دورية أكاديمية
MRI Criteria for Predicting Invasive Lesions in Biopsy-Proven Ductal Carcinoma in Situ
العنوان: | MRI Criteria for Predicting Invasive Lesions in Biopsy-Proven Ductal Carcinoma in Situ |
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المؤلفون: | Jiyeong Lee, Ko Woon Park, Eun Young Ko, Boo-Kyung Han, Eun Sook Ko, Ji Soo Choi, Meeyoung Nam, Soo Youn Cho |
المصدر: | 대한영상의학회지, Vol 80, Iss 6, Pp 1203-1213 (2019) |
بيانات النشر: | The Korean Society of Radiology, 2019. |
سنة النشر: | 2019 |
المجموعة: | LCC:Medical physics. Medical radiology. Nuclear medicine |
مصطلحات موضوعية: | breast, carcinoma, intraductal, magnetic resonance imaging, Medical physics. Medical radiology. Nuclear medicine, R895-920 |
الوصف: | Purpose To evaluate the criteria for predicting invasive lesions with preoperative breast MRI in ductal carcinoma in situ (DCIS) histopathologically diagnosed with biopsy. Materials and Methods We retrospectively analyzed the preoperative MRI findings of 80 percutaneous biopsy-proven DCIS. The morphological type, enhancement distribution and kinetics, and extent of the lesions were analyzed. We compared the results of pure DCIS and DCIS with invasive lesions. We evaluated the MRI criteria for predicting DCIS with invasive lesions and assessed its diagnostic performance. Results Of the 80 DCIS lesions analyzed, 27 contained co-existing invasive lesions and 49 were pure DCIS. No residual lesions after biopsy were seen in 4 cases. DCIS with invasive lesions showed washout kinetics more frequently and to a larger extent than did pure DCIS (p = 0.030 and p = 0.048, respectively). Using enhancement kinetics and the lesion cut-off value of 4 cm yielded the highest diagnostic performance, with 92.6% sensitivity and 93.8% negative predictive value for predicting invasive lesions. Conclusion Washout kinetics and the lesion extent of at least 4 cm are useful criteria for the prediction of co-existing invasive lesions in patients with DCIS diagnosed with biopsy. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English Korean |
تدمد: | 1738-2637 2288-2928 |
Relation: | https://doaj.org/toc/1738-2637; https://doaj.org/toc/2288-2928 |
DOI: | 10.3348/jksr.2019.80.6.1203 |
URL الوصول: | https://doaj.org/article/20edaf9c7cbc44668d918ec841c42f47 |
رقم الأكسشن: | edsdoj.20edaf9c7cbc44668d918ec841c42f47 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 17382637 22882928 |
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DOI: | 10.3348/jksr.2019.80.6.1203 |