Head and Neck Imaging

Quantitative Analysis and Diagnostic Value of Diffusion-weighted Imaging in Breast Non-mass Invasive Ductal Carcinoma and Ductal Carcinoma in Situ*

Author:LI Yan, ZHENG Xiao-lin, LIU Bi-hua, et al.

affiliation:Department of Radiology, People's Hospital of Dongguan, Dongguan 52300, Guangdong Province, China

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Abstract

Objective To investigate the diagnosis efficiency of decline rate of signal intensity and apparent diffusion coefficient(ADC) with different b values for differentiating breast non-mass invasive ductal carcinoma(IDC) and ductal carcinoma in situ(DCIS) on diffusion-weighted 3.0T magnetic resonance imaging. Methods Collecting 78 cases of non-mass IDC and 32 cases of DCIS from June 2014 to December 2016 in Dongguan People's Hospital. All patients underwent 3.0T magnetic resonance imaging scan before operation, three b values (0,500,800s/mm2 ) were used. The signal intensity with different b value and ADC values with b value(800 s/mm2 )of breast cancers were measured respectively. The signal intensity decline rate(SIDR) was calculated. SIDR=(signal intensity of lesions with low b value- signal intensity of lesions with high b value)/ signal intensity of lesions with low b value. The independent sample t-test was employed for statistical analyses. Results (1) Non significant differences were observed in signal intensity between breast non-mass IDC and DCIS with b values of 0,500,800s/mm2 (P>0.05); (2) Non significant differences were observed in SIDR between breast non-mass IDC and DCIS with b values of 0-500,500-800s/mm2 (P>0.05); (3) Significant difference was observed in ADC value between breast non-mass IDC and DCIS with b values of 800s/ mm2 (P<0.05). Conclusion The signal intensity and decline rate with different b values may be not used for differentiating breast non-mass IDC and DCIS now; ADC value has some reference value with b value of 800s/mm2 .

【Keyword】Breast Carcinoma; Magnetic Resonance Imaging; Diffusion Magnetic Resonance Imaging; Signal Intensity; Apparent Diffusion Coefficient Value

【Chart number】R737.9;R445.2

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2019.05.026