Follow-up of breast lesions detected by MRI not biopsied due to absent enhancement of contrast medium

被引：48
作者：
Hefler, L
Casselman, J
Amaya, B
Heinig, A
Alberich, T
Koelbl, H
Heywang-Köbrunner, SH
机构：
[1] Univ Halle Wittenberg, Dept Diagnost Radiol, D-06112 Halle Saale, Germany
[2] Univ Halle Wittenberg, Dept Obstet & Gynecol, D-06112 Halle Saale, Germany
[3] AZ St Jan Brugge, Dept Radiol, Brugge, Belgium
来源：
EUROPEAN RADIOLOGY | 2003年 / 13卷 / 02期
关键词：
MRI; breast; vacuum biopsy; follow-up; enhancement;
D O I：
10.1007/s00330-002-1713-7
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：
Our objective was to follow-up patients in whom scheduled MR-guided vacuum biopsies for suspicious lesions were aborted due to absent enhancement of contrast medium. Thirty-seven of 291 scheduled MR-guided vacuum biopsies were aborted. Six cases were lost to follow-up. Two could be unequivocally identified and were nevertheless biopsied. In 25 of 29 patients absent enhancement was confirmed on subsequent studies without compression. Varying hormonal or inflammatory changes between initial MRI and MR-guided vacuum biopsy most probably explain the findings. Enhancement re-appeared on short-term follow-up <6 months without compression in 4 of the 29 patients. Too strong compression during MR-guided vacuum biopsy explains the absence of enhancement in these patients. Of note, on histology, three of these cases proved malignant. We conclude that short-term follow-up without compression is necessary and recommended for all lesions not visible during scheduled MR-guided vacuum biopsy.
引用
收藏
页码：344 / 346
页数：3
相关论文
共 10 条
[1]  
Fischer U, 1998, Top Magn Reson Imaging, V9, P44
[2]   MR-guided percutaneous excisional and incisional biopsy of breast lesions [J].
Heywang-Köbrunner, SH ;
Heinig, A ;
Schaumlöffel, U ;
Viehweg, P ;
Buehmann, J ;
Lampe, D ;
Spielmann, RP .
EUROPEAN RADIOLOGY, 1999, 9 (08) :1656-1665
[3]   International investigation of breast MRI:: results of a multicentre study (11 sites) concerning diagnostic parameters for contrast-enhanced MRI based on 519 histopathologically correlated lesions [J].
Heywang-Körunner, SH ;
Bick, U ;
Bradley, WG ;
Boné, B ;
Casselman, J ;
Coulthard, A ;
Fischer, U ;
Müller-Schimpfle, M ;
Oellinger, H ;
Patt, R ;
Teubner, J ;
Friedrich, M ;
Newstead, G ;
Holland, R ;
Schauer, A ;
Sickles, EA ;
Tabar, L ;
Waisman, J ;
Wernecke, KD .
EUROPEAN RADIOLOGY, 2001, 11 (04) :531-546
[4]   Contrast-enhanced MRI of the breast: Accuracy, value, controversies, solutions [J].
HeywangKobrunner, SH ;
Viehweg, P ;
Heinig, A ;
Kuchler, C .
EUROPEAN JOURNAL OF RADIOLOGY, 1997, 24 (02) :94-108
[5]   Healthy premenopausal breast parenchyma in dynamic contrast-enhanced MR imaging of the breast: Normal contrast medium enhancement and cyclical-phase dependency [J].
Kuhl, CK ;
Bieling, HB ;
Gieseke, J ;
Kreft, BP ;
Sommer, T ;
Lutterbey, G ;
Schild, HH .
RADIOLOGY, 1997, 203 (01) :137-144
[6]   The clinical value of preoperative wire localization of breast lesions by magnetic resonance imaging - a multicenter study [J].
Lampe, D ;
Hefler, L ;
Alberich, T ;
Sittek, H ;
Perlet, C ;
Prat, X ;
Taourel, P ;
Amaya, B ;
Koelbl, H ;
Heywang-Kobrunner, SH .
BREAST CANCER RESEARCH AND TREATMENT, 2002, 75 (02) :175-179
[7]   Improved diagnostic accuracy in dynamic contrast enhanced MRI of the breast by combined quantitative and qualitative analysis [J].
Liu, PF ;
Debatin, JF ;
Caduff, RF ;
Kacl, G ;
Garzoli, E ;
Krestin, GP .
BRITISH JOURNAL OF RADIOLOGY, 1998, 71 (845) :501-509
[8]  
MullerSchimpfle M, 1997, RADIOLOGY, V203, P145
[9]   Multicenter study for the evaluation of a dedicated biopsy device for MR-guided vacuum biopsy of the breast [J].
Perlet, C ;
Heinig, A ;
Prat, X ;
Casselman, J ;
Baath, L ;
Sittek, H ;
Stets, C ;
Lamarque, J ;
Anderson, I ;
Schneider, P ;
Taourel, P ;
Reiser, M ;
Heywang-Köbrunner, SH .
EUROPEAN RADIOLOGY, 2002, 12 (06) :1463-1470
[10]  
Silverstein MJ, 2001, J AM COLL SURGEONS, V193, P297
1