MRI of fat necrosis of the breast: The “black hole” sign at short tau inversion recovery

Trimboli, Rubina Manuela; Carbonaro, Luca A.; Cartia, Francesco; Leo, Giovanni Di; Sardanelli, Francesco

doi:10.1016/j.ejrad.2011.06.048

Cited by 11 publications

(8 citation statements)

References 23 publications

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“…Another useful technique for ruling out necrotic tumors is using unenhanced non-fat-saturated T1-weighted images to evaluate the degree of lipid cyst formation, looking for a thin rim of enhancement [ 17 ]. Further, the “black hole” sign has been described as another characteristic on MRI to help diagnose fat necrosis, marked central hypointensity of the lesion on short tau inversion recovery (STIR) images when compared with surrounding fat [ 18 ]. Fat necrosis may mimic malignancy with varying appearances on MRI.…”

Section: Imaging Findings Of Fat Necrosismentioning

confidence: 99%

Fat Necrosis of the Breast: A Pictorial Review of the Mammographic, Ultrasound, CT, and MRI Findings with Histopathologic Correlation

Kerridge

Kryvenko

Thompson

et al. 2015

Radiology Research and Practice

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Fat necrosis of the breast is a challenging diagnosis due to the various appearances on mammography, ultrasound, CT, PET-CT, and MRI. Although mammography is more specific, ultrasound is a very important tool in making the diagnosis of fat necrosis. MRI has a wide spectrum of findings for fat necrosis and the appearance is the result of the amount of the inflammatory reaction, the amount of liquefied fat, and the degree of fibrosis. While CT and PET-CT are not first line imaging examinations for the diagnosis of breast cancer or fat necrosis, they are frequently performed in the surveillance and staging of disease. Knowledge of how fat necrosis presents on these additional imaging techniques is important to prevent misinterpretation of the imaging findings. Gross and microscopic appearances of fat necrosis depend on the age of the lesion; the histologic examination of fat necrosis is usually straightforward. Knowledge of the variable appearances of fat necrosis on a vast array of imaging modalities will enhance a radiologist's accuracy in the analysis and interpretation of fat necrosis versus other diagnoses.

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Section: Imaging Findings Of Fat Necrosismentioning

confidence: 99%

Fat Necrosis of the Breast: A Pictorial Review of the Mammographic, Ultrasound, CT, and MRI Findings with Histopathologic Correlation

Kerridge

Kryvenko

Thompson

et al. 2015

Radiology Research and Practice

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“…Sonographically, its appearance varies with the viscosity of the content and the wall characteristics, ranging from a circumscribed complex cystic mass to a spiculated hypoechoic mass with posterior shadowing suggestive of malignancy. 49 On MRI, mature fat necrosis has signal intensity similar to that of the adjacent fat but may have a variable enhancement of the surrounding fibrous tissue that can be suggestive of malignancy. A correlation with mammographic appearance is helpful to confirm the fat density nature of the lesion.…”

Section: Papillary Lesionsmentioning

confidence: 99%

Diagnosis and Management of Benign, Atypical, and Indeterminate Breast Lesions Detected on Core Needle Biopsy

Neal

Sandhu

Hieken

et al. 2014

Mayo Clinic Proceedings

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“…However, fat necrosis appearances may be may not be distinguished from malignant lesions [19]. As mentioned earlier, fat necrosis is often emerges as fat elsewhere in the breast which is necessary for the diagnosis of FN [20]. (Fig.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, a multidisciplinary team needs to be involved in this process. The common imaging features of fat necrosis are summarized in Table 2 [1, 2, 14, 15, 17, 18, 20].…”

Section: Introductionmentioning

confidence: 99%

Fat necrosis in the Breast: A systematic review of clinical

et al. 2019

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Breast fat necrosis (FN) originates from aseptic fat saponification, which is a typical lipid cyst or a spiculated lesion called mammographic presentation which mimics malignancy. In order to avoid biopsy, it would be necessary to identify the spectrum of fat necrosis appearances. A systematic research was conducted in October 2018 by using PubMed, MEDLINE, Embase, Google Scholar databases and Google to search for science literature published after 2004. Therefore, the aim of this systematic review, it is that the FN can provide radiologists, surgeons, and oncologists with better insight and help them manage the condition efficiently.

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MRI of fat necrosis of the breast: The “black hole” sign at short tau inversion recovery

Cited by 11 publications

References 23 publications

Fat Necrosis of the Breast: A Pictorial Review of the Mammographic, Ultrasound, CT, and MRI Findings with Histopathologic Correlation

Fat Necrosis of the Breast: A Pictorial Review of the Mammographic, Ultrasound, CT, and MRI Findings with Histopathologic Correlation

Diagnosis and Management of Benign, Atypical, and Indeterminate Breast Lesions Detected on Core Needle Biopsy

Fat necrosis in the Breast: A systematic review of clinical

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