An Abbreviated Protocol for High-Risk Screening Breast MRI Saves Time and Resources

被引：0

作者：

Harvey, Susan C. ^{[1
]}

Di Carlo, Phillip A. ^{[1
]}

Lee, Bonmyong ^{[1
]}

Obadina, Eniola ^{[1
]}

Sippo, Dorothy ^{[2
]}

Mullen, Lisa ^{[1
]}

机构：

[1] Johns Hopkins Sch Med, Russell H Morgan Dept Radiol & Radiol Sci, 601 North Caroline St,Room 4120E, Baltimore, MD 21287 USA

[2] Massachusetts Gen Hosp, Dept Radiol, Boston, MA USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY | 2016年 / 13卷 / 04期

关键词：

Breast imaging; breast MRI; breast cancer; high-risk screening; MAMMOGRAPHICALLY DENSE BREASTS; PROOF-OF-CONCEPT; DIGITAL MAMMOGRAPHY; CANCER-DETECTION; WOMEN; TOMOSYNTHESIS; PERFORMANCE; ULTRASOUND; ACCURACY; FAILURE;

D O I：

10.1016/j.jacr.2015.08.015

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: To review the ability of an abbreviated, high-risk, screening, breast MRI protocol to detect cancer and save resources. Methods: High-risk screening breast MR images were reviewed, from both an abbreviated protocol and a full diagnostic protocol. Differences in cancer detection, scanner utilization, interpretation times, and need for additional imaging were recorded in an integrated data form, and reviewed and compared. Results: A total of 568 MRI cases were reviewed, with the abbreviated and full protocols. No difference was found in the number of cancers detected. Scan times were decreased by 18.8 minutes per case, for a total of 10,678 minutes (178 hours). Interpretation time, on average, was 1.55 minutes for the abbreviated protocol, compared with 6.43 minutes for the full protocol. Review of the full protocol led to a significant change in the final BI-RADS (R) assessment in 12 of 568 (2.1%) cases. Conclusions: Abbreviated MRI is as effective as full-protocol MRI for demonstration of cancers in the high-risk screening setting, with only 12 (2.1 %) cases recommended for additional MRI evaluation. The efficiency and resource savings of an abbreviated protocol would be significant, and would allow for opportunities to provide MRI for additional patients, as well as improved radiologist time management and workflow, with the potential to add real-time MRI interpretation or double reading.

引用

页码：374 / 380

页数：7

共 35 条

[11]

Dickerscheid D, 2013, EJNMMI RES, V3, DOI 10.1186/2191-219X-3-21

[12] Increase in cancer detection and recall rates with independent double interpretation of screening mammography [J].

Harvey, SC ;

Geller, B ;

Oppenheimer, RG ;

Pinet, M ;

Riddell, L ;

Garra, B .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 180 (05) :1461-1467

[13]

Heacock L, 2013, P RSNA 99 SCI ASS AN

[14] Screening US in Patients with Mammographically Dense Breasts: Initial Experience with Connecticut Public Act 09-41 [J].

Hooley, Regina J. ;

Greenberg, Kathryn L. ;

Stackhouse, Rebecca M. ;

Geisel, Jaime L. ;

Butler, Reni S. ;

Philpotts, Liane E. .

RADIOLOGY, 2012, 265 (01) :59-69

[15] Molecular Breast Imaging: Use of a Dual-Head Dedicated Gamma Camera to Detect Small Breast Tumors [J].

Hruska, Carrie B. ;

Phillips, Stephen W. ;

Whaley, Dana H. ;

Rhodes, Deborah J. ;

O'Connor, Michael K. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2008, 191 (06) :1805-1815

[16] Proof of concept for low-dose molecular breast imaging with a dual-head CZT gamma camera. Part II. Evaluation in patients [J].

Hruska, Carrie B. ;

Weinmann, Amanda L. ;

Skjerseth, Christina M. Tello ;

Wagenaar, Eric M. ;

Conners, Amy L. ;

Tortorelli, Cindy L. ;

Maxwell, Robert W. ;

Rhodes, Deborah J. ;

O'Connor, Michael K. .

MEDICAL PHYSICS, 2012, 39 (06) :3476-3483

[17] Proof of concept for low-dose molecular breast imaging with a dual-head CZT gamma camera. Part I. Evaluation in phantoms [J].

Hruska, Carrie B. ;

Weinmann, Amanda L. ;

O'Connor, Michael K. .

MEDICAL PHYSICS, 2012, 39 (06) :3466-3475

[18] Discrepant screening mammography assessments at blinded and non-blinded double reading: impact of arbitration by a third reader on screening outcome [J].

Klompenhouwer, Elisabeth G. ;

Voogd, Adri C. ;

den Heeten, Gerard J. ;

Strobbe, Luc J. A. ;

Tjan-Heijnen, Vivianne C. ;

Broeders, Mireille J. M. ;

Duijm, Lucien E. M. .

EUROPEAN RADIOLOGY, 2015, 25 (10) :2821-2829

[19] Comparison of the performance of screening mammography, physical examination, and breast US and evaluation of factors that influence them: An analysis of 27,825 patient evaluations [J].

Kolb, TM ;

Lichy, J ;

Newhouse, JH .

RADIOLOGY, 2002, 225 (01) :165-175

[20] Abbreviated Breast Magnetic Resonance Imaging (MRI): First Postcontrast Subtracted Images and Maximum-Intensity Projection-A Novel Approach to Breast Cancer Screening With MRI [J].

Kuhl, Christiane K. ;

Schrading, Simone ;

Strobel, Kevin ;

Schild, Hans H. ;

Hilgers, Ralf-Dieter ;

Bieling, Heribert B. .

JOURNAL OF CLINICAL ONCOLOGY, 2014, 32 (22) :2304-U176

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