Is it worth to perform preoperative MRI for breast cancer after mammography, tomosynthesis and ultrasound?

The use of preoperative breast MRI remains controversial despite being the most sensitive technique for the detection of breast malignancies. To evaluate the benefit of preoperative breast MRI after performing the three conventional techniques (DM, US, DBT). To analyze the influence of breast densit...

Full description

Saved in:
Bibliographic Details
Published in:Magnetic resonance imaging 2019-04, Vol.57, p.317-322
Main Authors: González-Huebra, Ignacio, Elizalde, Arlette, García-Baizán, Alejandra, Calvo, Marta, Ezponda, Ana, Martínez-Regueira, Fernando, Pina, Luis
Format: Article
Language:English
Subjects:
Breast cancer
Breast density
Breast Ultrasonography
Digital Mammography
Magnetic resonance imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The use of preoperative breast MRI remains controversial despite being the most sensitive technique for the detection of breast malignancies. To evaluate the benefit of preoperative breast MRI after performing the three conventional techniques (DM, US, DBT). To analyze the influence of breast density in the sensitivity of the different imaging techniques. Retrospective review of 280 histologically confirmed breast cancers in 192 women. We reviewed the medical records and evaluated the change of treatment induced by MRI. Also, we assessed the reports of DM and the combination of the different imaging techniques, and categorized them according to ACR density (a–d) and as negative (BI-RADS 1-3) or positive (BIRADS 4 or 5). The gold standard was the pathologic assessment of the surgical specimen. The sensitivity of the different techniques was compared using McNemar test. Among these 192 women the use of MRI did not significantly increase the mastectomy rate (from 16.6% to 17.6%; p = 0.5). The addition of any technique demonstrated a higher sensitivity than DM alone. The sensitivity of DM alone was 52.5% while using all the techniques, including MRI, was 94.3% (p 
ISSN:0730-725X
1873-5894
DOI:10.1016/j.mri.2018.12.005