Value of an abbreviated protocol of breast magnetic resonance imaging for screening high-risk patients

Martínez, D. Marquina; Ciria, S. Cruz; Barrado, A.I. García; Amador, I. Suñén; Mur, Carmen García

doi:10.1016/j.rxeng.2019.11.006

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…This is to improve the specificity, including information that allows greater discrimination between benign and malignant lesions and make it possible to evaluate the tumor uptake. Other studies explicitly incorporate the use of maximum intensity projection (MIP) images of post-contrast examinations as part of the reading protocol [19,[45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62]. This derivated image highlights maximum enhancement areas such as tumor or lymph nodes, and allows for the assessment of the relationship among arteries, veins, and blood vessels.…”

Section: Abbreviated Protocols Specificationmentioning

confidence: 99%

“…From the set of 31 retrospective studies, 11 included women who had undergone breast MRI by currently accepted indications, such as preoperative breast staging, problem-solving, follow-up for previous nonsurgical breast intervention, and probably benign findings detected on previous studies, among others [47][48][49]64,38,51,41,54,42,27]; two of them were specifically oriented to the detection of lesions in women with heterogeneously or extremely dense breasts [48,49], according to ACR categorization, and another one in to detect lesions in pathologically proven breast cancer studies [45]. Six aimed to evaluate the feasibility of using abbreviated protocols to screening high risk women [35,46,59,39,53,55]; and 7 others, to women with a personal or family history of breast cancer [71,36,43,37,58,44,60]. Additionally, 3 studies established as inclusion criteria to present lesions previously identified by another imaging modality [69,70,67]; and the other 4, focused on pathologically proven breast cancer studies [74,57,68,61].…”

Section: Study Purpose and Populationmentioning

confidence: 99%

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Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Hernández

Osorio

Florez

et al. 2021

European Journal of Radiology Open

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Background : magnetic resonance imaging (MRI) has been increasingly used to study breast cancer for screening high-risk cases, pre-operative staging, and problem-solving because of its high sensitivity. However, its cost-effectiveness is still debated. Thus, the concept of abbreviated MRI (ABB-MRI) protocols was proposed as a possible solution for reducing MRI costs Purpose : to investigate the role of the abbreviated MRI protocols in detecting and staging breast cancer Methods : a systematic search of the literature was carried out in the bibliographic databases: Scopus, PubMed, Medline, and Science Direct. Results : forty-one articles were included, which described results of the assessment of fifty-three abbreviated protocols for screening, staging, recurrence assessing, and problem-solving or clarification. Conclusions : the use of ABB-MRI protocols allows reducing the acquisition and reading times, maintaining a high concordance with the final interpretation, in comparison to a complete protocol. However, larger prospective and multicentre trials are necessary to validate the performance in specific clinical environments

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Section: Abbreviated Protocols Specificationmentioning

confidence: 99%

Section: Study Purpose and Populationmentioning

confidence: 99%

Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Hernández

Osorio

Florez

et al. 2021

European Journal of Radiology Open

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Comparative diagnostic efficacy of abbreviated and full protocol breast MRI: a systematic review and a meta-analysis

Pesapane,

Battaglia,

Rotili

et al. 2024

British Journal of Radiology

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Objectives This meta-analysis aims to compare the efficacy, limitations, and clinical implications of Abbreviated Breast MRI (AB-MRI) and Full Protocol MRI (FP-MRI). It focuses on diagnostic accuracy across various populations and settings, extending the scope of prior meta-analyses by including studies conducted after 2019 in both screening and diagnostic contexts. Methods We conducted a systematic review (from 11/2019 to 12/2022). A bivariate model was used to calculate the summary estimates of sensitivity and specificity. Random effect models were used to calculate summary AUC and probability distributions for negative and positive predictive values were obtained. Subgroup analyses were conducted to investigate the differences between the AB-MRI and FP-MRI in terms of sensitivity, specificity, and AUC. Results The search across multiple databases yielded 11 eligible studies, including one prospective and ten retrospective studies. Statistical analysis revealed a significant difference in sensitivity between FP-MRI (95%) and AB-MRI (86%, p = 0.005), but not in specificity (p = 0.50). AB-MRI demonstrated a shorter acquisition time, suggesting potential for increased patient throughput. However, challenges remain in detecting small lesions and non-mass enhancements, with some studies suggesting the inclusion of additional sequences such as DWI with ADC mapping to enhance diagnostic performance. Conclusion While FP-MRI remains the gold standard in breast cancer detection, AB-MRI presents as a viable, quicker alternative, especially useful in high-risk screening scenarios. Its lower sensitivity compared to FP-MRI, however, limits its utility as a standalone diagnostic tool. Future research should focus on optimizing AB-MRI protocols and investigating patient-specific factors to refine breast cancer screening and diagnostic strategies.

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Value of an abbreviated protocol of breast magnetic resonance imaging for screening high-risk patients

Cited by 2 publications

References 17 publications

Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Comparative diagnostic efficacy of abbreviated and full protocol breast MRI: a systematic review and a meta-analysis

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