MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component

Goethem, M. Van; Schelfout, Katrien; Kersschot, E.; Colpaert, Cécile; Verslegers, I.; Biltjes, I.; Tjalma, W.; Schepper, A. De; Weyler, Joost; Parizel, Paul M.

doi:10.1016/j.ejrad.2006.12.004

Cited by 72 publications

(36 citation statements)

References 25 publications

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“…The results are conflicting; a number favouring MRI (Schouten van der Velden et al, 2006;Kim et al, 2007;van Goethem et al, 2007), another finding the performance of MRI and mammography were similar (Sardanelli et al, 2008) and yet another finding that the combination of mammography and MRI was significantly better than either of the modalities alone (Santamaría et al, 2008).…”

Section: Discussionmentioning

confidence: 78%

Radiological and pathological size estimations of pure ductal carcinoma in situ of the breast, specimen handling and the influence on the success of breast conservation surgery: a review of 2564 cases from the Sloane Project

et al. 2010

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BACKGROUND: The Sloane Project, an audit of UK screen-detected non-invasive carcinomas and atypical hyperplasias of the breast, has accrued over 5000 cases in 5 years; with paired radiological and pathological data for 2564 ductal carcinoma in situ (DCIS) cases at the point of this analysis. We have compared the radiological estimate of DCIS size with the pathological estimate of DCIS size. We have correlated these sizes with histological grade, specimen-handling methods, particularly the use of specimen slice radiographs, and the success or failure of breast-conserving surgery (BCS). METHODS: The Sloane Project database was interrogated to extract information on all patients diagnosed with DCIS with complete radiological and pathological data on the size of DCIS, nuclear grade, specimen handling (with particular reference to specimen radiographs) and whether primary BCS was successful or whether the patient required further conservation surgery or a mastectomy. RESULTS: Of 2564 patients in the study, 2013 (79%) had attempted BCS and 1430 (71%) had a successful single operation. Of the 583 BCS patients who required further surgery, 65% had successful conservation and 97% of them after a single further operation. In successful one-operation BCS patients, there was a close agreement between radiological and pathological DCIS size with radiology tending to marginally overestimate the disease extent. In multiple-operation BCS, radiology underestimated DCIS size in 59% of cases. The agreement between pathological and radiological size of DCIS was poor in mastectomies but was improved by specimen slice radiography, suggesting specimen-handling techniques as a cause. CONCLUSION: In 30% of patients undergoing BCS for DCIS, preoperative imaging underestimates the extent of disease resulting in a requirement for further surgery. This has implications for the further improvement of preoperative imaging and non-operative diagnosis of DCIS so that second operations are reduced to a minimum.

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Section: Discussionmentioning

confidence: 78%

Radiological and pathological size estimations of pure ductal carcinoma in situ of the breast, specimen handling and the influence on the success of breast conservation surgery: a review of 2564 cases from the Sloane Project

et al. 2010

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“…Several studies in patients with DCIS have been reported. These studies focused on the detection rate of DCIS [20][21][22], defining the characteristics of DCIS on MRI [23][24][25][26][27], and establishing the accuracy for depicting DCIS extent [22,28,29].…”

Section: Introductionmentioning

confidence: 99%

MRI of the breast in patients with DCIS to exclude the presence of invasive disease

et al. 2012

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“…Duktal karsinoma in situ ve yaygın intraduktal komponentin boyutu MRG ile %38-64, MG ile %27-43 oranların-da doğrulukla belirlenmektedir. Ancak bu olgularda MRG %11-28 yanlış pozitif tanı vermekte, %17-28 olguda ise lezyonu daha küçük olarak ölçmektedir [16][17][18].…”

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Meme Manyetik Rezonans Görüntüleme Endikasyonları ve Yorumu Zor Olan Bulgular

Balci¹

2014

Trd Sem

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Meme hastalıklarının tanı ve tedavisinde altın standart mamografi (MG) olmasına ve en önem-li destek yöntem olan ultrasonografinin (US) katkılarına karşın, meme kanseri tanısında henüz istenen duyarlılık ve özgüllük değerlerine ulaşılamamıştır. Bu gereksinim yeni arayışlara yol açmış ve MRG memenin incelenmesinde giderek artan sıklıkta kullanılan bir radyolojik görüntüleme yöntemi haline gelmiştir. Ancak MRG, tüm tıp dünyasınca bilinen üstünlükleri-ne ve özellikle son iki dekaddaki önemli teknik ve bilimsel gelişmelerle rüştünü kanıtlamasına karşın, henüz klinik kullanımda hak ettiği yere ulaşamamıştır. Aşağıda son bilimsel çalışma-lar ve uluslararası rehberler ile önerilen meme MRG endikasyonları sunulmaktadır. Yerel yineleme de negatif cerrahi sınır varlı-ğında %10'dan düşük olup, Türkiye çalışmala- Meme MRG Klinik Endikasyonlar

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MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component

Cited by 72 publications

References 25 publications

Radiological and pathological size estimations of pure ductal carcinoma in situ of the breast, specimen handling and the influence on the success of breast conservation surgery: a review of 2564 cases from the Sloane Project

Radiological and pathological size estimations of pure ductal carcinoma in situ of the breast, specimen handling and the influence on the success of breast conservation surgery: a review of 2564 cases from the Sloane Project

MRI of the breast in patients with DCIS to exclude the presence of invasive disease

Meme Manyetik Rezonans Görüntüleme Endikasyonları ve Yorumu Zor Olan Bulgular

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