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13578

The Role of Dynamic Contrast Enhanced and Diffusion Weighted MRI in Characterization of Suspicious Breast Masses

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Last updated: 03 Jan 2025

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Abstract

Background: Early detection and diagnosis of breast cancer are mandatory for accurate management. Traditionally, mammography and ultrasound are the basic imaging techniques for the detection and localization of breast masses. The low sensitivity and specificity of these imaging tools resulted in a demand for new imaging modalities. Aim of study: to evaluate the role of either diffusion weighted images-MRI or dynamic contrast enhanced MRI in differentiating malignant from benign breast lesions comparing with histopathology results. Patients and Methods: from November 2016 to July 2017, a total of 20 patients presented with suspicious breast lesions BIRADS (4&5) were included in the study. All participants underwent breast DWI and DCE-MRI. Results were compared with histopathological results as a standard final diagnostic method. Results: the study included 20 female patients with suspicious breast lesions, there was 15 (75%) malignant lesions while benign lesions, while benign lesions were 5 (25%) cases. DCE-MRI was found to have a sensitivity of 86.7% and specificity of 80%. ADC cutoff value was found to have a value of 1.143*10-3, which was the best to differentiate between benign and malignant breast masses. DWI MRI was found to have sensitivity of 93.3% and a specificity of 80%. Conclusion: DW-MRI alone gave the same performance as in combination with DCE-MRI. The comparison of DWI and DCE-MRI provides a dramatic superiority in the sensitivity, specificity and accuracy of breast DWI-MRI over other modality.  

DOI

10.12816/0039666

Keywords

Breast, DWI, DCE, BIRAD

Authors

First Name

Randa Hussein

Last Name

Abdullah

MiddleName

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Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University

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Orcid

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First Name

Amal Ibrahim

Last Name

Othman

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Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University

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Orcid

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First Name

Hussein Abdullah

Last Name

Hussein

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University

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Orcid

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Volume

68

Article Issue

3

Related Issue

2617

Issue Date

2017-07-01

Receive Date

2018-09-13

Publish Date

2017-07-01

Page Start

1,301

Page End

1,307

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_13578.html

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https://ejhm.journals.ekb.eg/service?article_code=13578

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Role of Dynamic Contrast Enhanced and Diffusion Weighted MRI in Characterization of Suspicious Breast Masses

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Article

Created At

22 Jan 2023