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ROLE OF DIFFUSION WEIGHTED MRI IN EVALUATION OF BIRADS3 AND BIRADS4 BREAST LESIONS.

Authors: Mostafa, Heba Ahmed; Mansour, Sahar; Elsalam, Sahar M Abd; Soha.T.Hamed.;

ROLE OF DIFFUSION WEIGHTED MRI IN EVALUATION OF BIRADS3 AND BIRADS4 BREAST LESIONS.

Abstract

Background: Precise diagnosis of suspicious breast lesions helps in better assessment and management. The aim of this study is to explore the role of DCE-MRI and DWI in evaluation of suspicious breast lesions (BI-RADS 3 and 4). Subjects and Methods: A total of 50 patients with suspicious breast lesions (BI-RADS 3 and 4) participated in the study. After giving informed consent, all patients were subjected to DWI and DCE-MRI, and their findings were compared to histopathology results. DCE-MRI curves, borders, and enhancement were described, and DWI findings were also extracted. Factors predicting distinction of cancerous tissue from benign tissue by DCE-MRI and DWI according to histopathology reference have been analyzed. Results:Using DCE-MRI, out of 19 patients proven by histopathology to have benign lesions, 12 (63.2%) showed mass lesions and out of 29 patients with malignant lesions 21 (72.4%) had mass lesions (p<0.001).Curves of benign lesions were mostly persistent (83.3%) whenever malignant curves were either plateau or wash out;(47.6%) each (p<0.001).ADC brightness was more frequent in benign lesions (p<0.05). The best cut-off of ADC that can differentiate between malignant and benign lesions was 1.19 (sensitivity 94.7% and specificity 67.7%).DCE-MRI had a sensitivity of 75.8% and specificity of 73.7%, while DWI had a sensitivity of 82.8% and specificity of 73.7%. No statistically significant differences have been noticed between benign and malignant breast non-mass lesions regarding any of the studied measures (p>0.05). Conclusion: DCE-MRI and DWI are crucial in distinction of suspicious breast mass lesions. The sensitivity and specificity of DCE-MRI and DWI as diagnostics have been determined.

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Breast cancerDCE-MRIDWIBI-RADSSensitivity.

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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