Cancers,
Journal Year:
2024,
Volume and Issue:
17(1), P. 31 - 31
Published: Dec. 25, 2024
Objectives:
This
study
aimed
to
investigate
whether
the
apparent
diffusion
coefficient
(ADC)
maps
values
of
breast
lesions
presenting
as
non-mass
enhancement
(NME)
on
MRI
could
predict
benign
or
malignant
pathohistological
findings.
Materials
and
Methods:
retrospective
single-center
included
136
female
patients
with
NME
corresponding
ultrasound
correlate
a
subsequent
ultrasound-guided
core
needle
biopsy.
The
were
subdivided
into
subgroups
based
pathology
reports,
which
served
gold
standard.
Blinded
pathological
results,
two
radiologists
independently
measured
ADC
depicted
using
punctate,
10
mm
whole
tumor
regions
interest
(ROIs)
wherever
applicable.
mean
all
measurements
was
also
analyzed
compared
pathologic
subdivision.
Results:
sensitivity
ROI
in
detecting
is
91%
74%
for
78%
punctate
ROI.
No
significant
differences
observed
when
comparing
fatty
tissue
dense
tissue.
Conclusions:
There
between
findings
types
measurements,
where
most
sensitive.
Advanced Biomedical Research,
Journal Year:
2025,
Volume and Issue:
14(1)
Published: Jan. 1, 2025
Background:
Diffusion-weighted
imaging
with
background
body
signal
suppression
(DWIBS)
is
a
new
tool
for
the
diagnosis
of
breast
lesions.
This
study
aims
to
compare
DWIBS
contrast-enhanced
magnetic
resonance
(CE-MRI)
sequences.
Materials
and
Methods:
Eighty
consecutive
patients
underwent
both
CE-MRI
images.
was
assessed
qualitatively
quantitatively
using
apparent
diffusion
coefficient
mapping.
A
threshold
1.44
×
10
-3
mm
2
/s
considered
as
cutoff
value
between
malignant
benign
images
were
evaluated
based
on
combination
kinetic
morphological
information
reported
Breast
Imaging
Reporting
Data
System
lexicon.
Statistical
analysis
performed
sequences
pathologic
findings
gold
standard.
Results:
Fifty-five
out
80
lesions
(69%)
benign,
25
(31%)
have
been
reported.
The
sensitivity,
specificity,
positive
predictive
value,
negative
100,
38,
42,
100%,
respectively,
those
77,
70,
53,
87%,
respectively.
By
comparing
data,
no
statistically
significant
difference
Conclusion:
can
be
used
an
effective
alternative
in
cases
contradictions
IV
contrast
injection.
Magnetic Resonance in Medical Sciences,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Breast
diffusion
weighted
MR
imaging
(DWI)
is
increasingly
used,
because
it
fast
and
easy
to
be
added
in
clinical
protocol
without
contrast
agent
provides
information
of
cellularity
or
tissue
microstructure.
This
review
article
explores
the
principles
breast
DWI,
standardization
acquisition
techniques,
its
current
applications.
We
emphasize
role
differentiating
benign
from
malignant
lesions,
reducing
unnecessary
biopsies,
discuss
evidence
supporting
DWI
as
a
potential
standalone
screening
tool.
Prognostic
indicators
derived
parameters
utility
monitoring
treatment
responses
are
discussed.
Finally,
we
look
future,
discussing
emerging
techniques.
comprehensive
overview
DWI's
status
future
potential.
Frontiers in Oncology,
Journal Year:
2025,
Volume and Issue:
15
Published: Feb. 24, 2025
The
intravoxel
incoherent
motion
(IVIM)
model
of
diffusion
weighted
imaging
(DWI)
provides
biomarkers
for
breast
tumor
characterization.
It
has
been
extensively
applied
both
diagnostic
and
prognostic
goals
in
cancer,
with
increasing
evidence
supporting
its
clinical
relevance.
However,
variable
performance
exists
literature
owing
to
the
heterogeneity
datasets
quantification
methods.
This
work
used
retrospective
anonymized
MRI
data
(302
patients)
from
three
sites
employing
different
software
utilizing
least-squares
segmented
algorithms
Bayesian
fit
estimate
1st
order
radiomics
IVIM
parameters
perfusion
fraction
(fp
),
pseudo-diffusion
(Dp
)
tissue
diffusivity
(Dt
).
Pearson
correlation
(r)
coefficients
between
pairs
were
computed
while
logistic
regression
was
implemented
test
malignancy
detection
assess
robustness
metrics.
Dt
fp
maps
generated
showed
consistency
across
platforms
Dp
variable.
average
at
Dtmin/Dtmax/Dtmean/Dtvariance/Dtskew/Dtkurt:
0.791/0.891/0.98/0.815/0.697/0.584;
fpmax/fpmean/fpvariance/fpskew/fpkurt:
0.615/0.871/0.679/0.541/0.433;
Dpmax/Dpmean/Dpvariance/Dpskew/Dpkurt:
0.616/0.56/0.587/0.454/0.51.
Correlation
highest.
Dtmean
highest
area
under
ROC
curve
(AUC)
0.85
lowest
coefficient
variation
(CV)
0.18%
benign
malignant
differentiation
using
regression.
metrics
highly
as
well
consistent
along
Multiple
radiomic
features
obtained
a
heterogeneous
multi-site
lesion
dataset
strong
and/or
utility,
their
potential
consideration
controlled
prospective
trials.
Journal of Magnetic Resonance Imaging,
Journal Year:
2024,
Volume and Issue:
60(4), P. 1340 - 1349
Published: Feb. 28, 2024
Background
In
breast
diffusion‐weighted
imaging
(DWI),
distortion
and
physiologic
artifacts
affect
clinical
interpretation.
Image
quality
can
be
optimized
by
addressing
the
effect
of
phase
encoding
(PE)
direction
on
these
artifacts.
Purpose
To
compare
in
DWI
acquired
with
different
PE
directions
polarities,
to
discuss
their
implications.
Study
Type
Prospective.
Population
Eleven
healthy
volunteers
(median
age:
47
years
old;
range:
22–74
old)
a
phantom.
Field
Strength/Sequence
Single‐shot
echo
planar
three‐dimensional
fast
gradient
sequences
at
3
T.
Assessment
All
data
were
left–right,
right–left,
posterior–anterior,
anterior–posterior
directions.
phantom
data,
displacement
magnitude
was
evaluated
comparing
location
landmarks
anatomical
images.
Three
radiologists
(5,
17,
23
experience)
assessed
presence
or
absence
volunteers'
datasets
indicated
PE‐direction
preference.
Statistical
Tests
Analysis
variance
post‐hoc
tests
used
assess
differences
across
observers.
A
binomial
test
chi‐squared
evaluate
if
each
vivo
dataset
had
an
equal
probability
(25%)
being
preferred
radiologists.
Inter‐reader
agreement
using
Gwet's
AC1
coefficient.
P
‐value
<0.05
considered
statistically
significant.
Results
study,
median
significantly
largest
posterior–anterior
data.
While
left–right
equivalent
(
=
0.545).
there
no
physiological
observed
any
dataset,
regardless
direction.
reader
significant
preference
for
which
selected
94%
time.
There
good
between
readers
(0.936).
Data
Conclusion
This
study
showed
impact
DWI.
volunteers,
posterior‐to‐anterior
readers.
Level
Evidence
2
Technical
Efficacy
Stage
1