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Correlation Between Enhancement Intensity in Contrast Enhancement Spectral Mammography and Types of Kinetic Curves in Magnetic Resonance Imaging
- Source :
- Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
- Publication Year :
- 2020
-
Abstract
- strongBACKGROUND/strongDue to the decreased sensitivity of mammography in glandular breasts, new diagnostic modalities, like contrast-enhanced spectral mammography (CESM) and digital breast tomosynthesis (DBT) have been developed. The aim of this study was to compare qualitative enhancement levels on CESM with type of kinetic enhancement curves on MRI examination.strongMATERIAL AND METHODS/strongPatients qualified for the CESM examination presented some diagnostic doubts - suspected multifocality, multicentricity, or having dense glandular breast tissue. The enhancement level on CESM was described as weak, medium, or strong. Enhancement on achieved MR images was assessed on the basis of enhancement kinetic curves. The level of enhancement on CESM was associated with enhancement curves type on MRI. All lesions detected on CESM and MRI were histopathologically verified.strongRESULTS/strongThe study involved 107 lesions diagnosed in 94 patients: 71 lesions (66%) appeared to be infiltrating on histopathological examination, 9 lesions (8%) were non-infiltrating cancers, and 27 lesions (25%) were benign. Data analysis revealed that lesions with wash-out curve on MRI most often presented strong enhancement on CESM, while in lesions with progressive enhancement curve, strong enhancement on CESM was the rarest. The relationship between enhancement level on CESM and curve type on contrast-enhanced MRI depends on the nature of the lesion. The type of MRI curve was found to be associated with enhancement level on CESM.strongCONCLUSIONS/strongWe compared subjective assessments of contrast enhancement on CESM with enhancement kinetic curves on MRI. The results showed that the level of enhancement on CESM and type of kinetic curves on MRI depends on the lesion type.
- Subjects :
- Contrast enhancement
medicine.diagnostic_test
business.industry
Contrast Media
Magnetic resonance imaging
Breast Neoplasms
General Medicine
Image Enhancement
Magnetic Resonance Imaging
Intensity (physics)
Diagnostic modalities
Correlation
ROC Curve
Clinical Research
Decreased Sensitivity
Biopsy
medicine
Mammography
Humans
Female
Biopsy, Large-Core Needle
Breast
business
Nuclear medicine
Subjects
Details
- ISSN :
- 16433750
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Medical science monitor : international medical journal of experimental and clinical research
- Accession number :
- edsair.doi.dedup.....82ccf2e3d9f4f7cd0c230581639af514