DIAGNOSTIC PERFORMANCE OF CONTRAST-ENHANCED SPECTRAL MAMMOGRAPHY: COMPARISON WITH CONTRAST-ENHANCED DYNAMIC MR IMAGING IN PATIENTS WITH SUSPECTED BREAST CANCER
Journal Title: Kocatepe Medical Journal - Year 2024, Vol 25, Issue 2
Abstract
OBJECTIVE: To compare the diagnostic performance of contrast-enhanced spectral mammography (CESM) with dynamic contrast-enhanced magnetic resonance (MR) imaging in terms of the detection of BI-RADS 4 and 5 lesions suspected of breast cancer. MATERIAL AND METHODS: 92 patients with ACR BI-RADS 4 and 5 lesions underwent CESM, MR Imaging, and consequent core biopsy. Two readers assessed the index lesions which were classified as mass lesions, non-mass lesions, and microcalcifications, and scored using a 7-point scoring system. RESULTS: A total of 98 index lesions were detected, including bilateral lesions in six patients. In histopathological analysis, 56 of the lesions were benign (56/98, 57%,) and 42 of the lesions were malignant (42/98, 43%). 55 of the lesions were classified as mass lesions, 18 as non-mass lesions, and 25 as microcalcifications. CESM scored 28 of the lesions (28,6%) as benign, and 70 (71,4%) of the lesions were malignant whereas these results were 30 (30,6%) and 68 (69,4%) for MR Imaging examinations, respectively. The sensitivity of both CESM and MR imaging for depicting the index cancer was 95 % for both modalities. In ROC (Receiver Operating Characteristic) analysis, AUC (Area Under the Curve) was 0.93 (%95 CI:0.870-0.977) for CESM and 0.94 (%95 CI:0.882-0.982) for MR Imaging. There was no statistically significant difference in AUC values between CESM and MR Imaging (p=0.332; p>0.05). CONCLUSIONS: The diagnostic performance of CESM is similar when compared to MR imaging in the detection of index cancers in patients with BI-RADS 4 and 5 lesions. CESM may be used as a confidential diagnostic tool in this regard.
Authors and Affiliations
Kamber GÖKSU, Ahmet VURAL, Fatma Nur SOYLU BOY
Keywords
Related Articles
- EP ID EP740627
- DOI https://doi.org/10.18229/kocatepetip.1255616
- Views 30
- Downloads 0
DETERMINING SPOT URINE PROTEIN / CREATININE RATIO SENSITIVITY IN THE DIAGNOSIS OF PREECLAMPSIA WITH VARIABLES SUCH AS URINE SAMPLING TIME AND WAITING TIME
OBJECTIVE: The present study aims to compare the success of spot urine protein/creatinine ratio in predicting 24-h proteinuria with different variables such as urine sampling time and urine wait time before analysis. MA...
PROTECTIVE EFFECT OF CAFFEIC ACID PHENETHYL ESTER AGAINST MYOPATHY INDUCED BY ATORVASTIN AND ROSUVASTATIN
OBJECTIVE: Due to the fact that statins cause myopathy in some patients, the patient's compliance with the treatment decreases, and the treatment is interrupted or drug is changed. In this study, oxidative stress and inf...
PATIENTS NON-COVID-19 DIAGNOSIS IN PANDEMIC CLINICS: THREE CASE REPORTS
With the pandemic process, the frequency of clinicians' referrals for thoracic imaging has increased. In this article, three cases diagnosed other than COVID-19 in pandemic clinics are presented. A 33-years-old male admi...
ATTITUDES AND BEHAVIOUR TOWARDS ORGAN DONATION AND TRANSPLANTATION
OBJECTIVE: Organ transplantation is the transplantation of a functional organ from a cadaver or a living donor to replace a non-functional organ. The aim of this study was to investigate the attitudes and behaviours towa...
THE RELATIONSHIP BETWEEN DYSLIPIDEMIA AND THE RISK OF COVID 19 INFECTION
OBJECTIVE: The recent coronavirus disease 2019 (COVID-19) outbreak has become a worldwide public health problem. Hypertension, diabetes mellitus, obesity, chronic heart and lung diseases increase the risk of development...