CONTEXT: Breast cancer is the second most common cancer in the world, and the second most common in cancer in Indian women. AIMS: The aims of this study were to differentiate between benign and malignant lesions using Diffusion Weighted Imaging, T2-weighted and T1-weighted imaging, and to set a cut off value of ADC to differentiate between benign and malignant lesions. MATERIALS AND METHODS: It included 51 patients between the ages of 15 and 75 years, coming to surgical OPD, Government Medical College, Kozhikode with USG/Mammogram proven breast lesions from January 2013 to September 2014. Non contrast MR Mammography was done using 1.5 T MR system. T1WI, T2WI and Diffusion weighted imaging (b= 0, 600) were done and ADC values were calculated for all the lesions. Validity parameters were assessed for each sequence and a combination of all the sequences. ROC curve was plotted and ADC cut off was chosen with a high sensitivity and specificity. RESULTS: Twenty nine lesions were categorized as benign and twenty two lesions were categorized as malignant based on the T1, T2 and DWI. By histopathological examination of these lesions, 2 lesions characterised as malignant turned out to be benign.T1WI was not found to be helpful in differentiating between benign and malignant lesions, whereas 95% of malignant lesions appeared either intermediate signal (90%) or hypointense (5%) in T2WI, conferring a sensitivity of 90.5% and specificity of 80.6% in detection of malignant lesions using T2WI. Applying an ADC threshold of 1.255×10 −3 mm2/s benign and malignant lesions could be differentiated with 100% sensitivity and 93.5% specificity, with a PPV of 90.9% and NPV of 100%. Mean ADC value of malignant lesions was found to be 1.13±0.007 mm 2 /s. CONCLUSION: Non contrast MRI using T2WI and DWI is a useful technique for characterizing breast lesions. It is also useful in the follow up of post lumpectomy irradiated breast to detect recurrence.
<div><p>Milma, the brand name of Kerala Co-operative Milk Marketing Federation (KCMMF) is carrying out its operations in Kerala with its mission of ‘farmer’s prosperity through consumer satisfaction’. It could achieve remarkable progress in milk procurement and selling with the implementation of the operation flood programmes. Today it is a matter of pride that 'Milma' is a household name in Kerala. The punch line of Milma is “The goodness Kerala wakes up to.” Milma is one of the best brands from the state and is known for its regularity of supply and quality of milk. KCMMF has three unions viz. Trivandrum Regional Co-operative Milk Producers Union (TRCMPU), Ernakulam Regional Co-operative Milk Producers Union (ERCMPU), Malabar Regional Co-operative Milk Producers Union (MRCMPU).This study makes an attempt to analyze the Union wise competitiveness of KCMMF Ltd (Milma).</p></div>
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