Multiparametric Magnetic Resonance Imaging in Evaluation of Benign and Malignant Breast Masses with Pathological Correlation

Main Article Content

Anand Guddur
Atul Bhanudas Hulwan
Amol Bhoite

Abstract

Objective: In a cohort of 45 patients, this study sought to evaluate the diagnostic efficacy of multiparametric magnetic resonance imaging (MRI) in discriminating benign from malignant breast masses with pathological association.


Methods: For this prospective investigation, 45 female patients with suspect breast tumors were enrolled. All patients had multiparametric MRI scans, including diffusion-weighted, dynamic contrast-enhanced, T1-weighted, and T2-weighted scans. All patients had a biopsy or a surgical excision after an MRI to check for pathological association. Each imaging parameter's diagnostic performance metrics, such as sensitivity, specificity, and accuracy, as well as the combined multiparametric MRI findings, were calculated.


Results: The individual MRI parameters and the overall multiparametric MRI findings' sensitivity, specificity, accuracy, PPV, and NPV were computed. The findings showed that the best diagnostic accuracy for distinguishing between benign and malignant breast masses was achieved by combining dynamic contrast-enhanced MRI with T2-weighted imaging.


Conclusion: When assessing benign and malignant breast masses, multiparametric MRI, particularly the union of T2-weighted imaging and dynamic contrast-enhanced MRI, shown promising diagnostic accuracy. These results imply that multiparametric MRI may be a useful tool in clinical practice for increasing the precision of the diagnosis of breast cancer, hence assisting in the planning of the patient's care and treatment.

Article Details

How to Cite
Guddur, A., Hulwan, A. B. ., & Bhoite, A. (2023). Multiparametric Magnetic Resonance Imaging in Evaluation of Benign and Malignant Breast Masses with Pathological Correlation. Journal of Coastal Life Medicine, 11(1), 3286–3295. Retrieved from https://www.jclmm.com/index.php/journal/article/view/890
Section
Articles

References

Arriagada, R., Lê, M. G., Rochard, F., & Contesso, G. (1996, May). Conservative treatment versus mastectomy in early breast cancer: patterns of failure with 15 years of follow-up data. Institut Gustave-Roussy Breast Cancer Group. Journal of Clinical Oncology, 14(5), 1558–1564.

Beahrs, O. H., Henson, D. E., Hutter, R. V., & Myers, M. H. (1988). Manual for staging of cancer. American Journal of Clinical Oncology, 11(6), 686.

Berg, W. A., Gutierrez, L., NessAiver, M. S., Carter, W. B., Bhargavan, M., Lewis, R. S., & Ioffe, O. B. (2004). Diagnostic Accuracy of Mammography, Clinical Examination, US, and MR Imaging in Preoperative Assessment of Breast Cancer. Radiology, 233(3), 830–849.

Boetes, C., Mus, R. D., Holland, R., Barentsz, J. O., Strijk, S. P., Wobbes, T., Hendriks, J. H., & Ruys, S. H. (1995, December). Breast tumors: comparative accuracy of MR imaging relative to mammography and US for demonstrating extent. Radiology, 197(3), 743–747.

Boetes, C., Mus, R. D., Holland, R., Barentsz, J. O., Strijk, S. P., Wobbes, T., Hendriks, J. H., & Ruys, S. H. (1995). Breast tumors: comparative accuracy of MR imaging relative to mammography and US for demonstrating extent. Radiology, 197(3), 743–747.

Chala, L., Endo, E., Kim, S., de Castro, F., Moraes, P., Cerri, G., & de Barros, N. (2006). Gray-scale sonography of solid breast masses: Diagnosis of probably benign masses and reduction of the number of biopsies. Journal of Clinical Ultrasound, 35(1), 9–19.

Dhruva, R., & Bharat, M. P. (2015) Evaluation of Breast Lump with Sonography of Breast and MRI of Breast with Dynamic Contrast.

Fischer, U., Kopka, L., & Grabbe, E. (1999). Breast Carcinoma: Effect of Preoperative Contrast-enhanced MR Imaging on the Therapeutic Approach. Radiology, 213(3), 881–888.

Gufler, H., Hernando Buitrago-Tellez, C., Madjar, H., Allmann, K. H., Uhl, M., & Rohr-Reyes, A. (2000). Ultrasound Demonstration of Mammographically Detected Microcalcifications. Acta Radiologica, 41(3), 217–221.

Harms, S. E., Flamig, D. P., Hesley, K. L., Meiches, M. D., Jensen, R. A., Evans, W. P., Savino, D. A., & Wells, R. V. (1993). MR imaging of the breast with rotating delivery of excitation off resonance: clinical experience with pathologic correlation. Radiology, 187(2), 493–501.

Heywang, S. H., Hahn, D., Schmidt, H., Krischke, I., Eiermann, W., Bassermann, R., & Lissner, J. (1986). MR Imaging of the Breast Using Gadolinium-DTPA. Journal of Computer Assisted Tomography, 10(2), 199–204.

Huang, W., Fisher, P. R., Dulaimy, K., Tudorica, L. A., O’Hea, B., & Button, T. M. (2004). Detection of Breast Malignancy: Diagnostic MR Protocol for Improved Specificity. Radiology, 232(2), 585–591.

Liberman, L., Morris, E. A., Dershaw, D. D., Abramson, A. F., & Tan, L. K. (2003). MR Imaging of the Ipsilateral Breast in Women with Percutaneously Proven Breast Cancer. American Journal of Roentgenology, 180(4), 901–910.

Morris, E. A., Schwartz, L. H., Dershaw, D. D., van Zee, K. J., Abramson, A. F., & Liberman, L. (1997). MR imaging of the breast in patients with occult primary breast carcinoma. Radiology, 205(2), 437–440.

Mumtaz, H., Hall-Craggs, M. A., Davidson, T., Walmsley, K., Thurell, W., Kissin, M. W., & Taylor, I. (1997). Staging of symptomatic primary breast cancer with MR imaging. American Journal of Roentgenology, 169(2), 417–424.:

Orel, S. G., Schnall, M. D., LiVolsi, V. A., & Troupin, R. H. (1994, February). Suspicious breast lesions: MR imaging with radiologic-pathologic correlation. Radiology, 190(2), 485–493.

Orel, S. G., Schnall, M. D., LiVolsi, V. A., & Troupin, R. H. (1994). Suspicious breast lesions: MR imaging with radiologic-pathologic correlation. Radiology, 190(2), 485–493.

Rahbar, G., Sie, A. C., Hansen, G. C., Prince, J. S., Melany, M. L., Reynolds, H. E., Jackson, V. P., Sayre, J. W., & Bassett, L. W. (1999). Benign versus Malignant Solid Breast Masses: US Differentiation. Radiology, 213(3), 889–894.

Skaane, P., & Engedal, K. (1998). Analysis of sonographic features in the differentiation of fibroadenoma and invasive ductal carcinoma. American Journal of Roentgenology, 170(1), 109–114.

Stavros, A. T., Thickman, D., Rapp, C. L., Dennis, M. A., Parker, S. H., & Sisney, G. A. (1995). Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology, 196(1), 123–134.

WHO fact sheet on infertility. (2021). Global Reproductive Health, 6(1), e52–e52.

Wiener, J. I., Schilling, K. J., Adami, C., & Obuchowski, N. A. (2005). Assessment of Suspected Breast Cancer by MRI: A Prospective Clinical Trial Using a Combined Kinetic and Morphologic Analysis. American Journal of Roentgenology, 184(3), 878–886.