Breast magnetic resonance imaging (MRI) surveillance in breast cancer survivors

SpringerPlus
Chana WeinstockKatherine H R Tkaczuk

Abstract

As the breast cancer survivor population increases, the topic of screening these women for recurrences is increasingly relevant. In our institution, we use both breast MRI and mammography in the surveillance of breast cancer survivors, although little data exists on the use of MRI in this setting. We present a retrospective analysis of our experience and compare the sensitivity and specificity of MRI vs. mammography in this setting. We identified women under 65 with a history of breast cancer and at least one follow-up MRI performed along with a mammogram done within 6 months of the MRI. We compared the outcomes of MRI and mammography in terms of biopsies performed as well as in detection of new cancers. Of 617 charts reviewed, 249 patients met inclusion criteria, with 571 paired MRI/mammogram results. There were 27 biopsies performed due to MRI findings alone, 10 done due to mammographic findings alone, and 15 done based on abnormalities seen on both imaging modalities. There were 8 malignancies identified based on an abnormal MRI, 3 detected on both MRI and mammography, and none identified via mammography alone. Overall, MRI had a sensitivity of 84.6% (the 95% CI 54.6-98.1) and a specificity of 95.3% (the 95% CI 93.3-96.9); m...Continue Reading

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Citations

Jan 12, 2017·AJR. American Journal of Roentgenology·Diana L LamJanie M Lee
Jan 20, 2019·Journal of Magnetic Resonance Imaging : JMRI·Ritse M MannLinda Moy
Aug 8, 2015·Journal of Personalized Medicine·Christopher FagundesMaryanne Karuga
May 21, 2016·American Journal of Clinical Oncology·Chirag ShahFrank Vicini
Jun 9, 2019·The Breast Journal·Joao V HorvatKatja Pinker
Oct 17, 2017·Breast Cancer Research and Treatment·Bo Hwa ChoiHae Kyoung Jung
Feb 9, 2017·International Journal of Computer Assisted Radiology and Surgery·Samuel Byeongjun ParkYung-Ho Jo
Sep 27, 2018·European Radiology·Athina Vourtsis, Wendie A Berg

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Methods Mentioned

BETA
biopsies
biopsy

Software Mentioned

Dynacad
Aegis Sentinel

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