Contrast-enhanced spectral mammography versus MRI: Initial results in the detection of breast cancer and assessment of tumour size.
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| Title: | Contrast-enhanced spectral mammography versus MRI: Initial results in the detection of breast cancer and assessment of tumour size. |
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| Authors: | Fallenberg, E.1 eva.fallenberg@charite.de, Dromain, C.2 dromain@igr.fr, Diekmann, F.3 FDiekmann@sjs-bremen.de, Engelken, F.4 florian.engelken@charite.de, Krohn, M.4 michaela.krohn@charite.de, Singh, J.4 jasmine-maya.singh@charite.de, Ingold-Heppner, B.5 Barbara.ingold-heppner@charite.de, Winzer, K.6 Klaus-juergen.winzer@charite.de, Bick, U.4 ulrich.bick@charite.de, Renz, D.1 diane.renz@charite.de |
| Source: | European Radiology. Jan2014, Vol. 24 Issue 1, p256-264. 9p. |
| Subjects: | Mammograms, Magnetic resonance imaging, Breast cancer research, Histopathology |
| Abstract: | Objectives: To compare mammography (MG), contrast-enhanced spectral mammography (CESM), and magnetic resonance imaging (MRI) in the detection and size estimation of histologically proven breast cancers using postoperative histology as the gold standard. Methods: After ethical approval, 80 women with newly diagnosed breast cancer underwent MG, CESM, and MRI examinations. CESM was reviewed by an independent experienced radiologist, and the maximum dimension of suspicious lesions was measured. For MG and MRI, routine clinical reports of breast specialists, with judgment based on the BI-RADS lexicon, were used. Results of each imaging technique were correlated to define the index cancer. Fifty-nine cases could be compared to postoperative histology for size estimation. Results: Breast cancer was visible in 66/80 MG, 80/80 CESM, and 77/79 MRI examinations. Average lesion largest dimension was 27.31 mm (SD 22.18) in MG, 31.62 mm (SD 24.41) in CESM, and 27.72 mm (SD 21.51) in MRI versus 32.51 mm (SD 29.03) in postoperative histology. No significant difference was found between lesion size measurement on MRI and CESM compared with histopathology. Conclusion: Our initial results show a better sensitivity of CESM and MRI in breast cancer detection than MG and a good correlation with postoperative histology in size assessment. Key points: • Contrast-enhanced spectral mammography (CESM) is slowly being introduced into clinical practice. • Access to breast MRI is limited by availability and lack of reimbursement. • Initial results show a better sensitivity of CESM and MRI than conventional mammography. • CESM showed a good correlation with postoperative histology in size assessment. • Contrast-enhanced spectral mammography offers promise, seemingly providing information comparable to MRI. [ABSTRACT FROM AUTHOR] |
| Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: egs DbLabel: Engineering Source An: 92967103 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Contrast-enhanced spectral mammography versus MRI: Initial results in the detection of breast cancer and assessment of tumour size. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Fallenberg%2C+E%2E%22">Fallenberg, E.</searchLink><relatesTo>1</relatesTo><i> eva.fallenberg@charite.de</i><br /><searchLink fieldCode="AR" term="%22Dromain%2C+C%2E%22">Dromain, C.</searchLink><relatesTo>2</relatesTo><i> dromain@igr.fr</i><br /><searchLink fieldCode="AR" term="%22Diekmann%2C+F%2E%22">Diekmann, F.</searchLink><relatesTo>3</relatesTo><i> FDiekmann@sjs-bremen.de</i><br /><searchLink fieldCode="AR" term="%22Engelken%2C+F%2E%22">Engelken, F.</searchLink><relatesTo>4</relatesTo><i> florian.engelken@charite.de</i><br /><searchLink fieldCode="AR" term="%22Krohn%2C+M%2E%22">Krohn, M.</searchLink><relatesTo>4</relatesTo><i> michaela.krohn@charite.de</i><br /><searchLink fieldCode="AR" term="%22Singh%2C+J%2E%22">Singh, J.</searchLink><relatesTo>4</relatesTo><i> jasmine-maya.singh@charite.de</i><br /><searchLink fieldCode="AR" term="%22Ingold-Heppner%2C+B%2E%22">Ingold-Heppner, B.</searchLink><relatesTo>5</relatesTo><i> Barbara.ingold-heppner@charite.de</i><br /><searchLink fieldCode="AR" term="%22Winzer%2C+K%2E%22">Winzer, K.</searchLink><relatesTo>6</relatesTo><i> Klaus-juergen.winzer@charite.de</i><br /><searchLink fieldCode="AR" term="%22Bick%2C+U%2E%22">Bick, U.</searchLink><relatesTo>4</relatesTo><i> ulrich.bick@charite.de</i><br /><searchLink fieldCode="AR" term="%22Renz%2C+D%2E%22">Renz, D.</searchLink><relatesTo>1</relatesTo><i> diane.renz@charite.de</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Jan2014, Vol. 24 Issue 1, p256-264. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mammograms%22">Mammograms</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer+research%22">Breast cancer research</searchLink><br /><searchLink fieldCode="DE" term="%22Histopathology%22">Histopathology</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives: To compare mammography (MG), contrast-enhanced spectral mammography (CESM), and magnetic resonance imaging (MRI) in the detection and size estimation of histologically proven breast cancers using postoperative histology as the gold standard. Methods: After ethical approval, 80 women with newly diagnosed breast cancer underwent MG, CESM, and MRI examinations. CESM was reviewed by an independent experienced radiologist, and the maximum dimension of suspicious lesions was measured. For MG and MRI, routine clinical reports of breast specialists, with judgment based on the BI-RADS lexicon, were used. Results of each imaging technique were correlated to define the index cancer. Fifty-nine cases could be compared to postoperative histology for size estimation. Results: Breast cancer was visible in 66/80 MG, 80/80 CESM, and 77/79 MRI examinations. Average lesion largest dimension was 27.31 mm (SD 22.18) in MG, 31.62 mm (SD 24.41) in CESM, and 27.72 mm (SD 21.51) in MRI versus 32.51 mm (SD 29.03) in postoperative histology. No significant difference was found between lesion size measurement on MRI and CESM compared with histopathology. Conclusion: Our initial results show a better sensitivity of CESM and MRI in breast cancer detection than MG and a good correlation with postoperative histology in size assessment. Key points: • Contrast-enhanced spectral mammography (CESM) is slowly being introduced into clinical practice. • Access to breast MRI is limited by availability and lack of reimbursement. • Initial results show a better sensitivity of CESM and MRI than conventional mammography. • CESM showed a good correlation with postoperative histology in size assessment. • Contrast-enhanced spectral mammography offers promise, seemingly providing information comparable to MRI. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00330-013-3007-7 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 256 Subjects: – SubjectFull: Mammograms Type: general – SubjectFull: Magnetic resonance imaging Type: general – SubjectFull: Breast cancer research Type: general – SubjectFull: Histopathology Type: general Titles: – TitleFull: Contrast-enhanced spectral mammography versus MRI: Initial results in the detection of breast cancer and assessment of tumour size. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Fallenberg, E. – PersonEntity: Name: NameFull: Dromain, C. – PersonEntity: Name: NameFull: Diekmann, F. – PersonEntity: Name: NameFull: Engelken, F. – PersonEntity: Name: NameFull: Krohn, M. – PersonEntity: Name: NameFull: Singh, J. – PersonEntity: Name: NameFull: Ingold-Heppner, B. – PersonEntity: Name: NameFull: Winzer, K. – PersonEntity: Name: NameFull: Bick, U. – PersonEntity: Name: NameFull: Renz, D. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2014 Type: published Y: 2014 Identifiers: – Type: issn-print Value: 09387994 Numbering: – Type: volume Value: 24 – Type: issue Value: 1 Titles: – TitleFull: European Radiology Type: main |
| ResultId | 1 |
