Magnetic Resonance Imaging–Guided Breast Interventions

Gombos, Eva C.; Jayender, Jagadeesan; Richman, Danielle M; Kacher, Daniel F.

doi:10.1016/j.mric.2015.05.004

Cited by 6 publications

(2 citation statements)

References 89 publications

(92 reference statements)

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“…In addition, DSA belongs to invasive examinations, which are difficult to accept in some patients. DCE-MRI vessel MIP 3D reconstruction technique can not only clearly show the blood supply of the breast lesion, but also intuitively show the 3D stereo relationship between the blood supply vessel and the lesion, which is convenient to find the tumor feeding artery and its microcirculation characteristics and has important implications for the diagnosis and differential diagnosis of breast lesions (22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

The value of dynamic contrast-enhanced magnetic resonance imaging combined with apparent diffusion coefficient in the differentiation of benign and malignant diseases of the breast

et al. 2021

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Background The value of combined dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) and apparent diffusion coefficient (ADC) histogram analysis for the diagnosis of breast cancer has not been evaluated in previous studies. Purpose To investigate the diagnostic value of DCE-MRI combined with ADC in benign and malignant breast lesions. Material and Methods The clinicopathological imaging data included 168 patients (177 lesions) with breast lesions who underwent convention breast MRI, DCE-MRI, and diffusion-weighted imaging (DWI); they were divided into the benign lesion group (n = 39) and malignant lesion group (n = 129) based on pathology. Results Using the type III outflow curve as a diagnostic criterion for malignant breast lesions, the diagnostic sensitivity was 76.9%, the specificity was 80%, the correct rate was 72.2%, and its area under the curve (AUC) was 0.823. Using an enhancement ratio > 100% as a diagnostic criterion for malignant breast lesions, the sensitivity was 61.5%, specificity was 80%, and AUC was 0.723. Using > 3 ipsilateral vessels as a diagnostic criterion for malignant lesions in the breast resulted in a diagnostic sensitivity of 81.6%, a specificity of 80.8%, and an AUC of 0.805. Conclusion The type of time intensity curve DCE-MRI, the early enhancement rate in the first phase, the number of ipsilateral vessels, and the ADC full volume histogram of the blood supply score and DWI are valuable in the diagnosis of benign and malignant breast lesions.

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Section: Discussionmentioning

confidence: 99%

The value of dynamic contrast-enhanced magnetic resonance imaging combined with apparent diffusion coefficient in the differentiation of benign and malignant diseases of the breast

et al. 2021

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“…Lee JM et al [51] reported an 8% to 13% cancellation rate of the procedure. Non-visualization of the suspicious finding may be due to change in tissue enhancement as the patient is in a different phase of her period or may be related to compression of breast tissue with decreased inflow of contrast material [52].…”

Section: Challenging Clinical Situationsmentioning

confidence: 99%

Recent Progress for the Techniques of MRI-Guided Breast Interventions and their applications on Surgical Strategy

Gao¹,

Kong²,

Song³

et al. 2020

J. Cancer

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With a high sensitivity of breast lesions, MRI can detect suspicious lesions which are occult in traditional breast examination equipment. However, the lower and variable specificity of MRI makes the MRI-guided intervention, including biopsies and localizations, necessary before surgery, especially for patients who need the treatment of breast-conserving surgery (BCS). MRI techniques and patient preparation should be first carefully considered before the intervention to avoid lengthening the procedure time and compromising targeting accuracy. Doctors and radiologists need to reconfirm the target of the lesion and be very familiar with the process approach and equipment techniques involving the computer-aided diagnosis (CAD) tools and the biopsy system and follow a correct way. The basic steps of MRI-guided biopsy and localization are nearly the same regardless of the vendor or platform, and this article systematically introduces detailed methods and techniques of MRI-guided intervention. The two interventions both face different challenging situations during procedures with solutions given in the article. Post-operative statistics show that the complications of MRI-guided intervention are infrequent and mild, and MRI-guided biopsy provides the pathological information for the subsequent surgical decisions and MRI-guided localization fully prepared for follow-up surgical biopsy. New techniques for MRI-guided intervention are also elaborated in the article, which leads to future development. In a word, MRI-guided intervention is a safe, accurate, and effective technique with a low complication rate and successful MRI-guided intervention is truly teamwork with efforts from patients to surgeons, radiologists, MRI technologists, and nurses.

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MRI-Guided Breast Interventions

Rebeiz

Morris

2022

Breast Imaging

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Magnetic Resonance Imaging–Guided Breast Interventions

Cited by 6 publications

References 89 publications

The value of dynamic contrast-enhanced magnetic resonance imaging combined with apparent diffusion coefficient in the differentiation of benign and malignant diseases of the breast

The value of dynamic contrast-enhanced magnetic resonance imaging combined with apparent diffusion coefficient in the differentiation of benign and malignant diseases of the breast

Recent Progress for the Techniques of MRI-Guided Breast Interventions and their applications on Surgical Strategy

MRI-Guided Breast Interventions

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