BI-RADS® 3 lesions at contrast-enhanced breast MRI: is an initial short-interval follow-up necessary?
| Autor: | Ulrich Vogel, Claus D. Claussen, Astrid Baur, Markus Hahn, V Hattermann, SD Bahrs, KC Siegmann-Luz |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Gadolinium DTPA medicine.medical_specialty Time Factors Contrast Media Breast Neoplasms Malignancy Diagnosis Differential Image Interpretation Computer-Assisted Organometallic Compounds Humans Medicine Breast MRI Mammography Radiology Nuclear Medicine and imaging Aged Retrospective Studies Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Benignity Retrospective cohort study Magnetic resonance imaging General Medicine Continuity of Patient Care Middle Aged Ductal carcinoma medicine.disease Magnetic Resonance Imaging Female Radiology Differential diagnosis business |
| Zdroj: | Acta Radiologica. 55:260-265 |
| ISSN: | 1600-0455 0284-1851 |
| Popis: | Background Magnetic resonance imaging (MRI) BI-RADS® 3 lesions should have a very high probability of being benign. To prove benignity most institutions do follow-up MRI. Purpose To evaluate the necessity of initial short-interval follow-up after 6 months as it is suggested for mammographic BI-RADS®3 lesions. Material and Methods We analyzed 163 consecutive MRI-BI-RADS® 3 lesions on follow-up MRI: 75 masses (46%), 67 foci (41.1%), and 21 (12.9%) non-mass-like enhancing lesions (NMLE). Results During MRI follow-up (mean time, 563 days) 20% of the lesions disappeared, 23% decreased, 52% did not change, and 4.9% showed increase. All increasing lesions were biopsied (5 benign, 2 ductal carcinoma in situ, 1 invasive carcinoma). The rate of malignancy was 1.8%. All malignant lesions (1 mass, 1 focus, 1 NMLE) showed increase at initial follow-up after a mean interval of 190 days. Conclusion In this study the malignancy rate of MRI-BI-RADS® 3 lesions corresponded to mammographic BI-RADS® 3 lesions. Initial short-interval MRI should be suggested to identify malignant MRI-BI-RADS® 3 lesions. |
| Databáze: | OpenAIRE |
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