Second-Look Ultrasound for MRI-Detected Lesions: MRI Features, Detection Rate, and Sonographic Findings

IF 1.3 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2026-10-06 Epub Date: 2026-05-25 DOI:10.1002/jcu.70274

Selda Guven, Baki Hekimoglu, Ata T. Arikok, Irmak Durur-Subasi

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引用次数: 0

Abstract

Background

Second-look US emerged as a feasible tool to evaluate MRI-detected lesions, although data regarding the accuracy and optimal lesion selection for second-look US is limited. Therefore, we evaluated the second-look US detection rate of breast lesions detected initially on MRI by using MRI features and compared second-look US findings across benign and malignant lesions.

Material and Methods

A total of 110 MRI-detected lesions subsequently evaluated with the second-look US were retrospectively reviewed. The performance of MRI features in the prediction of second-look US detection was evaluated with ROC analyses.

Results

The positive and negative predictive values of second-look US for malignancy detection were 28.8% and 96.1%, respectively. In multivariate analyses, the MRI BI-RADS category (OR: 11.896, p < 0.001) and lesion type (OR: 9.470, p = 0.001) were significantly associated with second-look US detection. Combined scoring with these factors could predict second-look US detection [AUC: 0.712, 95% CI: 0.617–0.807 p < 0.001]. Furthermore, lesions with irregular shapes and margins were more often malignant in the analysis of US findings (p < 0.001).

Conclusions

The MRI BI-RADS category and lesion type could predict detection in the second-look US for MRI-detected lesions. Besides, second-look US could give additional information to distinguish between benign and malignant masses.

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MRI检测病变的二次超声检查：MRI特征，检出率和超声检查结果。

背景：Second-look US已成为评估mri检测病变的可行工具，尽管关于Second-look US的准确性和最佳病变选择的数据有限。因此，我们利用MRI特征评估了MRI首次发现的乳腺病变的二次超声检出率，并比较了良性和恶性病变的二次超声检查结果。材料和方法：我们回顾性回顾了110例mri检测到的病变，随后用复查超声评估。用ROC分析评估MRI特征在预测第二眼US检测中的表现。结果：二次超声对恶性肿瘤的阳性预测值为28.8%，阴性预测值为96.1%。在多变量分析中，MRI BI-RADS分类（OR: 11.896, p）结论：MRI BI-RADS分类和病变类型可以预测MRI检测到的病变在二次检查中的发现。此外，复视超声可以提供更多的信息来区分良恶性肿块。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.