دورية أكاديمية
Contrast-Enhanced Mammography (CEM) compared to Breast Magnetic Resonance (MRI) in the evaluation of breast lobular neoplasia.
| العنوان: | Contrast-Enhanced Mammography (CEM) compared to Breast Magnetic Resonance (MRI) in the evaluation of breast lobular neoplasia. |
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| المؤلفون: | Nicosia L; Breast Imaging Division, Radiology Department, IEO European Institute of Oncology IRCCS, 20141, Milan, Italy. luca.nicosia@ieo.it., Rotili A; Breast Imaging Division, Radiology Department, IEO European Institute of Oncology IRCCS, 20141, Milan, Italy., Pesapane F; Breast Imaging Division, Radiology Department, IEO European Institute of Oncology IRCCS, 20141, Milan, Italy., Bozzini AC; Breast Imaging Division, Radiology Department, IEO European Institute of Oncology IRCCS, 20141, Milan, Italy., Battaglia O; Postgraduation School of Diagnostic and Interventional Radiology, University of Milan, Via Festa del Perdono 7, 20122, Milan, Italy., Pellegrino G; Postgraduation School of Diagnostic and Interventional Radiology, University of Milan, Via Festa del Perdono 7, 20122, Milan, Italy., Fusco N; Department of Oncology and Hemato-Oncology, University of Milan, 20122, Milan, Italy.; Division of Pathology, European Institute of Oncology IRCCS, Milan, Italy., Porta FM; Division of Pathology, European Institute of Oncology IRCCS, Milan, Italy.; School of Pathology, University of Milan, 20122, Milan, Italy., Frassoni S; Department of Statistics and Quantitative Methods, University of Milan-Bicocca, 20126, Milan, Italy., Bagnardi V; Department of Statistics and Quantitative Methods, University of Milan-Bicocca, 20126, Milan, Italy., Corso G; Department of Oncology and Hemato-Oncology, University of Milan, 20122, Milan, Italy.; Division of Breast Surgery, European Institute of Oncology (IEO), IRCCS, Via Ripamonti, 435, 20141, Milan, Italy.; European Cancer Prevention Organization (ECP), 20122, Milan, Italy., Sangalli C; European Cancer Prevention Organization (ECP), 20122, Milan, Italy.; Data Management, IEO European Institute of Oncology IRCCS, 20141, Milan, Italy., Cassano E; Breast Imaging Division, Radiology Department, IEO European Institute of Oncology IRCCS, 20141, Milan, Italy. |
| المصدر: | Breast cancer research and treatment [Breast Cancer Res Treat] 2024 Jan; Vol. 203 (1), pp. 135-143. Date of Electronic Publication: 2023 Oct 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Kluwer Academic Country of Publication: Netherlands NLM ID: 8111104 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-7217 (Electronic) Linking ISSN: 01676806 NLM ISO Abbreviation: Breast Cancer Res Treat Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Dordrecht : Kluwer Academic Original Publication: The Hague ; Boston : M. Nijhoff, c1981- |
| مواضيع طبية MeSH: | Breast Neoplasms*/diagnostic imaging , Breast Neoplasms*/surgery, Humans ; Female ; Retrospective Studies ; Contrast Media ; Mammography/methods ; Magnetic Resonance Imaging/methods ; Magnetic Resonance Spectroscopy ; Sensitivity and Specificity |
| مستخلص: | Purpose: To compare the diagnostic performance (detection, assessment of correct disease extent and multifocality/centricity) of Contrast-Enhanced Mammography (CEM) Versus Breast Magnetic Resonance (MRI) in the study of lobular neoplasms. Methods: We retrospectively selected all the patients who underwent surgery for a lobular breast neoplasm, either an in situ or an invasive tumor, and had undergone both breast CEM and MRI examinations during the pre-surgical planning. Wilcoxon Signed Rank test was performed to assess the differences between size measurements using the different methods and the post-surgical pathological measurements, considered the gold standard. The agreement in identifying multifocality/multicentricity among the different methods and the pathology was assessed using the Kappa statistics. Results: We selected 19 patients, of which one presented a bilateral neoplasm. Then, the images of these 19 patients were analyzed, for a total of 52 malignant breast lesions. We found no significant differences between the post-surgical pathological size of the lesions and the calculated size with CEM and MRI (p-value of the difference respectively 0.71 and 0.47). In all 20 cases, neoplasm detection was possible both with CEM and MRI. CEM and MRI showed an excellent ability to identify multifocal and multicentric cases (K statistic equal to 0.93 for both the procedures), while K statistic was 0.11 and 0.59 for FFDM and US, respectively. Conclusion: The findings of this study suggest that CEM is a reliable imaging technique in the preoperative setting of patients with lobular neoplasm, with comparable results to breast MRI. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Breast Magnetic Resonance; Contrast-Enhanced Mammography; Lobular breast cancer |
| المشرفين على المادة: | 0 (Contrast Media) |
| تواريخ الأحداث: | Date Created: 20231003 Date Completed: 20240108 Latest Revision: 20240216 |
| رمز التحديث: | 20240216 |
| DOI: | 10.1007/s10549-023-07096-7 |
| PMID: | 37787819 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1573-7217 |
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| DOI: | 10.1007/s10549-023-07096-7 |