BREAST-TUMORS - COMPARATIVE ACCURACY OF MR-IMAGING RELATIVE TO MAMMOGRAPHY AND US FOR DEMONSTRATING EXTENT

被引:379
作者
BOETES, C
MUS, RDM
HOLLAND, R
BARENTSZ, JO
STRIJK, SP
WOBBES, T
HENDRIKS, JHCL
RUYS, SHJ
机构
[1] UNIV NIJMEGEN ST RADBOUD HOSP,DEPT PATHOL,6500 HB NIJMEGEN,NETHERLANDS
[2] UNIV NIJMEGEN ST RADBOUD HOSP,DEPT SURG,6500 HB NIJMEGEN,NETHERLANDS
关键词
BREAST NEOPLASMS; MR; RADIOGRAPHY; GADOLINIUM; MAGNETIC RESONANCE (MR); COMPARATIVE STUDIES; CONTRAST ENHANCEMENT; ULTRASOUND; (US);
D O I
10.1148/radiology.197.3.7480749
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 evaluate the comparative accuracy of magnetic resonance (MR) imaging relative to mammography and ultrasonography (US) for assessing the extent of breast tumors. MATERIALS AND METHODS: Histologic results and preoperative imaging findings (mammography, US, MR imaging) were analyzed regarding tumor size and multifocality of 61 tumors in 60 women undergoing mastectomy for carcinoma. RESULTS: In 10% of cases, the index tumor was not seen at mammography. With US, 15% of the index tumors were not recognized, while MR imaging missed 2% of the index tumors. On mammographic and VS images, tumor size was underestimated significantly (P < .005), by 14% and 18%, respectively, while MR imaging showed no significant difference in size compared with that found in a pathologic evaluation. Mammography showed 31% of the additional invasive lesions, while US showed 38% and MR imaging showed 100%. CONCLUSION: MR imaging was the most accurate of the three preoperative imaging modalities in assessing the size and number of malignant lesions in the breast.
引用
收藏
页码:743 / 747
页数:5
相关论文
共 26 条
[2]   MR CHARACTERIZATION OF SUSPICIOUS BREAST-LESIONS WITH A GADOLINIUM-ENHANCED TURBOFLASH SUBTRACTION TECHNIQUE [J].
BOETES, C ;
BARENTSZ, JO ;
MUS, RD ;
VANDERSLUIS, RF ;
VANERNING, LJTO ;
HENDRIKS, JHCL ;
HOLLAND, R ;
RUYS, SHJ .
RADIOLOGY, 1994, 193 (03) :777-781
[3]   EARLY BREAST-CANCER - PREDICTORS OF BREAST RECURRENCE FOR PATIENTS TREATED WITH CONSERVATIVE SURGERY AND RADIATION-THERAPY [J].
BOYAGES, J ;
RECHT, A ;
CONNOLLY, JL ;
SCHNITT, SJ ;
GELMAN, R ;
KOOY, H ;
LOVE, S ;
OSTEEN, RT ;
CADY, B ;
SILVER, B ;
HARRIS, JR .
RADIOTHERAPY AND ONCOLOGY, 1990, 19 (01) :29-41
[4]  
DAVIS PL, 1994, RADIOLOGY P, V193, P267
[5]  
EGAN RL, 1982, CANCER, V49, P1123, DOI 10.1002/1097-0142(19820315)49:6<1123::AID-CNCR2820490610>3.0.CO
[6]  
2-R
[7]   DIFFERENTIATION OF BENIGN FROM MALIGNANT BREAST MASSES BY TIME-INTENSITY EVALUATION OF CONTRAST-ENHANCED MRI [J].
FLICKINGER, FW ;
ALLISON, JD ;
SHERRY, RM ;
WRIGHT, JC .
MAGNETIC RESONANCE IMAGING, 1993, 11 (05) :617-620
[8]  
FORNAGE BD, 1987, CANCER, V60, P765, DOI 10.1002/1097-0142(19870815)60:4<765::AID-CNCR2820600410>3.0.CO
[9]  
2-5
[10]  
GREENSTEIN OS, 1994, RADIOLOGY, V190, P485