Abbreviated breast MRI combining FAST protocol and high temporal resolution (HTR) dynamic contrast enhanced (DCE) sequence

Milon, Audrey; Perre, Saskia Vande; Poujol, Julie; Trop, Isabelle; Kermarrec, E.; Bekhouche, Asma; Thomassin‐Naggara, Isabelle

doi:10.1016/j.ejrad.2019.06.022

Cited by 27 publications

(15 citation statements)

References 25 publications

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“…Three researchers carried out this review, and in case of disagreement, some articles were included for full-text review. Therefore, 59 documents were excluded, 17 of them because not reporting abbreviated protocols, 28 for being reviews or technical notes, either of general aspects of the use of magnetic resonance in the diagnosis of breast cancer or specifically on abbreviated protocols for breast cancer [20][21][22][23][24][25][26][27][28][29][30]32,31], seven documents that corresponded to editorials, letters or erratum, two documents because the full text was not available in the English language, three more there was no full-text availability, and two documents that studied animal specimens. After the previous process, 41 articles were maintained for full-text review, which reported 53 breast ABB-MRI protocols.…”

Section: Resultsmentioning

confidence: 99%

“…A search of published documents was carried out using the following equation: (MRI AND "breast cancer" AND (abbreviated OR accelerated OR fast)), in the databases PubMed (134), Medline (124), Science Direct (27) and Scopus (253). The search was restricted to metadata title, abstract, and keywords.…”

Section: Sources Consulted and Search Strategymentioning

confidence: 99%

“…Varying versions of the abbreviated protocols have been reported in the literature. The selection of the sequences that make them up is apparently heuristic, with a general tendency using a non-contrast T1weighted (T1W) or T2-weighted (T2W) acquisition plus at least one contrast-enhanced sequence [35][36][37][38][39][40][41][42][43]27,34,44]. This is to improve the specificity, including information that allows greater discrimination between benign and malignant lesions and make it possible to evaluate the tumor uptake.…”

Section: Abbreviated Protocols Specificationmentioning

confidence: 99%

“…Other review articles have described some of the abbreviated protocols published in the literature [20][21][22][23][24][25][26][27][28][29][30]; however, none of them performed a comprehensive systematic review. Recently, Baxter et al [31] presented a systematic review and meta-analysis of published ABB-MRI studies but focused on screening only cohorts and enriched cohorts separately.…”

Section: Introductionmentioning

confidence: 99%

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Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Hernández

Osorio

Florez

et al. 2021

European Journal of Radiology Open

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Background : magnetic resonance imaging (MRI) has been increasingly used to study breast cancer for screening high-risk cases, pre-operative staging, and problem-solving because of its high sensitivity. However, its cost-effectiveness is still debated. Thus, the concept of abbreviated MRI (ABB-MRI) protocols was proposed as a possible solution for reducing MRI costs Purpose : to investigate the role of the abbreviated MRI protocols in detecting and staging breast cancer Methods : a systematic search of the literature was carried out in the bibliographic databases: Scopus, PubMed, Medline, and Science Direct. Results : forty-one articles were included, which described results of the assessment of fifty-three abbreviated protocols for screening, staging, recurrence assessing, and problem-solving or clarification. Conclusions : the use of ABB-MRI protocols allows reducing the acquisition and reading times, maintaining a high concordance with the final interpretation, in comparison to a complete protocol. However, larger prospective and multicentre trials are necessary to validate the performance in specific clinical environments

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Section: Resultsmentioning

confidence: 99%

Section: Sources Consulted and Search Strategymentioning

confidence: 99%

Section: Abbreviated Protocols Specificationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Hernández

Osorio

Florez

et al. 2021

European Journal of Radiology Open

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“…More recently, Milon et al demonstrated the value of heterogeneity early after gadolinium injection based on the analysis of HTR-DCE MR sequences. Malignant lesions were more heterogeneous than benign lesions with a higher standard deviation of signal intensity (STD) irrespective of the tested rank of the HTR-DCE sequence (5). Some authors have underlined that in various organs radiomic analysis of spatial heterogeneity (i.e.…”

Section: Introductionmentioning

confidence: 99%

Radiomic analysis of HTR-DCE MR sequences improves diagnostic performance compared to BI-RADS analysis of breast MR lesions

et al. 2021

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PURPOSE:To assess the diagnostic performance of radiomic analysis using High Temporal Resolution (HTR)-Dynamic Contrast Enhancement (DCE) MR sequences compared to BI-RADS analysis to distinguish benign from malignant breast lesions. MATERIALS AND METHODS:We retrospectively analyzed data from consecutive women who underwent breast MRI including HTR-DCE MR sequencing for abnormal enhancing lesions and who had subsequent pathological analysis at our tertiary center. Semiquantitative enhancement parameters and textural features were extracted. Temporal change across each phase of textural features in HTR-DCE MR sequences were calculated and called "kinetic textural parameters". Statistical analysis by LASSO-logistic regression and cross validation were performed to build a model. The diagnostic performance of the radiomic model was compared to the results of BI-RADS MR score analysis. RESULTS:We included 117 women with a mean age of 54 years (28-88). Of the 174 lesions analyzed 75 were benign and 99 malignant. Seven semi-quantitative enhancement parameters and 57 textural features were extracted. Regression analysis selected 15 significant variables in a radiomic model (called "malignant probability score") which displayed an AUC=0.876 (sensitivity=0.98, specificity=0.52, accuracy=0.78). The performance of the malignant probability score to distinguish benign from malignant breast lesions (AUC=0.876, 95%CI 0.825-0.925) was significantly better than that of BI-RADS analysis (AUC=0.831, 95%CI 0.769-0.892). The radiomic model significantly reduced false positives (42%) with the same number of missed cancers (n=2) 2 CONCLUSION: A radiomic model including kinetic textural features extracted from an HTR-DCE MR sequence improves diagnostic performance over BI-RADS analysis.

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Is It Possible for MRI Screening of Breast Cancer to be Available to Many More Women by Greatly Reducing its False Positive Detections via Ultrafast Time to Enhancement Measurements?

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Magnetic Resonance Imaging

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Abbreviated breast MRI combining FAST protocol and high temporal resolution (HTR) dynamic contrast enhanced (DCE) sequence

Cited by 27 publications

References 25 publications

Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Radiomic analysis of HTR-DCE MR sequences improves diagnostic performance compared to BI-RADS analysis of breast MR lesions

Is It Possible for MRI Screening of Breast Cancer to be Available to Many More Women by Greatly Reducing its False Positive Detections via Ultrafast Time to Enhancement Measurements?

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