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Tohamey YM, Omar OS. Integration of magnetic resonance imaging in characterization of inflammatory breast disorders. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2018. [DOI: 10.1016/j.ejrnm.2018.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Song L, Li L, Liu B, Yu D, Sun F, Guo M, Ruan Z, Zhang F. Diagnostic evaluations of ultrasound and magnetic resonance imaging in mammary duct ectasia and breast cancer. Oncol Lett 2017; 15:1698-1706. [PMID: 29434865 PMCID: PMC5777102 DOI: 10.3892/ol.2017.7514] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Accepted: 10/24/2017] [Indexed: 12/21/2022] Open
Abstract
The objective of the present study was to evaluate the diagnostic efficiency of ultrasound (US) and magnetic resonance imaging (MRI) in the diagnosis and differential diagnosis of mammary duct ectasia (MDE) and breast cancer. This retrospective study was performed on 35 patients with MDE and 105 patients with breast cancer using US and MRI. Imaging features, semi-quantitative and quantitative parameters were analyzed to determine their diagnostic value for MDE and breast cancer. The average age of patients with breast cancer was increased compared with that of patients with MDE. There were no significant differences in local packages with or without tenderness ratio (P=0.259) and grade of color Doppler flow imaging (P=0.273) between the two groups. However, the morphological changes were significantly increased in breast cancer compared with MDE. In addition, there were significant diagnostic differences in US and MRI between breast cancer and MDE, including resistance index, US elastography, time-signal intensity curve, apparent diffusion coefficient, early-stage enhancement ratio, peak-of-enhancement ratio and Tpeak (P<0.05). However, there were no observable significant diagnostic differences between US, MRI and US with MRI for MDE and breast cancer (P=0.103, P=0.263 and P=0.403 respectively). Diagnosis of MDE and breast cancer requires full evaluation of multiple parameters and morphological changes of US and MRI to increase the diagnostic efficiency. US, MRI and US with MRI were all of diagnostic value for MDE and breast cancer, while US with MRI had the highest efficacy.
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Affiliation(s)
- Lei Song
- Equipment Division, The Second Hospital of Shandong University, Jinan, Shandong 250033, P.R. China
| | - Liang Li
- Department of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, P.R. China
| | - Bin Liu
- Department of Radiology, The First Clinical College, Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250033, P.R. China
| | - Dexin Yu
- Department of Radiology, Qilu Hospital, Shandong University, Jinan, Shandong 250033, P.R. China
| | - Fengguo Sun
- Department of Radiology, Division of MRI, The Second Hospital of Shandong University, Jinan, Shandong 250033, P.R. China
| | - Mingming Guo
- Department of Breast Surgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, P.R. China
| | - Zhengmin Ruan
- Department of Radiology, Division of Ultrasound, The Second Hospital of Shandong University, Jinan, Shandong 250033, P.R. China
| | - Feixue Zhang
- Department of Radiology, Division of Ultrasound, The Second Hospital of Shandong University, Jinan, Shandong 250033, P.R. China
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