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Effectivity of combined diffusion-weighted imaging and contrast-enhanced MRI in malignant and benign breast lesions

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Effectivity of combined diffusion-weighted imaging and contrast-enhanced MRI in malignant and benign breast lesions

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dc.contributor.author Yadav, Pratiksha pl
dc.contributor.author Chauhan, Surbhi pl
dc.date.accessioned 2018-03-23T07:25:13Z
dc.date.available 2018-03-23T07:25:13Z
dc.date.issued 2018 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/52576
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode *
dc.title Effectivity of combined diffusion-weighted imaging and contrast-enhanced MRI in malignant and benign breast lesions pl
dc.type JournalArticle pl
dc.description.physical e82-e93 pl
dc.description.additional Bibliogr. s. e93 pl
dc.abstract.en Purpose: Mammography is the most commonly used diagnostic test for breast lesion detection and evaluation, but in dense breast parenchyma it lowers its sensitivity to detect small lesions. Sensitivity and specificity improves with combined use of contrast-enhanced magnetic resonance imaging (CE-MRI) and diffusion-weighted imaging (DWI) in differentiating benign and malignant breast lesions. The aim of the study was to evaluate the effectivity of combined dynamic CE-MRI and DWI in differentiating benign and malignant lesions, and to calculate the apparent diffusion coefficient (ADC) values of malignant and benign lesions of the breast. Material and methods: Fifty-seven patients with 68 lesions were included in the study. MRI of breast using different sequences was acquired on 1.5 Tesla Machine with dedicated breast coils. Dynamic CE-MRI along with DWI was acquired for each patient. Histopathological reports were accepted as the standard of reference. Results: Out of 68 lesions, 37 were malignant on biopsy (54.4%) and 31 were benign (45.5%). The sensitivity of CE-MRI was 92%, specificity 84.21%, positive predictive values (PPV) 88.46 %, and negative predictive values (NPP) 88.89%. The sensitivity of DWI-MRI was 91.6%, specificity was 90.6%, PPV 91.6%, and NPP 90.6%. The sensitivity of combined DWI-MRI and CE-MRI was 95.0%, specificity was 96.43%, PPV 97.44%, and NPP 93.10%. Mean ADCs of benign lesions (b = 800) was 1.905 ± 0.59 × 10-3 mm (2)/s, which was significantly higher than those of malignant lesions (b = 800) 1.014 ± 0.47 × 10-3 mm (2)/s. Conclusions: Multi-parametric MRI is an excellent non-invasive modality with high sensitivity and specificity to differen­tiate malignant from benign breast lesions. pl
dc.subject.en carcinoma pl
dc.subject.en breast pl
dc.subject.en fibroadenoma pl
dc.subject.en magnetic resonance imaging pl
dc.description.volume 83 pl
dc.identifier.doi 10.5114/pjr.2018.74363 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska