Value of an abbreviated protocol of breast magnetic resonance imaging for screening high-risk patients

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

“…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. Other studies explicitly incorporate the use of maximum intensity projection (MIP) images of post-contrast examinations as part of the reading protocol [19,[45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62]. This derivated image highlights maximum enhancement areas such as tumor or lymph nodes, and allows for the assessment of the relationship among arteries, veins, and blood vessels.…”

“…From the set of 31 retrospective studies, 11 included women who had undergone breast MRI by currently accepted indications, such as preoperative breast staging, problem-solving, follow-up for previous nonsurgical breast intervention, and probably benign findings detected on previous studies, among others [47][48][49]64,38,51,41,54,42,27]; two of them were specifically oriented to the detection of lesions in women with heterogeneously or extremely dense breasts [48,49], according to ACR categorization, and another one in to detect lesions in pathologically proven breast cancer studies [45]. Six aimed to evaluate the feasibility of using abbreviated protocols to screening high risk women [35,46,59,39,53,55]; and 7 others, to women with a personal or family history of breast cancer [71,36,43,37,58,44,60]. Additionally, 3 studies established as inclusion criteria to present lesions previously identified by another imaging modality [69,70,67]; and the other 4, focused on pathologically proven breast cancer studies [74,57,68,61].…”