Magnetic resonance imaging: value of diffusion-weighted imaging in differentiating benign from malignant breast lesions

Stijven, Sandra; Gielen, Ellen; Bevernage, Charlotte; Horvath, Monique; Meylaerts, L

doi:10.1016/j.ejogrb.2012.10.029

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…In comparison with routine imaging, pMRI showed more multifocal and bilateral breast lesions. Although the strongest agreement was observed between pMRI and ultrasonography on the diagnosis of multifocal lesions (kappa = 30.0%), pMRI was weakly in agreement with ultrasonography or mammography on detection of breast lesions, so reported previous studies (12,13).…”

Section: Discussionmentioning

confidence: 56%

Influence of Preoperative Magnetic Resonance Imaging in Surgical Planning for Breast Cancer

et al. 2018

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Background: Assessment of efficacy of preoperative magnetic resonance imaging (pMRI) is important to improve the diagnosis and treatment results in patients with breast cancer (BC). Objectives:We designed this study to determine the role of pMRI in surgical planning for patients suffering from BC. Methods: We, cross sectionally, observed 98 women with BC referring to an educational hospital in Tehran from January 2014 to December 2015. Data pertaining age, pathological type of BC, preoperative imaging findings, and surgical planning were gathered. The frequency of plan alteration was determined according to pMRI findings and analyzed, using appropriate statistical analyses (descriptive statistics, independent t-test, Chi-square, and Fisher's exact tests).Results: Initial surgical plan of 23 patients (23.47%) was changed. Pathological diagnosis of BC (P = 0.460), size of lesion (P = 0.696), laterality (P = 0.139), and lymph node involvement (P = 0.094) did not seem to alter the surgical plan. On the contrary, younger age (P = 0.049), more lesions (P = 0.002), pMRI enhancement curve washout pattern (P = 0.020), and multifocality (P < 0.001) of lesions in pMRI seemed to change surgical treatment plan. Yet, neither ultrasonography nor mammography findings did alter the plan (P > 0.050).Conclusions: pMRI findings, including multiple lesions and multifocal involvement showing enhancement pattern suggestive for malignancy, may change surgical planning in about a quarter of women suffering from BC, particularly the younger ones, but MRI is not mere criterion for determining and usage of it should be limited to necessary subjects because when it is done without strict parameters, it will cause over diagnosis and over treatment.

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Section: Discussionmentioning

confidence: 56%

Influence of Preoperative Magnetic Resonance Imaging in Surgical Planning for Breast Cancer

et al. 2018

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“…Magnetic Resonance Imaging (MRI) can also be used for differentiation of benign and malignant lesions of the breast. According to several studies, MRI has a high sensitivity (89% -100%), but a variable specificity (37% -97%), for the detection of breast cancer [2]. Also, as different application, Doppler ultrasonography was failed to provide the expected results in breast cancer diagnosis or differentiation.…”

Section: Introductionmentioning

confidence: 99%

Quantitative Ultrasound Elastography of Breast: A Review and Update with Emphasis on Shear Wave Imaging (ARFI)

Yıldırım¹,

Akıncı²,

Tekcan³

2021

OJMI

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Elastography is a method which determines the stiffness of tissues with the help of ultrasound technology and exhibits more quantitative data according to palpation that made during physical examination. Elastography has relatively entered to routine use in the breast evaluation with imaging techniques. Although palpation has a very long history, elastography has been used since 1990s. Elastography is used as an adjunct to conventional gray scale ultrasound and can identify the stiffness of the tissues non-invasively. Today, it is used as two separate technological modalities: strain elastography and shear wave elastography. The aims of these modalities are to increase the sensitivity of the separation between malignant and benign lesions, reduce the unnecessary biopsy processes and to provide a more accurate Breast Imaging Reporting and Data System (BIRADS) categorization of the breast lesions. In this article, we aimed to review the clinical utilization and benefits of elastography in differantial diagnosis of breast lesions, BIRADS categorization, and biopsy decision making in the light of current literature.

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Breast Lesions: Diagnosis Using Diffusion Weighted Imaging at 1.5T and 3.0T—Systematic Review and Meta-analysis

Shi

Yao

et al. 2018

Clinical Breast Cancer

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Magnetic resonance imaging: value of diffusion-weighted imaging in differentiating benign from malignant breast lesions

Cited by 5 publications

References 12 publications

Influence of Preoperative Magnetic Resonance Imaging in Surgical Planning for Breast Cancer

Influence of Preoperative Magnetic Resonance Imaging in Surgical Planning for Breast Cancer

Quantitative Ultrasound Elastography of Breast: A Review and Update with Emphasis on Shear Wave Imaging (ARFI)

Breast Lesions: Diagnosis Using Diffusion Weighted Imaging at 1.5T and 3.0T—Systematic Review and Meta-analysis

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