3T MRI of the breast with computer aided diagnosis, can it help to avoid unnecessary invasive procedures???

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• 作者：Mahmoud Agha^a ; ^b ; ^{mahmoudagha23@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; ^{dr.mahmoudagha@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Ahmed Fathi Eid^c ; ^{fathieid@yahoo.com" class="auth_mail" title="E-mail the corresponding author} ; Mohamed Nouh^d ; ^{mragab73@yahoo.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：AGH ; Almana General Hospital ; BI-RADS ; Breast Imaging Reporting and Data System ; CAD ; computer aided diagnosis ; CC ; Cranio-caudal ; DCE ; dynamic contrast enhancement ; DWI ; diffusion-weighted images ; KSA ; Kingdom of Saudi Arabia ; T2w ; T2 weighted ; ML ; medio-lateral ; MIP ; maximum intensity projection ; PHT ; postmenopausal hormonal replacement therapy ; 3T ; 3  ; Tesla
• 刊名：Alexandria Journal of Medicine
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：52
• 期：1
• 页码：9-18
• 全文大小：1645 K

文摘

This study aimed to check the sensitivity of multiple newly developed 3T MRI breast sequences using CAD software, in pre-sampling diagnosis of breast cancer, in an attempt to minimize unnecessary invasive sampling or surgical procedures.

Patients and methods

This was a prospective study, included 120 female patients, presented with debatable or malignancy suspected mammo-sonographic results. The study protocol was approved by the ethics committee in Al-Mana General Hospital.

Results

36 patients’ tumors were reported as benign and 84 were reported as malignant. Biopsy approved 33 tumors as benign and 87 as malignant tumors. These results gave indices of 93.1% sensitivity and 90.9% specificity.

Conclusion

3T MRI breast with CAD is very sensitive imaging tool, that can help to avoid unnecessary invasive procedures.