Research Article
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Year 2023, Volume: 13 Issue: 3, 310 - 320, 30.12.2023

Abstract

References

  • 1. Wang Y-T, Huang C-S, Lee H-T, Chang Y-C, Liu H-M. MRI-guided Needle Localization for Breast Lesions Occult in Mammograms and Ultrasound. Chin J Radiol 2008;33:1-7.
  • 2. Carlson JW, Birdwell RL, Gombos EC, Golshan M, Smith DN, Lester SC. MRI-directed, wire-localized breast excisions: incidence of malignancy and recommendations for pathologic evaluation. Hum Pathol. 2007 Dec;38(12):1754-9.
  • 3. van den Bosch MA, Daniel BL, Pal S, Nowels KW, Birdwell RL, Jeffrey SS, Ikeda DM. MRI-guided needle localization of suspicious breast lesions: results of a freehand technique. Eur Radiol. 2006 Aug;16(8):1811-7.
  • 4. Floery D, Helbich TH. MRI-Guided percutaneous biopsy of breast lesions: materials, techniques, success rates, and management in patients with suspected radiologic-pathologic mismatch. Magn Reson Imaging Clin N Am. 2006 Aug;14(3):411-25.
  • 5. Causer PA, Piron CA, Jong RA, Curpen BN, Luginbuhl CA, Glazier JE, et al. MR imaging-guided breast localization system with medial or lateral access. Radiology. 2006 Aug;240(2):369-79.
  • 6. Olson JA Jr, Morris EA, Van Zee KJ, Linehan DC, Borgen PI. Magnetic resonance imaging facilitates breast conservation for occult breast cancer. Ann Surg Oncol. 2000 Jul;7(6):411-5.
  • 7. Meucci R, Pistolese Chiara A, Perretta T, Vanni G, Portarena I, Manenti G, et al. MR imaging-guided vacuum assisted breast biopsy: Radiological-pathological correlation and underestimation rate in pre-surgical assessment. Eur J Radiol Open. 2020 Jul 17;7:100244.
  • 8. Eby PR, Lehman C. MRI-guided breast interventions. Semin Ultrasound CT MR. 2006 Aug;27(4):339-50.
  • 9. Gao Y, Bagadiya NR, Jardon ML, Heller SL, Melsaether AN, Toth HB, et al. Outcomes of Preoperative MRI-Guided Needle Localization of Nonpalpable Mammographically Occult Breast Lesions. AJR Am J Roentgenol. 2016 Sep;207(3):676-84.
  • 10. Morris EA, Liberman L, Dershaw DD, Kaplan JB, LaTrenta LR, Abramson AF, et al. Preoperative MR imaging-guided needle localization of breast lesions. AJR Am J Roentgenol. 2002 May;178(5):1211-20.
  • 11. Taneja S, Jena A, Kumar K, Mehta A. Technical Note: MRI-guided breast biopsy - our preliminary experience. Indian J Radiol Imaging. 2010 Aug;20(3):218-20.
  • 12. Spick C, Pinker-Domenig K, Rudas M, Helbich TH, Baltzer PA. MRI-only lesions: application of diffusion-weighted imaging obviates unnecessary MR-guided breast biopsies. Eur Radiol. 2014 Jun;24(6):1204-10.
  • 13. Morris EA, Comstock CE, Lee CH. ACR BI-RADS® Magnetic resonance imaging. In: ACR BI-RADS® Atlas, Breast imaging reporting and data system. Reston, VA: American College of Radiology, 2013:56–71.
  • 14. Rao AA, Feneis J, Lalonde C, Ojeda-Fournier H. A pictorial review of changes in the BI-RADS fifth edition. Radiographics. 2016;36(3):623-39.
  • 15. Schneider JP, Schulz T, Horn LC, Leinung S, Schmidt F, Kahn T. MR-guided percutaneous core biopsy of small breast lesions: first experience with a vertically open 0.5T scanner. J Magn Reson Imaging. 2002 Apr;15(4):374-85.
  • 16. Eby PR, Lehman CD. Magnetic resonance imaging--guided breast interventions. Top Magn Reson Imaging. 2008 Jun;19(3):151-62.
  • 17. Dratwa C, Jalaguier-Coudray A, Thomassin-Piana J, Gonin J, Chopier J, Antoine M, et al. Breast MR biopsy: Pathological and radiological correlation. Eur Radiol. 2016 Aug;26(8):2510- 9.
  • 18. Lehman CD, Deperi ER, Peacock S, McDonough MD, Demartini WB, Shook J. Clinical experience with MRI-guided vacuum-assisted breast biopsy. AJR Am J Roentgenol. 2005 Jun;184(6):1782-7.
  • 19. Peters NH, Meeuwis C, Bakker CJ, Mali WP, Fernandez-Gallardo AM, van Hillegersberg R, et al. Feasibility of MRI-guided large-core-needle biopsy of suspiscious breast lesions at 3 T. Eur Radiol. 2009 Jul;19(7):1639-44.
  • 20. Yi A, Cho N, Yang KS, Han W, Noh DY, Moon WK. Breast Cancer Recurrence in Patients with Newly Diagnosed Breast Cancer without and with Preoperative MR Imaging: A Matched Cohort Study. Radiology. 2015 Sep;276(3):695-705.
  • 21. Orel SG, Schnall MD. MR imaging of the breast for the detection, diagnosis, and staging of breast cancer. Radiology. 2001 Jul;220(1):13-30.
  • 22. Alaref A, Hassan A, Sharma Kandel R, Mishra R, Gautam J, Jahan N. Magnetic Resonance Imaging Features in Different Types of Invasive Breast Cancer: A Systematic Review of the Literature. Cureus. 2021 Mar 12;13(3):e13854.
  • 23. Gity M, Arabkheradmand A, Taheri E, Shakiba M, Khademi Y, Bijan B, et al. Magnetic Resonance Imaging Features of Adenosis in the Breast. J Breast Cancer. 2015 Jun;18(2):187-94.
  • 24. Guirguis MS, Adrada B, Santiago L, Candelaria R, Arribas E. Mimickers of breast malignancy: imaging findings, pathologic concordance and clinical management. Insights Imaging. 2021 Apr 20;12(1):53.
  • 25. Chan S, Chen JH, Li S, Chang R, Yeh DC, Chang RF, et al. Evaluation of the association between quantitative mammographic density and breast cancer occurred in different quadrants. BMC Cancer. 2017 Apr 17;17(1):274.
  • 26. Tozaki M, Fukuda K. High-spatial-resolution MRI of non-masslike breast lesions: interpretation model based on BI-RADS MRI descriptors. AJR Am J Roentgenol. 2006 Aug;187(2):330-7.
  • 27. Lunkiewicz M, Forte S, Freiwald B, Singer G, Leo C, Kubik-Huch RA. Interobserver variability and likelihood of malignancy for fifth edition BI-RADS MRI descriptors in non-mass breast lesions. Eur Radiol. 2020 Jan;30(1):77-86.
  • 28. Tozaki M, Igarashi T, Fukuda K. Breast MRI using the VIBE sequence: clustered ring enhancement in the differential diagnosis of lesions showing non-masslike enhancement. AJR Am J Roentgenol. 2006 Aug;187(2):313-21.
  • 29. Uematsu T, Kasami M. High-spatial-resolution 3-T breast MRI of nonmasslike enhancement lesions: an analysis of their features as significant predictors of malignancy. AJR Am J Roentgenol. 2012 May;198(5):1223-30.
  • 30. Morakkabati-Spitz N, Leutner C, Schild H, Traeber F, Kuhl C. Diagnostic usefulness of segmental and linear enhancement in dynamic breast MRI. Eur Radiol. 2005 Sep;15(9):2010-7.

Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience

Year 2023, Volume: 13 Issue: 3, 310 - 320, 30.12.2023

Abstract

Aim: It was aimed to investigate the association between dynamic contrast-enhanced magnetic resonance imaging (MRI) findings and malignancy in suspicious MRI-only breast lesions performed by MR-guided biopsy.
Material and Method: Between December 2014 and December 2020, 57 suspicious MRI-only lesions were identified. Among these, 46 lesions underwent MR-guided wire localization and excisional biopsy, while 11 underwent MR-guided core biopsy. Clinical data, MRI findings, biopsy results, and information about the MRguided biopsy procedures were collected. The predictive value of MRI findings in determining malignancy was analyzed.
Results: According to biopsy results, 14 (24.6%) of the 57 lesions were malignant, and 43 (75.4%) were benign. The malignancy rate was significantly higher in lesions in the lower inner quadrant (55.5%, p=0.040) and those with a washout kinetic curve than those with persistent and plateau curves (p=0.034). Malignancy was detected in 83.3% of the lesions classified as BI-RADS-MRI category 5 versus only 17.6% of those classified as BI-RADS-MRI category 4 (p=0.006).
Conclusion: Kinetic curve type and BI-RADS-MRI category were identified as MRI findings predicting the malignancy of lesions assessed by MR-guided biopsy. According to MR-guided biopsy, BI-RADS-MRI category 5 lesions and those with washout kinetic curves were significantly more likely to be malignant.

References

  • 1. Wang Y-T, Huang C-S, Lee H-T, Chang Y-C, Liu H-M. MRI-guided Needle Localization for Breast Lesions Occult in Mammograms and Ultrasound. Chin J Radiol 2008;33:1-7.
  • 2. Carlson JW, Birdwell RL, Gombos EC, Golshan M, Smith DN, Lester SC. MRI-directed, wire-localized breast excisions: incidence of malignancy and recommendations for pathologic evaluation. Hum Pathol. 2007 Dec;38(12):1754-9.
  • 3. van den Bosch MA, Daniel BL, Pal S, Nowels KW, Birdwell RL, Jeffrey SS, Ikeda DM. MRI-guided needle localization of suspicious breast lesions: results of a freehand technique. Eur Radiol. 2006 Aug;16(8):1811-7.
  • 4. Floery D, Helbich TH. MRI-Guided percutaneous biopsy of breast lesions: materials, techniques, success rates, and management in patients with suspected radiologic-pathologic mismatch. Magn Reson Imaging Clin N Am. 2006 Aug;14(3):411-25.
  • 5. Causer PA, Piron CA, Jong RA, Curpen BN, Luginbuhl CA, Glazier JE, et al. MR imaging-guided breast localization system with medial or lateral access. Radiology. 2006 Aug;240(2):369-79.
  • 6. Olson JA Jr, Morris EA, Van Zee KJ, Linehan DC, Borgen PI. Magnetic resonance imaging facilitates breast conservation for occult breast cancer. Ann Surg Oncol. 2000 Jul;7(6):411-5.
  • 7. Meucci R, Pistolese Chiara A, Perretta T, Vanni G, Portarena I, Manenti G, et al. MR imaging-guided vacuum assisted breast biopsy: Radiological-pathological correlation and underestimation rate in pre-surgical assessment. Eur J Radiol Open. 2020 Jul 17;7:100244.
  • 8. Eby PR, Lehman C. MRI-guided breast interventions. Semin Ultrasound CT MR. 2006 Aug;27(4):339-50.
  • 9. Gao Y, Bagadiya NR, Jardon ML, Heller SL, Melsaether AN, Toth HB, et al. Outcomes of Preoperative MRI-Guided Needle Localization of Nonpalpable Mammographically Occult Breast Lesions. AJR Am J Roentgenol. 2016 Sep;207(3):676-84.
  • 10. Morris EA, Liberman L, Dershaw DD, Kaplan JB, LaTrenta LR, Abramson AF, et al. Preoperative MR imaging-guided needle localization of breast lesions. AJR Am J Roentgenol. 2002 May;178(5):1211-20.
  • 11. Taneja S, Jena A, Kumar K, Mehta A. Technical Note: MRI-guided breast biopsy - our preliminary experience. Indian J Radiol Imaging. 2010 Aug;20(3):218-20.
  • 12. Spick C, Pinker-Domenig K, Rudas M, Helbich TH, Baltzer PA. MRI-only lesions: application of diffusion-weighted imaging obviates unnecessary MR-guided breast biopsies. Eur Radiol. 2014 Jun;24(6):1204-10.
  • 13. Morris EA, Comstock CE, Lee CH. ACR BI-RADS® Magnetic resonance imaging. In: ACR BI-RADS® Atlas, Breast imaging reporting and data system. Reston, VA: American College of Radiology, 2013:56–71.
  • 14. Rao AA, Feneis J, Lalonde C, Ojeda-Fournier H. A pictorial review of changes in the BI-RADS fifth edition. Radiographics. 2016;36(3):623-39.
  • 15. Schneider JP, Schulz T, Horn LC, Leinung S, Schmidt F, Kahn T. MR-guided percutaneous core biopsy of small breast lesions: first experience with a vertically open 0.5T scanner. J Magn Reson Imaging. 2002 Apr;15(4):374-85.
  • 16. Eby PR, Lehman CD. Magnetic resonance imaging--guided breast interventions. Top Magn Reson Imaging. 2008 Jun;19(3):151-62.
  • 17. Dratwa C, Jalaguier-Coudray A, Thomassin-Piana J, Gonin J, Chopier J, Antoine M, et al. Breast MR biopsy: Pathological and radiological correlation. Eur Radiol. 2016 Aug;26(8):2510- 9.
  • 18. Lehman CD, Deperi ER, Peacock S, McDonough MD, Demartini WB, Shook J. Clinical experience with MRI-guided vacuum-assisted breast biopsy. AJR Am J Roentgenol. 2005 Jun;184(6):1782-7.
  • 19. Peters NH, Meeuwis C, Bakker CJ, Mali WP, Fernandez-Gallardo AM, van Hillegersberg R, et al. Feasibility of MRI-guided large-core-needle biopsy of suspiscious breast lesions at 3 T. Eur Radiol. 2009 Jul;19(7):1639-44.
  • 20. Yi A, Cho N, Yang KS, Han W, Noh DY, Moon WK. Breast Cancer Recurrence in Patients with Newly Diagnosed Breast Cancer without and with Preoperative MR Imaging: A Matched Cohort Study. Radiology. 2015 Sep;276(3):695-705.
  • 21. Orel SG, Schnall MD. MR imaging of the breast for the detection, diagnosis, and staging of breast cancer. Radiology. 2001 Jul;220(1):13-30.
  • 22. Alaref A, Hassan A, Sharma Kandel R, Mishra R, Gautam J, Jahan N. Magnetic Resonance Imaging Features in Different Types of Invasive Breast Cancer: A Systematic Review of the Literature. Cureus. 2021 Mar 12;13(3):e13854.
  • 23. Gity M, Arabkheradmand A, Taheri E, Shakiba M, Khademi Y, Bijan B, et al. Magnetic Resonance Imaging Features of Adenosis in the Breast. J Breast Cancer. 2015 Jun;18(2):187-94.
  • 24. Guirguis MS, Adrada B, Santiago L, Candelaria R, Arribas E. Mimickers of breast malignancy: imaging findings, pathologic concordance and clinical management. Insights Imaging. 2021 Apr 20;12(1):53.
  • 25. Chan S, Chen JH, Li S, Chang R, Yeh DC, Chang RF, et al. Evaluation of the association between quantitative mammographic density and breast cancer occurred in different quadrants. BMC Cancer. 2017 Apr 17;17(1):274.
  • 26. Tozaki M, Fukuda K. High-spatial-resolution MRI of non-masslike breast lesions: interpretation model based on BI-RADS MRI descriptors. AJR Am J Roentgenol. 2006 Aug;187(2):330-7.
  • 27. Lunkiewicz M, Forte S, Freiwald B, Singer G, Leo C, Kubik-Huch RA. Interobserver variability and likelihood of malignancy for fifth edition BI-RADS MRI descriptors in non-mass breast lesions. Eur Radiol. 2020 Jan;30(1):77-86.
  • 28. Tozaki M, Igarashi T, Fukuda K. Breast MRI using the VIBE sequence: clustered ring enhancement in the differential diagnosis of lesions showing non-masslike enhancement. AJR Am J Roentgenol. 2006 Aug;187(2):313-21.
  • 29. Uematsu T, Kasami M. High-spatial-resolution 3-T breast MRI of nonmasslike enhancement lesions: an analysis of their features as significant predictors of malignancy. AJR Am J Roentgenol. 2012 May;198(5):1223-30.
  • 30. Morakkabati-Spitz N, Leutner C, Schild H, Traeber F, Kuhl C. Diagnostic usefulness of segmental and linear enhancement in dynamic breast MRI. Eur Radiol. 2005 Sep;15(9):2010-7.
There are 30 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging
Journal Section Research Article
Authors

Almıla Coşkun Bilge

Hale Aydın This is me

Işıl Esen Bostancı This is me

Publication Date December 30, 2023
Published in Issue Year 2023 Volume: 13 Issue: 3

Cite

APA Coşkun Bilge, A., Aydın, H., & Bostancı, I. E. (2023). Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience. Kafkas Journal of Medical Sciences, 13(3), 310-320.
AMA Coşkun Bilge A, Aydın H, Bostancı IE. Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience. KAFKAS TIP BİL DERG. December 2023;13(3):310-320.
Chicago Coşkun Bilge, Almıla, Hale Aydın, and Işıl Esen Bostancı. “Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience”. Kafkas Journal of Medical Sciences 13, no. 3 (December 2023): 310-20.
EndNote Coşkun Bilge A, Aydın H, Bostancı IE (December 1, 2023) Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience. Kafkas Journal of Medical Sciences 13 3 310–320.
IEEE A. Coşkun Bilge, H. Aydın, and I. E. Bostancı, “Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience”, KAFKAS TIP BİL DERG, vol. 13, no. 3, pp. 310–320, 2023.
ISNAD Coşkun Bilge, Almıla et al. “Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience”. Kafkas Journal of Medical Sciences 13/3 (December 2023), 310-320.
JAMA Coşkun Bilge A, Aydın H, Bostancı IE. Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience. KAFKAS TIP BİL DERG. 2023;13:310–320.
MLA Coşkun Bilge, Almıla et al. “Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience”. Kafkas Journal of Medical Sciences, vol. 13, no. 3, 2023, pp. 310-2.
Vancouver Coşkun Bilge A, Aydın H, Bostancı IE. Dynamic Contrast-Enhanced Breast MRI Findings Predictive of Malignancy in MRI-Only Breast Lesions Examined by MR-Guided Biopsy: A Single-Center Experience. KAFKAS TIP BİL DERG. 2023;13(3):310-2.