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Staging of suspected breast cancer: effect of MR imaging and MR-guided biopsy.
Radiology. 1995 Jul; 196(1):115-22.R

Abstract

PURPOSE

To investigate the effect of contrast material-enhanced magnetic resonance (MR) imaging on staging of breast cancer in patients with mammographically or clinically suspected tumor.

MATERIALS AND METHODS

One hundred seventy-six patients underwent breast MR imaging at 1.5 T before excisional biopsy of a suspicious mammographic or palpable abnormality. Diagnostic imaging studies in patients with biopsy-proved or presumed breast carcinoma were reviewed.

RESULTS

Sixty-four patients met the study criteria. MR imaging enabled detection of all 57 invasive breast cancers and nine of 15 in situ cancers. In 22 patients (34%), MR imaging depicted one or more cancers not visible at mammography, 13 (20%) of which were unsuspected multifocal or diffuse disease. As a result of the increased sensitivity of MR imaging compared with that of mammography, clinical staging and subsequent treatment were altered in seven patients (11%).

CONCLUSION

MR imaging allows detection of mammographically and clinically occult foci of carcinoma in patients with suspected breast cancer.

Links

Publisher Full Text

Authors+Show Affiliations

Orel SG
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Schnall MD
No affiliation info available
Powell CM
No affiliation info available
Hochman MG
No affiliation info available
Solin LJ
No affiliation info available
Fowble BL
No affiliation info available
Torosian MH
No affiliation info available
Rosato EF
No affiliation info available

MeSH

AdultAgedAged, 80 and overBiopsy, NeedleBreastBreast NeoplasmsFemaleHumansMagnetic Resonance ImagingMammographyMiddle AgedNeoplasm StagingPredictive Value of TestsSensitivity and Specificity

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

7784554

Citation

Orel, S G., et al. "Staging of Suspected Breast Cancer: Effect of MR Imaging and MR-guided Biopsy." Radiology, vol. 196, no. 1, 1995, pp. 115-22.
Orel SG, Schnall MD, Powell CM, et al. Staging of suspected breast cancer: effect of MR imaging and MR-guided biopsy. Radiology. 1995;196(1):115-22.
Orel, S. G., Schnall, M. D., Powell, C. M., Hochman, M. G., Solin, L. J., Fowble, B. L., Torosian, M. H., & Rosato, E. F. (1995). Staging of suspected breast cancer: effect of MR imaging and MR-guided biopsy. Radiology, 196(1), 115-22.
Orel SG, et al. Staging of Suspected Breast Cancer: Effect of MR Imaging and MR-guided Biopsy. Radiology. 1995;196(1):115-22. PubMed PMID: 7784554.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Staging of suspected breast cancer: effect of MR imaging and MR-guided biopsy. AU - Orel,S G, AU - Schnall,M D, AU - Powell,C M, AU - Hochman,M G, AU - Solin,L J, AU - Fowble,B L, AU - Torosian,M H, AU - Rosato,E F, PY - 1995/7/1/pubmed PY - 1995/7/1/medline PY - 1995/7/1/entrez SP - 115 EP - 22 JF - Radiology JO - Radiology VL - 196 IS - 1 N2 - PURPOSE: To investigate the effect of contrast material-enhanced magnetic resonance (MR) imaging on staging of breast cancer in patients with mammographically or clinically suspected tumor. MATERIALS AND METHODS: One hundred seventy-six patients underwent breast MR imaging at 1.5 T before excisional biopsy of a suspicious mammographic or palpable abnormality. Diagnostic imaging studies in patients with biopsy-proved or presumed breast carcinoma were reviewed. RESULTS: Sixty-four patients met the study criteria. MR imaging enabled detection of all 57 invasive breast cancers and nine of 15 in situ cancers. In 22 patients (34%), MR imaging depicted one or more cancers not visible at mammography, 13 (20%) of which were unsuspected multifocal or diffuse disease. As a result of the increased sensitivity of MR imaging compared with that of mammography, clinical staging and subsequent treatment were altered in seven patients (11%). CONCLUSION: MR imaging allows detection of mammographically and clinically occult foci of carcinoma in patients with suspected breast cancer. SN - 0033-8419 UR - https://www.unboundmedicine.com/medline/citation/7784554/Staging_of_suspected_breast_cancer:_effect_of_MR_imaging_and_MR_guided_biopsy_ L2 - https://pubs.rsna.org/doi/10.1148/radiology.196.1.7784554?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -