Dataset Information

3 Tesla breast MR imaging as a problem-solving tool: Diagnostic performance and incidental lesions.

ABSTRACT: To investigate the diagnostic performance and incidental lesion yield of 3T breast MRI if used as a problem-solving tool.This retrospective, IRB-approved, cross-sectional, single-center study comprised 302 consecutive women (mean: 50±12 years; range: 20-79 years) who were undergoing 3T breast MRI between 03/2013-12/2014 for further workup of conventional and clinical breast findings. Images were read by experienced, board-certified radiologists. The reference standard was histopathology or follow-up ? two years. Sensitivity, specificity, PPV, and NPV were calculated. Results were stratified by conventional and clinical breast findings.The reference standard revealed 53 true-positive, 243 true-negative, 20 false-positive, and two false-negative breast MRI findings, resulting in a sensitivity, specificity, PPV, and NPV of 96.4% (53/55), 92.4% (243/263), 72.6% (53/73), and 99.2% (243/245), respectively. In 5.3% (16/302) of all patients, incidental MRI lesions classified BI-RADS 3-5 were detected, 37.5% (6/16) of which were malignant. Breast composition and the imaging findings that had led to referral had no significant influence on the diagnostic performance of breast MR imaging (p>0.05).3T breast MRI yields excellent diagnostic results if used as a problem-solving tool independent of referral reasons. The number of suspicious incidental lesions detected by MRI is low, but is associated with a substantial malignancy rate.

SUBMITTER: Spick C

PROVIDER: S-EPMC5749752 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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3 Tesla breast MR imaging as a problem-solving tool: Diagnostic performance and incidental lesions.

Spick Claudio C Szolar Dieter H M DHM Preidler Klaus W KW Reittner Pia P Rauch Katharina K Brader Peter P Tillich Manfred M Baltzer Pascal A PA

PloS one 20180102 1

<h4>Purpose</h4>To investigate the diagnostic performance and incidental lesion yield of 3T breast MRI if used as a problem-solving tool.<h4>Methods</h4>This retrospective, IRB-approved, cross-sectional, single-center study comprised 302 consecutive women (mean: 50±12 years; range: 20-79 years) who were undergoing 3T breast MRI between 03/2013-12/2014 for further workup of conventional and clinical breast findings. Images were read by experienced, board-certified radiologists. The reference stan ...[more]

PMID: 29293582

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Dataset Information

3 Tesla breast MR imaging as a problem-solving tool: Diagnostic performance and incidental lesions.

Publications

3 Tesla breast MR imaging as a problem-solving tool: Diagnostic performance and incidental lesions.

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