e73\u817aBPE\u589e\u52a0\uff0c\u53ef\u4ee5\u4e0d\u5bf9\u79f0\uff0c\u4e3b\u8981\u56e0\u6fc0\u7d20\u53d8\u5316\u6240\u81f4\u8840\u7ba1\u589e\u591a\u3001\u901a\u900f\u6027\u589e\u52a0\u3002[2]<\/sup><\/p>\n \u56fe8: \u56fea.36\u5c81\u5973\u6027\uff0c\u54fa\u4e73\u671f\uff0cBPE\u660e\u663e\u589e\u52a0\uff0c\u53cc\u4fa7\u4e0d\u5bf9\u79f0<\/p>\n \u56fe8: \u56feb\u540c\u4e00\u53d7\u68c0\u8005\uff0c\u505c\u6b62\u54fa\u4e73\u540e6\u4e2a\u6708\uff0cBPE\u51cf\u5c11<\/p>\n (\u56fe\u50cf\u6765\u81ea\u53c2\u8003\u6587\u732e2)<\/p>\n \u4e8c\u3001\u4e73\u817a\u57fa\u672c\u75c5\u53d8\u5f71\u50cf\u63cf\u8ff0<\/p>\n \u4e66\u5199\u62a5\u544a\u65f6\u5bf9\u75c5\u53d8\u7684\u63cf\u8ff0\u975e\u5e38\u91cd\u8981\u3002\u7f8e\u56fd\u653e\u5c04\u5b66\u4f1a(American College of RadiologyACR)2013\u5e74\u51fa\u7248\u7684\u4e73\u817a\u5f71\u50cf\u62a5\u544a\u548c\u6570\u636e\u7cfb\u7edfMRI(Breast Imaging Report and Data Sys-tem-Magnetic Resonance Imaqinq, BI-RADS-MRI)\u8be6\u5c3d\u9610\u8ff0\u4e86\u75c5\u53d8\u7279\u5f81\u4ee5\u53ca\u826f\u6076\u6027\u75c5\u53d8\u63cf\u8ff0\u7684\u6807\u51c6\u672f\u8bed\u3002<\/p>\n 1. \u5c40\u7076\u6027\u75c5\u53d8(Focus)<\/p>\n \u6307\u6591\u70b9\u72b6\u5f3a\u5316\u7076\uff0c\u75c5\u53d8\u8f83\u5c0f(\u5c0f\u4e8e5mm)\uff0c\u751a\u81f3\u96be\u4ee5\u63cf\u8ff0\u5176\u7279\u5f81\uff0cT1WI\u5e73\u626b\u65e0\u5f02\u5e38\u6539\u53d8\u3002\u591a\u4e3a\u826f\u6027\uff0c\u4e0e\u6fc0\u7d20\u6c34\u5e73\u6709\u5173\u6216\u4e3a\u65e2\u5f80\u5b58\u5728\u7684\u826f\u6027\u75c5\u53d8(\u5982\u5c0f\u7ea4\u7ef4\u817a\u7624)\u3002\u6781\u5c11\u6570\u6076\u6027\u75c5\u53d8\u65e9\u671f\u4e5f\u53ef\u4ee5\u6709\u7c7b\u4f3c\u8868\u73b0\u3002[1]<\/sup><\/p>\n \u56fe9: A.\u589e\u5f3a\u526a\u5f71MRI\u56fe\u50cf\u793a\u5c40\u7076\u6027\u75c5\u53d8 (\u7ea2\u8272\u7bad\u5934)\uff0c B\u56feT1WI\u5bf9\u5e94\u533a\u57df\u65e0\u5f02\u5e38\u53d1\u73b0<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n 2. \u80bf\u5757(Mass)<\/p>\n \u75c5\u7076\u8f83\u5927\uff0c\u6709\u4e00\u5b9a\u7684\u8f6e\u5ed3\u3001\u5f62\u6001\uff0c\u6709\u5360\u4f4d\u6548\u5e94\u3002[1]<\/sup><\/p>\n (1) \u5f62\u6001\u63cf\u8ff0\u5305\u62ec: \u692d\u5706\u5f62\u3001\u5706\u5f62\u3001\u4e0d\u89c4\u5219\u5f62\u3002<\/p>\n \u56fe10: A\u692d\u5706\u5f62\u80bf\u5757\uff0cB\u5706\u5f62\u80bf\u5757\uff0cC\u4e0d\u89c4\u5219\u5f62\u80bf\u5757<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n (2) \u8fb9\u7f18\u7279\u5f81\u63cf\u8ff0\u5305\u62ec: \u5149\u6ed1\u3001\u4e0d\u89c4\u5219\u3001\u6bdb\u523a\uff0c\u5176\u4e2d\u8fb9\u7f18\u6bdb\u523a\u63d0\u793a\u6076\u6027\u75c5\u53d8\u3002<\/p>\n \u56fe11: A\u80bf\u5757\u8fb9\u7f18\u5149\u6ed1\uff0cB\u80bf\u5757\u8fb9\u7f18\u4e0d\u89c4\u5219\uff0cC\u80bf\u5757\u8fb9\u7f18\u6bdb\u523a<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n (3)\u589e\u5f3a\u7279\u5f81\u63cf\u8ff0\u5305\u62ec: \u5747\u5300\u5f3a\u5316\u3001\u4e0d\u5747\u5300\u5f3a\u5316\u3001\u73af\u5f62\u5f3a\u5316\u3001\u5185\u90e8\u4f4e\u4fe1\u53f7\u5206\u9694\u3002<\/p>\n \u9664\u56ca\u80bf\u5408\u5e76\u611f\u67d3(T2WI\u9ad8\u4fe1\u53f7)\u4ee5\u53ca\u8102\u80aa\u574f\u6b7b(\u7ed3\u5408\u75c5\u53f2\u53caX\u7ebf\u8868\u73b0)\u5916\uff0c\u73af\u5f62\u5f3a\u5316\u9ad8\u5ea6\u63d0\u793a\u6076\u6027\u80bf\u7624\uff0c\u5185\u90e8\u51fa\u73b0\u5206\u9694\u6837\u4f4e\u4fe1\u53f7\u63d0\u793a\u7ea4\u7ef4\u817a\u7624\u3002<\/p>\n \u56fe12: \u56feA\u4e3a\u5747\u5300\u5f3a\u5316\uff0c\u56feB\u4e3a\u4e0d\u5747\u5300\u5f3a\u5316\uff0c\u56feC\u4e3a\u5185\u90e8\u4f4e\u4fe1\u53f7\u5206\u9694\uff0c\u56feD\u4e3a\u73af\u5f62\u5f3a\u5316<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n 3.\u975e\u80bf\u5757\u6837\u5f3a\u5316(Nonmassenhancement)<\/p>\n \u65e2\u4e0d\u7b26\u5408\u5c40\u7076\u6027\u75c5\u53d8\u7279\u5f81\uff0c\u53c8\u4e0d\u7b26\u5408\u80bf\u5757\u7684\u7279\u5f81\uff0c\u540c\u65f6\u53c8\u4e0d\u5c5e\u4e8e\u80cc\u666f\u5b9e\u8d28\u5f3a\u5316[1,3]<\/sup>\u3002\u5bf9\u5176\u63cf\u8ff0\u65f6\u91cd\u70b9\u5173\u6ce8\u5206\u5e03\u7279\u5f81\uff0c\u5305\u62ec\uff1a<\/p>\n *\u6ce8\u610f:\u5f25\u6f2b\u6027\u5f3a\u5316\u591a\u89c1\u4e8e\u826f\u6027\u75c5\u53d8\uff0c\u800c\u6bb5\u6027\u6216\u7ebf\u6837\u5f3a\u5316\u591a\u89c1\u4e8e\u6076\u6027\u75c5\u53d8\u3002<\/p>\n (1)\u5c40\u9650\u6027\u5f3a\u5316: \u5f3a\u5316\u533a\u57df\u5c40\u9650\u5728\u5355\u4e00\u5bfc\u7ba1\u5206\u5e03\u533a\uff0c\u8303\u56f4\u4e0d\u8d85\u8fc71\/4\u8c61\u9650;<\/p>\n (2)\u7ebf\u6837\u5f3a\u5316: \u5f3a\u5316\u533a\u57df\u4e3a\u5355\u4e00\u6216\u5206\u652f\u7684\u7ebf\u6837\u8868\u73b0:<\/p>\n (3)\u6bb5\u6027\u5f3a\u5316: \u5f3a\u5316\u533a\u57df\u5448\u4e09\u89d2\u5f62\u6216\u9525\u5f62\uff0c\u5c16\u7aef\u6307\u5411\u4e73\u5934;<\/p>\n (4)\u533a\u57df\u6027\u5f3a\u5316: \u5f3a\u5316\u533a\u57df\u7d2f\u53ca\u81f3\u5c111\/4\u8c61\u9650\uff0c\u5448\u5730\u56fe\u6837\uff0c\u5176\u8fb9\u7f18\u4e0d\u5411\u8f6e\u5ed3\u5916\u7a81\u51fa;<\/p>\n (5)\u591a\u53d1\u533a\u57df\u6027\u5f3a\u5316: \u4e24\u4e2a\u6216\u4e24\u4e2a\u4ee5\u4e0a\u7684\u533a\u57df\u6027\u5f3a\u5316\u4e2d\u95f4\u6709\u6b63\u5e38\u4e73\u817a\u7ec4\u7ec7\u5206\u5272;<\/p>\n (6)\u5f25\u6f2b\u6027\u5f3a\u5316: \u904d\u5e03\u6574\u4e2a\u4e73\u817a\uff0c\u5e7f\u6cdb\u6563\u5728\u7684\u5f3a\u5316\u3002<\/p>\n \u9664\u5206\u5e03\u4e4b\u5916\uff0c\u975e\u80bf\u5757\u6837\u5f3a\u5316\u8fd8\u9700\u5173\u6ce8\u5176\u5f3a\u5316\u7684\u7279\u70b9\uff0c\u5305\u62ec: \u5747\u5300\u5f3a\u5316\u3001\u4e0d\u5747\u5300\u5f3a\u5316\u3001\u7c07\u72b6\u7ed3\u8282\u6837\u5f3a\u5316(\u4e5f\u53ef\u5448\u4e32\u73e0\u72b6)\u3001\u7c07\u72b6\u73af\u5f62\u5f3a\u5316\u3002<\/p>\n *\u6ce8\u610f: \u7c07\u72b6\u7ed3\u8282\u6837\u5f3a\u5316\u548c\u7c07\u72b6\u73af\u5f62\u5f3a\u5316\u63d0\u793a\u6076\u6027\u75c5\u53d8\u3002<\/p>\n \u56fe13: \u56feA: \u5c40\u9650\u6027\u5f3a\u5316; \u56feB: \u7ebf\u6837\u5f3a\u5316; \u56feC: \u6bb5\u6027\u5f3a<\/p>\n \u5316; \u56feD: \u533a\u57df\u6027\u5f3a\u5316; \u56feE: \u5f25\u6f2b\u6027\u5f3a\u5316<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n 4.\u6076\u6027\u80bf\u7624\u5176\u4ed6\u4f34\u968f\u5f81\u8c61[1]<\/sup><\/p>\n (1) \u4e73\u5934\u5185\u9677: \u63d0\u793a\u80bf\u7624\u4fb5\u72af\u4e73\u5934\uff0c\u5bf9\u624b\u672f\u65b9\u5f0f\u6709\u5f71\u54cd\uff1b<\/p>\n (2) \u80f8\u808c\u3001\u80f8\u58c1\u53d7\u4fb5\u72af\uff1b<\/p>\n (3) \u76ae\u80a4\u589e\u539a\u6c34\u80bf\uff1b<\/p>\n \u56fe14: \u56fea\u589e\u5f3a\u526a\u5f71\u56fe\u50cf\u793a\u53f3\u4fa7\u4e73\u5934\u5185\u9677\uff0c\u56feb\u589e\u5f3a\u526a\u5f71\u56fe\u50cf\u793a\u53f3 \u4fa7\u76ae\u80a4\u589e\u539a\u3001\u6c34\u80bf<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u6e05\u534e\u5927\u5b66\u9644\u5c5e\u5782\u6768\u67f3\u533b\u9662<\/p>\n (4) \u814b\u7a9d\u6dcb\u5df4\u7ed3\u589e\u5927: \u4e2d\u5fc3\u8102\u80aa\u4fe1\u53f7\u6d88\u5931\uff0c\u5f3a\u5316\u4e0d\u5747\u5300\uff1b<\/p>\n \u56fe15: T2WI\u8102\u80aa\u6291\u5236\u5e8f\u5217\u56fe\u50cf\u793a\u53f3\u4fa7\u814b\u7a9d<\/p>\n \u6dcb\u5df4\u7ed3\u589e\u5927\uff0c\u4e2d\u5fc3\u65e0\u8102\u80aa\u4fe1\u53f7<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u6e05\u534e\u5927\u5b66\u9644\u5c5e\u5782\u6768\u67f3\u533b\u9662<\/p>\n \u5b66\u4e60\u5b8c\u6b63\u5e38\u4e73\u817a\u53ca\u4e73\u817a\u57fa\u672c\u75c5\u53d8\u7684MRI\u8868\u73b0\u540e\uff0c\u4e0b\u9762\u8fd8\u8981\u4ecb\u7ecd\u4e24\u4e2a\u91cd\u8981\u7684\u5f71\u50cf\u89c2\u5bdf\u6307\u6807: \u52a8\u6001\u589e\u5f3a\u66f2\u7ebf\u548c\u5f25\u6563\u52a0\u6743\u6210\u50cf(DWI)\uff0c\u8fd9\u4e24\u4e2a\u6307\u6807\u5bf9\u4e73\u817a\u75c5\u53d8\u7684\u5b9a\u6027\u6709\u8f85\u52a9\u4f5c\u7528\u3002<\/p>\n \u4e09\u3001\u52a8\u6001\u589e\u5f3a\u66f2\u7ebf<\/p>\n \u52a8\u6001\u589e\u5f3a\u66f2\u7ebf\u6307\u6ce8\u5165\u5bf9\u6bd4\u5242\u540e\uff0c\u75c5\u53d8\u4fe1\u53f7\u5f3a\u5ea6\u968f\u65f6\u95f4\u53d8\u5316\u7684\u7279\u5f81\u3002\u5982\u679c\u4e73\u817a\u5185\u6709\u5f3a\u5316\u75c5\u53d8\uff0c\u9700\u5bf9\u75c5\u53d8\u7684\u52a8\u6001\u589e\u5f3a\u66f2\u7ebf\u8fdb\u884c\u8bc4\u4ef7\u3002\u8be5\u66f2\u7ebf\u5305\u62ec\u4e24\u4e2a\u671f\u76f8[1]<\/sup>\u3002<\/p>\n (1)\u521d\u59cb\u671f: \u6307\u6ce8\u836f\u540e2\u5206\u949f\u5185\uff0c\u4fe1\u53f7\u5f3a\u5ea6\u53d8\u5316\u5206\u4e3a: \u7f13\u6162(\u4fe1\u53f7\u5f3a\u5ea6\u589e\u52a0\u5c0f\u4e8e50%) \u4e2d\u5ea6(\u4fe1\u53f7\u5f3a\u5ea6\u589e\u52a050%-100%) \u5feb\u901f\u589e\u52a0(\u4fe1\u53f7\u5f3a\u5ea6\u589e\u52a0\u5927\u4e8e100%)\u3002<\/p>\n (2)\u5ef6\u8fdf\u671f: \u6307\u6ce8\u836f2\u5206\u949f\u4ee5\u540e\uff0c\u4fe1\u53f7\u5f3a\u5ea6\u53d8\u5316\u5206\u4e09\u578b: \u6301\u7eed\u578b(\u4fe1\u53f7\u5f3a\u5ea6\u6301\u7eed\u589e\u52a0)\u3001\u5e73\u53f0\u578b(\u4fe1\u53f7\u5f3a\u5ea6\u4fdd\u6301\u4e0d\u53d8)\u3001\u5ed3\u6e05\u578b(\u4fe1\u53f7\u5f3a\u5ea6\u4e0b\u964d)\u3002<\/p>\n \u56fe16 <\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u53c2\u8003\u6587\u732e1<\/p>\n \u6ce8\u610f: \u4e00\u822c\u800c\u8a00\uff0c\u826f\u6027\u75c5\u53d8\u591a\u8868\u73b0\u4e3a\u6301\u7eed\u578b\uff0c\u6076\u6027\u75c5\u53d8\u591a\u5448\u5ed3\u6e05\u578b\u3002\u4f46\u52a8\u6001\u589e\u5f3a\u66f2\u7ebf\u4e0d\u662f\u7edd\u5bf9\u7684\uff0c\u4ec5\u4f5c\u4e3a\u53c2\u8003\uff0c\u75c5\u53d8\u5f62\u6001\u624d\u662f\u5224\u65ad\u826f\u6076\u6027\u7684\u4e3b\u8981\u4f9d\u636e\u3002<\/p>\n \u56db\u3001\u5f25\u6563\u52a0\u6743\u6210\u50cf(DWI)[2]<\/sup><\/p>\n DWI\u53ef\u4e3a\u9274\u522b\u4e73\u817a\u826f\u6076\u6027\u75c5\u53d8\u63d0\u4f9b\u6709\u4ef7\u503c\u7684\u4fe1\u606f\u3002\u6076\u6027\u80bf\u7624\u5728 DWI\u901a\u5e38\u5448\u9ad8\u4fe1\u53f7\uff0cADC\u503c\u964d\u4f4e\uff0c\u800c\u4e73\u817a\u826f\u6027\u75c5\u53d8ADC\u503c\u8f83\u9ad8\u3002<\/p>\n \u6ce8\u610f: \u4e0d\u80fd\u4ec5\u89c2\u5bdfDWI\u7684\u9ad8\u4fe1\u53f7\uff0c\u540c\u65f6ADC\u503c\u51cf\u4f4e\u624d\u6709\u610f\u4e49\u3002\u90e8\u5206\u4e73\u817a\u75c5\u53d8DWI\u5448\u9ad8\u4fe1\u53f7\uff0c\u540c\u65f6ADC\u503c\u5347\u9ad8\uff0c\u8003\u8651\u4e3aT2\u900f\u5c04\u6548\u5e94\u3002<\/p>\n \u56fe17: \u56fea: \u589e\u5f3a\u526a\u5f71\u56fe\u50cf\u793a\u53f3\u4e73\u817a\u764c\uff0c\u56feb: DWI\u5448\u9ad8\u4fe1\u53f7; \u56feC: ADC\u4fe1\u53f7\u51cf\u4f4e<\/p>\n \u56fe17: \u56fed: T2WI\u793a\u5de6\u4e73\u56ca\u80bf; \u56fee: DWI\u5448\u9ad8\u4fe1\u53f7;\u56fef: ADC\u5448\u9ad8\u4fe1\u53f7\uff0c\u63d0\u793a\u4e3aT2\u900f\u5c04\u6548\u5e94<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u6e05\u534e\u5927\u5b66\u9644\u5c5e\u5782\u6768\u67f3\u533b\u9662<\/p>\n \u4e94\u3001\u6700\u7ec8\u7684BI-RADS\u5206\u7ea7\u786e\u5b9a[1]<\/sup><\/p>\n \u4ee5\u4e0a\u4ecb\u7ecd\u4e86\u4e73\u817a\u57fa\u672c\u75c5\u53d8\u7684\u63cf\u8ff0\uff0c\u6700\u7ec8\u9700\u8981\u7ed3\u5408MRI\u5f71\u50cf\u7279\u5f81\uff0c\u5bf9\u75c5\u53d8\u505a\u51faBI-RADS\u5206\u7ea7\u3002\u4e73\u817aMR BI-RADS\u5206\u7ea7\u5982\u4e0b:<\/p>\n 0\u7ea7: \u5f71\u50cf\u8d44\u6599\u4e0d\u5b8c\u5584\uff0c\u9700\u989d\u5916\u5f71\u50cf\u5b66\u8bc4\u4ef7\uff1b<\/p>\n 1\u7ea7: \u9634\u6027\uff0c\u65e0\u5f02\u5e38\u53d1\u73b0\uff0c\u65e0\u9700\u5904\u7406\u3002 <\/p>\n 2\u7ea7: \u826f\u6027\uff0c\u5982\u7ea4\u7ef4\u7624\u3001\u8102\u80aa\u7624\u3001\u5355\u7eaf\u56ca\u80bf\u7b49\u3002 <\/p>\n 3\u7ea7: \u826f\u6027\u53ef\u80fd\u6027\u5927\uff0c\u6076\u6027\u6982\u7387\u4e00\u822c\u5c0f\u4e8e2%\uff0c\u5efa\u8bae\u968f\u8bbf (\u4e00\u822c 6\u4e2a\u6708)\u3002<\/p>\n 4\u7ea7: \u826f\u6076\u6027\u4e0d\u786e\u5b9a\uff0c\u6000\u7591\u6709\u6076\u6027\u53ef\u80fd\uff0c\u5efa\u8bae\u6d3b\u68c0\u3002\u4e00\u822c\u7ec6\u5206\u4e3a 4A(\u6076\u6027\u53ef\u80fd3-8%)\uff0c4B(\u6076\u6027\u53ef\u80fd9-49%)\uff0c4C(\u6076\u6027\u53ef\u80fd50-94%)\u3002<\/p>\n 5\u7ea7: \u9ad8\u5ea6\u6000\u7591\u6076\u6027(\u6076\u6027\u53ef\u80fd\u5927\u4e8e95%)\uff0c\u9700\u8981\u624b\u672f\u5207\u9664\u3002 <\/p>\n 6\u7ea7: \u7a7f\u523a\u8bc1\u5b9e\u6076\u6027\uff0c\u5f71\u50cf\u5b66\u68c0\u67e5\u4e3b\u8981\u7528\u4e8e\u6cbb\u7597\u524d\u8bc4\u4f30\u6216\u6cbb\u7597\u540e \u7597\u6548\u5224\u5b9a\u3002<\/p>\n \u73b0\u5728\uff0c\u6211\u4eec\u518d\u56de\u5230\u6587\u7ae0\u5f00\u59cb\u7684\u75c5\u4f8b\u3002<\/p>\n \u60a3\u8005\u5f71\u50cf\u68c0\u67e5\u793a:\u53f3\u4e73\u5b9e\u6027\u7ed3\u8282\u5448\u692d\u5706\u5f62\uff0c\u8fb9\u7f18\u5149\u6ed1\uff0c\u5185\u90e8\u53ef\u89c1\u5206\u9694\u6837\u4f4e\u4fe1\u53f7(\u7ea2\u7bad\u5934)\uff0c\u7b26\u5408\u7ea4\u7ef4\u817a\u7624\u7684\u8868\u73b0\uff0c\u8003\u8651\u826f\u6027\u53ef\u80fd\u6027\u5927\uff0c\u7ed3\u5408DWI\u65e0\u660e\u663e\u5f25\u6563\u53d7\u9650\u8868\u73b0\uff0c\u53ef\u4ee5\u62a5BI-RADS 3\u7ea7\uff0c\u540e\u7eed\u968f\u8bbf\u5373\u53ef\u3002<\/p>\n \u56fe18<\/p>\n \u56fe\u7247\u6765\u6e90\uff1a\u6e05\u534e\u5927\u5b66\u9644\u5c5e\u5782\u6768\u67f3\u533b\u9662<\/p>\n \u516d\u3001\u5173\u4e8e\u5bf9\u6bd4\u5242\u7684\u4f7f\u7528<\/p>\n \u4e0d\u5c11\u60a3\u8005\u4f1a\u95ee\u80fd\u4e0d\u80fd\u5148\u505aMRI\u5e73\u626b\uff0c\u53d1\u73b0\u95ee\u9898\u518d\u505a\u589e\u5f3a?<\/p>\n \u4e73\u817aMRI\u68c0\u67e5\u5fc5\u987b\u4f7f\u7528\u5bf9\u6bd4\u5242\uff0c\u5e73\u626b\u5bb9\u6613\u6f0f\u8bca\uff0c\u5bf9\u8bca\u65ad\u4ef7\u503c\u4e0d\u5927\u3002MRI\u4f7f\u7528\u7684\u9486\u7c7b\u5bf9\u6bd4\u5242\uff0c\u4e3b\u8981\u901a\u8fc7\u51cf\u5c11T1\u5f1b\u8c6b\u65f6\u95f4\uff0c\u6765\u589e\u5f3a\u7ec4\u7ec7\u7684\u4fe1\u53f7\u5f3a\u5ea6\u3002<\/p>\n \u4ee5\u4e0b\u56e0\u7d20\u53ef\u4ee5\u5f71\u54cd\u5bf9\u6bd4\u5242\u7684\u6548\u679c: \u6d53\u5ea6\u3001\u5f1b\u8c6b\u7387\u3002<\/p>\n \u6d53\u5ea6\u8d8a\u9ad8\u3001\u5f1b\u8c6b\u7387\u8d8a\u9ad8\uff0c\u6210\u50cf\u6548\u679c\u8d8a\u597d\uff0c\u5982\u9486\u5e03\u9187\uff0c\u5176\u6d53\u5ea6\u4e3a1.0mmol\/L\uff0c\u9ad8\u4e8e\u5176\u4ed6\u5e02\u552e\u7ec6\u80de\u5916\u5bf9\u6bd4\u5242\uff0c\u5177\u6709\u826f\u597d\u7684\u6210\u50cf\u6548\u679c\uff0c\u662f\u4e73\u817a\u8fdb\u884c MRI\u589e\u5f3a\u68c0\u67e5\u7684\u4f18\u9009\u9486\u5bf9\u6bd4\u5242\u4e4b\u4e00\u3002<\/p>\n \u5c0f\u7ed3<\/p>\n \u672c\u7bc7\u4e3b\u8981\u5305\u542b\u4e86\u4e73\u817aMRI\u6b63\u5e38\u8868\u73b0\u53ca\u57fa\u672c\u75c5\u53d8\u7684\u5224\u65ad\u3002<\/p>\n \u901a\u8fc7\u5bf9\u75c5\u53d8\u5927\u5c0f\u3001\u5f62\u6001\u3001\u8f6e\u5ed3\u3001\u8fb9\u7f18\u3001\u5206\u5e03\u3001\u5f3a\u5316\u7279\u5f81\u65b9\u9762\u7684\u63cf\u8ff0\uff0c\u518d\u7ed3\u5408\u52a8\u6001\u589e\u5f3a\u66f2\u7ebf\u4ee5\u53caDWI\u6210\u50cf\u7684\u7279\u70b9\u53ef\u4ee5\u5bf9\u75c5\u53d8\u7684\u826f\u6076\u6027\u8fdb\u884c\u5927\u81f4\u7684\u5224\u65ad\uff0c\u7ed9\u51fa\u5408\u7406\u7684BI-RADS\u5206\u7ea7\uff0c\u4e3a\u4e34\u5e8a\u63d0\u4f9b\u6709\u4ef7\u503c\u7684\u6307\u5bfc\u4fe1\u606f\u3002<\/p>\n \u64b0\u7a3f\u4e13\u5bb6: \u90d1\u4f5c\u950b \u526f\u4e3b\u4efb\u533b\u5e08<\/p>\n \u53c2\u8003\u6587\u732e\uff1a<\/p>\n [1] Sarah R Martaindale.Breast MR Imaging: Atlas of Anatomy,Physiology,Pathophysiology,and Breast Im- aging Reporting and Data Systems LexiconMagnetic resonance imaging clinics of North America 2018 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