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Abbreviated MRI Protocols for Detecting Breast Cancer in Women with Dense Breasts
Korean Journal of Radiology ; : 470-475, 2017.
Article in English | WPRIM | ID: wpr-114058
ABSTRACT

OBJECTIVE:

To evaluate the validity of two abbreviated protocols (AP) of MRI in breast cancer screening of dense breast tissue. MATERIALS AND

METHODS:

This was a retrospective study in 356 participants with dense breast tissue and negative mammography results. The study was approved by the Nanjing Medical University Ethics Committee. Patients were imaged with a full diagnostic protocol (FDP) of MRI. Two APs (AP-1 consisting of the first post-contrast subtracted [FAST] and maximum-intensity projection [MIP] images, and AP-2 consisting of AP-1 combined with diffusion-weighted imaging [DWI]) and FDP images were analyzed separately, and the sensitivities and specificities of breast cancer detection were calculated.

RESULTS:

Of the 356 women, 67 lesions were detected in 67 women (18.8%) by standard MR protocol, and histological examination revealed 14 malignant lesions and 53 benign lesions. The average interpretation time of AP-1 and AP-2 were 37 seconds and 54 seconds, respectively, while the average interpretation time of the FDP was 3 minutes and 25 seconds. The sensitivities of the AP-1, AP-2, and FDP were 92.9, 100, and 100%, respectively, and the specificities of the three MR protocols were 86.5, 95.0, and 96.8%, respectively. There was no significant difference among the three MR protocols in the diagnosis of breast cancer (p > 0.05). However, the specificity of AP-1 was significantly lower than that of AP-2 (p = 0.031) and FDP (p = 0.035), while there was no difference between AP-2 and FDP (p > 0.05).

CONCLUSION:

The AP may be efficient in the breast cancer screening of dense breast tissue. FAST and MIP images combined with DWI of MRI are helpful to improve the specificity of breast cancer detection.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Breast / Breast Neoplasms / Magnetic Resonance Imaging / Mammography / Mass Screening / Retrospective Studies / Sensitivity and Specificity / Ethics Committees / Transcription Factor AP-1 / Diagnosis Type of study: Diagnostic study / Practice guideline / Observational study / Prognostic study / Screening study Limits: Female / Humans Language: English Journal: Korean Journal of Radiology Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Breast / Breast Neoplasms / Magnetic Resonance Imaging / Mammography / Mass Screening / Retrospective Studies / Sensitivity and Specificity / Ethics Committees / Transcription Factor AP-1 / Diagnosis Type of study: Diagnostic study / Practice guideline / Observational study / Prognostic study / Screening study Limits: Female / Humans Language: English Journal: Korean Journal of Radiology Year: 2017 Type: Article