Problem-solving breast MRI: useful or a source of new problems?
PURPOSE:We aimed to evaluate the findings and results from breast magnetic resonance imaging (MRI) examinations performed for problem-solving purposes due to inconclusive conventional imaging findings.METHODS:Imaging findings, biopsy and follow-up results were retrospectively evaluated for breast MR...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2018-09-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/problem-solving-breast-mr-useful-or-a-source-of-ne/55050
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| _version_ | 1797691286350725120 |
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| author | Füsun Taşkın Yasemin Polat İbrahim H. Erdoğdu Figen T. Türkdoğan Veli Suha Öztürk Serdar Özbaş |
| author_facet | Füsun Taşkın Yasemin Polat İbrahim H. Erdoğdu Figen T. Türkdoğan Veli Suha Öztürk Serdar Özbaş |
| author_sort | Füsun Taşkın |
| collection | DOAJ |
| description | PURPOSE:We aimed to evaluate the findings and results from breast magnetic resonance imaging (MRI) examinations performed for problem-solving purposes due to inconclusive conventional imaging findings.METHODS:Imaging findings, biopsy and follow-up results were retrospectively evaluated for breast MRI performed for problem-solving purposes at our department between January 2011 and December 2016 for cases whose mammography, tomosynthesis, or ultrasonography findings were inconclusive. RESULTS:Lesions were identified in 414 of 986 problem-solving MRI examinations, and 13.3% of these lesions were diagnosed as malignant. A total of 124 lesions were additionally found by MRI, and 9.7% of these lesions were diagnosed as malignant. MRI produced false-negative results in four cases. In cases whose conventional imaging methods yielded indefinite results, the sensitivity, specificity, negative and positive predictive values of MRI were found to be 96.3%, 83%, 99.3%, and 46.5%, respectively. For the additional lesions identified, the sensitivity, specificity, negative and positive predictive values of MRI were found to be 91.7%, 69%, 98.7%, and 24%, respectively.CONCLUSION:Breast MRI is a reliable problem-solving method for excluding malignancy that cannot be confirmed by conventional imaging. In such cases, additional findings from MRI may help identify new cancers that cannot be detected with conventional methods. However, it has moderately low specificity which may cause unnecessary biopsies, follow-ups, and anxiety to patients. |
| first_indexed | 2024-03-12T02:11:16Z |
| format | Article |
| id | doaj.art-81fa021d48ac4d95a32e166b06286e49 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:11:16Z |
| publishDate | 2018-09-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-81fa021d48ac4d95a32e166b06286e492023-09-06T13:17:32ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122018-09-0124525526110.5152/dir.2018.1750413049054Problem-solving breast MRI: useful or a source of new problems?Füsun Taşkın0Yasemin Polat1İbrahim H. Erdoğdu2Figen T. Türkdoğan3Veli Suha Öztürk4Serdar Özbaş5 Department of Radiology Adnan Menderes University School of Medicine, Aydın, Turkey Department of Radiology Adnan Menderes University School of Medicine, Aydın, Turkey Department of Pathology Adnan Menderes University School of Medicine, Aydın, Turkey Department of Radiology Adnan Menderes University School of Medicine, Aydın, Turkey Department of Radiology Adnan Menderes University School of Medicine, Aydın, Turkey Department of Breast-Endocrine Surgery Güven Hospital Breast Center, Ankara, Turkey PURPOSE:We aimed to evaluate the findings and results from breast magnetic resonance imaging (MRI) examinations performed for problem-solving purposes due to inconclusive conventional imaging findings.METHODS:Imaging findings, biopsy and follow-up results were retrospectively evaluated for breast MRI performed for problem-solving purposes at our department between January 2011 and December 2016 for cases whose mammography, tomosynthesis, or ultrasonography findings were inconclusive. RESULTS:Lesions were identified in 414 of 986 problem-solving MRI examinations, and 13.3% of these lesions were diagnosed as malignant. A total of 124 lesions were additionally found by MRI, and 9.7% of these lesions were diagnosed as malignant. MRI produced false-negative results in four cases. In cases whose conventional imaging methods yielded indefinite results, the sensitivity, specificity, negative and positive predictive values of MRI were found to be 96.3%, 83%, 99.3%, and 46.5%, respectively. For the additional lesions identified, the sensitivity, specificity, negative and positive predictive values of MRI were found to be 91.7%, 69%, 98.7%, and 24%, respectively.CONCLUSION:Breast MRI is a reliable problem-solving method for excluding malignancy that cannot be confirmed by conventional imaging. In such cases, additional findings from MRI may help identify new cancers that cannot be detected with conventional methods. However, it has moderately low specificity which may cause unnecessary biopsies, follow-ups, and anxiety to patients. http://www.dirjournal.org/archives/archive-detail/article-preview/problem-solving-breast-mr-useful-or-a-source-of-ne/55050 |
| spellingShingle | Füsun Taşkın Yasemin Polat İbrahim H. Erdoğdu Figen T. Türkdoğan Veli Suha Öztürk Serdar Özbaş Problem-solving breast MRI: useful or a source of new problems? Diagnostic and Interventional Radiology |
| title | Problem-solving breast MRI: useful or a source of new problems? |
| title_full | Problem-solving breast MRI: useful or a source of new problems? |
| title_fullStr | Problem-solving breast MRI: useful or a source of new problems? |
| title_full_unstemmed | Problem-solving breast MRI: useful or a source of new problems? |
| title_short | Problem-solving breast MRI: useful or a source of new problems? |
| title_sort | problem solving breast mri useful or a source of new problems |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/problem-solving-breast-mr-useful-or-a-source-of-ne/55050
|
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