An Abbreviated Protocol for High-Risk Screening Breast MRI Saves Time and Resources

Harvey, Susan C.; Carlo, Phillip A. Di; Lee, Bonmyong; Obadina, Eniola; Sippo, Dorothy A.; Müllen, Lisa A.

doi:10.1016/j.jacr.2015.08.015

Cited by 103 publications

(83 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To make breast MRI more accessible for routine screening populations, some investigators have evaluated the benefit of an abbreviated breast MRI protocol. Although the selected sequence of AP was varied, several prior studies demonstrated that an AP of MRI was not only a time-saving tool for radiologists and patients, but also had the same diagnostic potential as FDP of MRI (1314152021). However, to our knowledge, there are no published reports about DWI being used as an abbreviated breast MRI protocol.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Abbreviated MRI Protocols for Detecting Breast Cancer in Women with Dense Breasts

et al. 2017

View full text Add to dashboard Cite

ObjectiveTo evaluate the validity of two abbreviated protocols (AP) of MRI in breast cancer screening of dense breast tissue.Materials and MethodsThis 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.ResultsOf 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).ConclusionThe 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.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Recent studies have evaluated the feasibility of using an abbreviated protocol (AP) of MRI for breast cancer detection (131415), and the results have shown that the AP provided a better detection performance than MG. Therefore, Morris (16) recommended that AP should become a standard protocol for breast cancer screening.…”

Section: Introductionmentioning

confidence: 99%

Abbreviated MRI Protocols for Detecting Breast Cancer in Women with Dense Breasts

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Most approaches involve a precontrast series and between one and two postcontrast images with accompanying subtraction images and have an acquisition time as low as 2 minutes 20 seconds . Some studies have incorporated MIP images while others have evaluated the additive value of T 2 ‐weighted imaging, which adds acquisition time, but may also increase reader confidence 27 (Fig. ).…”

Section: Abbreviated (Ab) Mrimentioning

confidence: 99%

“…Many of the earlier studies on abbreviated MRI evaluated cancer‐enriched test sets. The promise of abbreviated MRI has increasingly been supported by more “real‐life” clinical studies comparing abbreviated protocol outcomes . Harvey et al, for example, retrospectively reviewed 568 MRI cases with both abbreviated and full diagnostic protocols.…”

Section: Abbreviated (Ab) Mrimentioning

confidence: 99%

MRI breast screening revisited

Heller

Moy

2019

Magnetic Resonance Imaging

View full text Add to dashboard Cite

Contrast‐enhanced breast MRI is a standard evidence‐based component of supplemental screening in conjunction with mammography for higher‐risk populations because of its high sensitivity for detecting breast cancer; the use of breast MRI for screening in high‐risk populations is recommended in multiple national and international guidelines. The current MRI exam, however, is expensive relative to other screening technologies such as mammography, and relatively more time‐intensive. Recent investigations have focused on techniques that have the potential for improving efficiency of the breast MRI exam, decreasing acquisition and reading times, without impacting diagnostic accuracy. The purpose of this article is therefore to provide an overview of current MRI guidelines for screening for breast cancer and to discuss evolving technological approaches to breast MRI, in particular abbreviated and ultrafast MRI protocols, as well as MRI protocols without contrast that have the potential to improve MRI screening. Level of Evidence: 5 Technical Efficacy Stage: 2 J. Magn. Reson. Imaging 2019;49:1212–1221.

show abstract

“…Commonly, contrast‐enhanced abbreviated breast MRI protocols consist of a localizer and a native as well as a single early postcontrast T 1 ‐weighted sequence . By subtracting the native from the enhanced scan, a subtraction mask is calculated that solely displays contrast‐enhancing areas .…”

Section: Contrast‐enhanced Abbreviated Mri Of the Breastmentioning

confidence: 99%

Abbreviated MRI Protocols in Breast Cancer Diagnostics

Deike-Hofmann

Koenig

Paech

et al. 2018

Magnetic Resonance Imaging

View full text Add to dashboard Cite

Oncologic imaging focused on the detection of breast cancer is of increasing importance, with over 1.7 million new cases detected each year worldwide. MRI of the breast has been described to be one of the most sensitive imaging modalities in breast cancer detection; however, clinical use is limited due to high costs. In the past, the objective and clinical routine of oncologic imaging was to provide one extended imaging protocol covering all potential needs and clinical implications regardless of the specific clinical indication or question. Future protocols might be more focused according to a "keep it short and simple" approach, with a reduction of patient magnet time and a limited number of images to review. Rather than replacing conventional full‐diagnostic breast MRI protocols, these approaches aim at introducing a new thinking in oncologic imaging using a diversification of available imaging approaches targeted to the dedicated clinical needs of the individual patient. Here we review current approaches on using abbreviated protocols that aim to increase the clinical availability and use of breast MRI for improved early detection of breast cancer. Level of Evidence: 2 Technical Efficacy: Stage 3 J. Magn. Reson. Imaging 2019;49:647–658.

show abstract

An Abbreviated Protocol for High-Risk Screening Breast MRI Saves Time and Resources

Cited by 103 publications

References 31 publications

Abbreviated MRI Protocols for Detecting Breast Cancer in Women with Dense Breasts

Abbreviated MRI Protocols for Detecting Breast Cancer in Women with Dense Breasts

MRI breast screening revisited

Abbreviated MRI Protocols in Breast Cancer Diagnostics

Contact Info

Product

Resources

About