Real-time virtual sonography examination and biopsy for suspicious breast lesions identified on MRI alone.
Eur Radiol
; 26(4): 1064-72, 2016 Apr.
Article
em En
| MEDLINE
| ID: mdl-26135000
ABSTRACT
OBJECTIVES:
The purpose of our study was to assess whether there is a potential additional value of real-time virtual sonography (RVS) to second-look ultrasound (US) examination and biopsy for breast lesions identified on MRI alone.METHODS:
A retrospective review of the records of 70 consecutive patients (78 lesions) with breast abnormalities identified on MRI alone was performed. All suspicious enhancing lesions were subsequently evaluated with second-look US. Lesions not observed on second-look US underwent RVS. Pathological findings were confirmed by subsequent percutaneous biopsy or excision.RESULTS:
Of the 78 MRI-detected lesions, second-look US correlation was made in 50 (64 %), including 22 malignant and 28 benign lesions. The remaining 28 lesions (36 %) were scheduled to undergo RVS. Four lesions were not visible on the second breast MRI. The remaining 24 lesions were RVS correlated and underwent RVS-guided biopsy; these included seven malignant and 17 benign lesions. Overall, 74 of 74 (100 %) true MRI-detected lesions were confirmed by histological results without using MRI-guided breast biopsy. The cancer rate was 29 %.CONCLUSIONS:
RVS can increase the sonographic detection and biopsy rate of lesions identified on breast MRI alone. KEY POINTS ⢠All 74 MRI-detected lesions were confirmed without using MRI-guided biopsy. ⢠Four lesions were not visible on second breast MRI. ⢠RVS can increase sonographic detection of lesions identified on breast MRI alone. ⢠RVS-guided breast biopsy can be an alternative to MRI-guided biopsy.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
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Imageamento por Ressonância Magnética
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Ultrassonografia Mamária
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Ultrassonografia de Intervenção
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Eur Radiol
Assunto da revista:
RADIOLOGIA
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Japão