FAST breast magnetic resonance imaging: a new approach for breast cancer screening?

Autor: Vilar VS; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Gomes AI; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Federicci ÉEF; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Ribeiro RLM; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Rudner MA; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Racy ACS; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Jazyk: angličtina
Zdroj: Einstein (Sao Paulo, Brazil) [Einstein (Sao Paulo)] 2022 Jul 13; Vol. 20, pp. eAO0073. Date of Electronic Publication: 2022 Jul 13 (Print Publication: 2022).
DOI: 10.31744/einstein_journal/2022AO0073
Abstrakt: Objective: To develop an abbreviated breast magnetic resonance imaging protocol (FAST) and to compare it with the complete protocol (FULL) to determine its diagnostic accuracy for detecting malignant or suspicious lesions (BI-RADS 4, 5 and 6) and the time required for image interpretation using BI-RADS categorization.
Methods: Retrospective study with 100 consecutive women who underwent breast magnetic resonance imaging between January and February 2014. All patients were submitted to a complete breast magnetic resonance imaging protocol, which was then compared with an abbreviated protocol (pre-contrast sequence, second post-contrast sequence and subtraction of pre- from post-contrast images).
Results: Of 100 patients, 4 were classified as BI-RADS 5 or 6 and 16 as BI-RADS 4. In these 20 patients, there was full agreement among readers regarding the final BI-RADS categorization in both (FAST and FULL) protocols.
Conclusion: The FAST protocol reduces interpretation time without compromising the accuracy of the method for detection of malignant or suspicious lesions.
Databáze: MEDLINE