The diagnostic performance of magnetic resonance imaging (MRI) in the evaluation of breast ultrasound non-mass lesions: a systematic review
Aim: The purpose of this study is to conduct a systematic review of the current knowledge regarding the diagnostic performance of MRI in the investigation of non-mass lesions of the breast. Method: Up to July 2022, PubMed, Scopus, Web of Science, and Embase were searched comprehensively. All stu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2024-01-01
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| Series: | Basic & Clinical Cancer Research |
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| Online Access: | https://bccr.tums.ac.ir/index.php/bccrj/article/view/494 |
| _version_ | 1827347990949396480 |
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| author | Nasrin Ahmadinejad Mohammad Hossein Golezar Maedeh Rouzbahani Sara Hassanzadeh Mohsen Rastkar |
| author_facet | Nasrin Ahmadinejad Mohammad Hossein Golezar Maedeh Rouzbahani Sara Hassanzadeh Mohsen Rastkar |
| author_sort | Nasrin Ahmadinejad |
| collection | DOAJ |
| description |
Aim: The purpose of this study is to conduct a systematic review of the current knowledge regarding the diagnostic performance of MRI in the investigation of non-mass lesions of the breast.
Method: Up to July 2022, PubMed, Scopus, Web of Science, and Embase were searched comprehensively. All studies examining the diagnostic performance of MRI in non-mass lesions were included except review articles, articles published in a language other than English, and case reports or series of cases. A literature review and data extraction were performed by two independent reviewers. A checklist for cross-sectional studies developed by the Joanna Briggs Institute (JBI) was used to assess sources of bias.
Results: The systematic review included two studies. If any enhancement is present on MRI, most ultrasound NMLs will exhibit a non-mass-enhancement. We found that the distribution of non-mass enhancement lesions was primarily segmental and regional. The highest number of malignancies is associated with segmental distributions, since 81.8% of the cases with segmental enhancement were ductal carcinomas, specifically DCIS.
Conclusion: Non-mass lesions of the US that do not enhance in MRI have a good prognosis. Breast cancer is very unlikely in these cases, so follow-up is acceptable unless there is a suspicion of malignancy on mammography. In cases where regional and segmental enhancement of NMLs occurs on CE-MRI, ductal carcinomas may be present, and a pathological examination is warranted.
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| first_indexed | 2024-03-08T00:02:21Z |
| format | Article |
| id | doaj.art-bb48890d9dfa4809bfa9209147e69d95 |
| institution | Directory Open Access Journal |
| issn | 2228-6527 2228-5466 |
| language | English |
| last_indexed | 2024-03-08T00:02:21Z |
| publishDate | 2024-01-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Basic & Clinical Cancer Research |
| spelling | doaj.art-bb48890d9dfa4809bfa9209147e69d952024-02-18T03:56:18ZengTehran University of Medical SciencesBasic & Clinical Cancer Research2228-65272228-54662024-01-01151The diagnostic performance of magnetic resonance imaging (MRI) in the evaluation of breast ultrasound non-mass lesions: a systematic reviewNasrin Ahmadinejad0Mohammad Hossein Golezar1Maedeh Rouzbahani2Sara Hassanzadeh3Mohsen Rastkar4Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Medical Imaging Center, Tehran University of Medical Sciences, Tehran, IranStudent Research Committee, Faculty of Medicine, Shahed University, Tehran, IranSchool of Medicine, Tehran University of Medical Sciences, Tehran, IranSchool of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudents’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran Aim: The purpose of this study is to conduct a systematic review of the current knowledge regarding the diagnostic performance of MRI in the investigation of non-mass lesions of the breast. Method: Up to July 2022, PubMed, Scopus, Web of Science, and Embase were searched comprehensively. All studies examining the diagnostic performance of MRI in non-mass lesions were included except review articles, articles published in a language other than English, and case reports or series of cases. A literature review and data extraction were performed by two independent reviewers. A checklist for cross-sectional studies developed by the Joanna Briggs Institute (JBI) was used to assess sources of bias. Results: The systematic review included two studies. If any enhancement is present on MRI, most ultrasound NMLs will exhibit a non-mass-enhancement. We found that the distribution of non-mass enhancement lesions was primarily segmental and regional. The highest number of malignancies is associated with segmental distributions, since 81.8% of the cases with segmental enhancement were ductal carcinomas, specifically DCIS. Conclusion: Non-mass lesions of the US that do not enhance in MRI have a good prognosis. Breast cancer is very unlikely in these cases, so follow-up is acceptable unless there is a suspicion of malignancy on mammography. In cases where regional and segmental enhancement of NMLs occurs on CE-MRI, ductal carcinomas may be present, and a pathological examination is warranted. https://bccr.tums.ac.ir/index.php/bccrj/article/view/494Non-mass lesion (NML), Breast cancer, Magnetic resonance imaging (MRI), Ultrasound (US) |
| spellingShingle | Nasrin Ahmadinejad Mohammad Hossein Golezar Maedeh Rouzbahani Sara Hassanzadeh Mohsen Rastkar The diagnostic performance of magnetic resonance imaging (MRI) in the evaluation of breast ultrasound non-mass lesions: a systematic review Basic & Clinical Cancer Research Non-mass lesion (NML), Breast cancer, Magnetic resonance imaging (MRI), Ultrasound (US) |
| title | The diagnostic performance of magnetic resonance imaging (MRI) in the evaluation of breast ultrasound non-mass lesions: a systematic review |
| title_full | The diagnostic performance of magnetic resonance imaging (MRI) in the evaluation of breast ultrasound non-mass lesions: a systematic review |
| title_fullStr | The diagnostic performance of magnetic resonance imaging (MRI) in the evaluation of breast ultrasound non-mass lesions: a systematic review |
| title_full_unstemmed | The diagnostic performance of magnetic resonance imaging (MRI) in the evaluation of breast ultrasound non-mass lesions: a systematic review |
| title_short | The diagnostic performance of magnetic resonance imaging (MRI) in the evaluation of breast ultrasound non-mass lesions: a systematic review |
| title_sort | diagnostic performance of magnetic resonance imaging mri in the evaluation of breast ultrasound non mass lesions a systematic review |
| topic | Non-mass lesion (NML), Breast cancer, Magnetic resonance imaging (MRI), Ultrasound (US) |
| url | https://bccr.tums.ac.ir/index.php/bccrj/article/view/494 |
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