False-negative MR imaging of malignant breast tumors

In this study we analyze MR-negative malignant lesions of the breast. A total of 204 patients with palpable and/or mammographic lesions were studied. The MR technique consisted of the turbo FLASH and MP-RAGE subtraction techniques. All patients underwent surgical biopsy and/or mastectomy and all spe...

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Veröffentlicht in:European radiology 1997-01, Vol.7 (8), p.1231-1234
Hauptverfasser: Boetes, C, Strijk, S P, Holland, R, Barentsz, J O, Van Der Sluis, R F, Ruijs, J H
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container_end_page 1234
container_issue 8
container_start_page 1231
container_title European radiology
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creator Boetes, C
Strijk, S P
Holland, R
Barentsz, J O
Van Der Sluis, R F
Ruijs, J H
description In this study we analyze MR-negative malignant lesions of the breast. A total of 204 patients with palpable and/or mammographic lesions were studied. The MR technique consisted of the turbo FLASH and MP-RAGE subtraction techniques. All patients underwent surgical biopsy and/or mastectomy and all specimens were examined by the correlative radiologic-histologic mapping technique. A total of 208 lesions were evaluated; 145 turned out to be malignant and 63 proved to be benign. Six malignant lesions were misinterpreted as benign on MR imaging; thus, suspicious contrast enhancement was present in 96 % of the lesions detected by mammography, US, or clinical examination. Especially 4 of the 17 ductal carcinoma in situ (DCIS) lesions were misinterpreted (23.5 %). Despite optimal technique, 6 malignant lesions were not identified by MR imaging. The highest prevalence of these MR occult lesions was in the group of DCIS. Although MR imaging has an important role in the evaluation of breast lesions and, primarily, in ruling out malignancy, one should be aware of the fact that false-negative MR findings do occur.
doi_str_mv 10.1007/s003300050281
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A total of 204 patients with palpable and/or mammographic lesions were studied. The MR technique consisted of the turbo FLASH and MP-RAGE subtraction techniques. All patients underwent surgical biopsy and/or mastectomy and all specimens were examined by the correlative radiologic-histologic mapping technique. A total of 208 lesions were evaluated; 145 turned out to be malignant and 63 proved to be benign. Six malignant lesions were misinterpreted as benign on MR imaging; thus, suspicious contrast enhancement was present in 96 % of the lesions detected by mammography, US, or clinical examination. Especially 4 of the 17 ductal carcinoma in situ (DCIS) lesions were misinterpreted (23.5 %). Despite optimal technique, 6 malignant lesions were not identified by MR imaging. The highest prevalence of these MR occult lesions was in the group of DCIS. 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subjects Breast - pathology
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - epidemiology
Carcinoma in Situ - diagnosis
Carcinoma in Situ - epidemiology
Carcinoma, Ductal, Breast - diagnosis
Carcinoma, Ductal, Breast - epidemiology
Carcinoma, Lobular - diagnosis
Carcinoma, Lobular - epidemiology
Contrast Media
False Negative Reactions
Female
Gadolinium DTPA
Humans
Magnetic Resonance Imaging - methods
Magnetic Resonance Imaging - statistics & numerical data
Medical diagnosis
Middle Aged
Retrospective Studies
Sensitivity and Specificity
title False-negative MR imaging of malignant breast tumors
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