Polish journal of radiology最新文献

{"title":"Effectiveness and safety of CT-guided drainage of abdominal abscesses with small and extra-small-bore drains: a single-centre observational study.","authors":"Grzegorz Rosiak, Jakub Franke, Krzysztof Milczarek, Dariusz Konecki, Emilia Wnuk","doi":"10.5114/pjr.2024.136420","DOIUrl":"10.5114/pjr.2024.136420","url":null,"abstract":"<p><strong>Purpose: </strong>Computed tomography (CT)-guided percutaneous drainage is an established method for the treatment of abdominal abscesses. The purpose of this study is to evaluate the effectiveness and safety of drainage of abdominal abscesses with small-bore (6F and 9F) drains.</p><p><strong>Material and methods: </strong>The analysis of a prospectively maintained database included 135 consecutive patients from a single centre with abdominal or pelvic abscesses, who underwent CT-guided drainage. Procedures were performed using a one-step trocar technique with 6F (40 procedures) or 9F (95 procedures) catheters. Technical success was defined as insertion of the drain into the abscess cavity and aspiration of the fluid sample. Clinical success was defined as resolution of infection without surgical intervention or upsizing of the drain.</p><p><strong>Results: </strong>The mean size of abscesses was 77.0 ± 28.8 mm (32-220 mm). Thick fluid was aspirated from 129 collections; 6 collections contained thin fluid. Technical success was achieved in 100% of procedures. Clinical success was achieved in 94.8% of patients. Surgical drainage was necessary in 3.7% of patients and upsizing in 1.5% of patients. Complications of Clavien-Dindo grade III were noted in 2.2% of patients without grade IV or V adverse events. The mean radiation dose in terms of Dose Length Product was 617 ± 467 mGy x cm. The mean procedure time was 28.0 ± 11.3 min.</p><p><strong>Conclusions: </strong>CT-guided drainage of abdominal abscesses with small- and very small-bore drains is usually sufficient to obtain clinical success with a low complication rate in the case of thick fluid collections.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e156-e160"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"External validation of the Brain Tumour Reporting and Data System (BT-RADS) in the multidisciplinary managementof post-treatment gliomas.","authors":"Kamaxi Hitendrakumar Trivedi, Amrita Guha, Meenakshi Thakur, Abhishek Mahajan, Pallavi Bhole, Tejpal Gupta","doi":"10.5114/pjr.2024.136390","DOIUrl":"10.5114/pjr.2024.136390","url":null,"abstract":"<p><strong>Purpose: </strong>To independently and externally validate the Brain Tumour Reporting and Data System (BT-RADS) for post-treatment gliomas and assess interobserver variability.</p><p><strong>Material and methods: </strong>In this retrospective observational study, consecutive MRIs of 100 post-treatment glioma patients were reviewed by two independent radiologists (RD1 and RD2) and assigned a BT-RADS score. Inter-observer agreement statistics were determined by kappa statistics. The BT-RADS-linked management recommendations per score were compared with the multidisciplinary meeting (MDM) decisions.</p><p><strong>Results: </strong>The overall agreement rate between RD1 and RD2 was 62.7% (κ = 0.67). The agreement rate between RD1 and consensus was 83.3% (κ = 0.85), while the agreement between RD2 and consensus was 69.3% (κ = 0.79). Among the radiologists, agreement was highest for score 2 and lowest for score 3b. There was a 97.9% agreement between BT-RADS-linked management recommendations and MDM decisions.</p><p><strong>Conclusions: </strong>BT-RADS scoring led to improved consistency, and standardised language in the structured MRI reporting of post-treatment brain tumours. It demonstrated good overall agreement among the reporting radiologists at both extremes; however, variation rates increased in the middle part of the spectrum. The interpretation categories linked to management decisions showed a near-perfect match with MDM decisions.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e148-e155"},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative and quantitative imaging features of solid pancreas tumours in portal venous phase CT: are they useful in determining tumour type and grade?","authors":"Elif Gündoğdu, Abdullah Küçükhüseyin","doi":"10.5114/pjr.2024.136423","DOIUrl":"10.5114/pjr.2024.136423","url":null,"abstract":"<p><strong>Purpose: </strong>Solid pancreatic lesions might have overlapping findings in portal venous phase computed tomography (CT). In this study, we aimed to investigate the quantitative and qualitative imaging features of solid pancreas lesions based on subtype and grade.</p><p><strong>Material and methods: </strong>The study group consisted of 159 patients with solid pancreatic tumours detected after exclusion criteria. According to the pathology results, the patients were divided into 3 groups as PDAC (pancreatic ductal adenocarcinoma, <i>n</i> = 137), PNET (pancreatic neuroendocrine tumour, <i>n</i> = 15), and SC (sarcomatoid carcinoma, <i>n</i> = 7). PDAC and PNET lesions were evaluated in 3 subgroups according to grade.</p><p><strong>Results: </strong>There was no difference between the groups in terms of age, gender, tumour localisation, and internal structure (<i>p</i> = 0.23, <i>p</i> = 0.81, <i>p</i> = 0.19, and <i>p</i> = 0.94, respectively). Qualitative features significantly differed in terms of tumour margin feature, visual tumour density, presence of cystic component, and presence of necrosis (<i>p</i> = 0.01, <i>p</i> = 0.0001, <i>p</i> = 0.002, and <i>p</i> = 0.004, respectively). Tumour size, Tm_den, Tm_den/VP_den, and Tm_den/PanP_den showed differences between groups (<i>p</i> = 0.0001, <i>p</i> = 0.002, <i>p</i> = 0.0001, <i>p</i> = 0.0001, respectively). The presence of cystic density in PDAC patients differed according to grade (<i>p</i> = 0.01).</p><p><strong>Conclusions: </strong>While ill-defined irregular margins, hypodense visual tumour density, no cystic component, low value of Tm_den, and low ratios of Tm_den/VP_den and Tm_den/PanP_den indicate PDAC, regular margins, iso-or hyperdense visual tumour density, cystic component, high value of Tm_den, and high ratios of Tm_den/VP_den and Tm_den/PanP_den indicate PNET. SC can be differentiated from them by containing necrosis and reaching larger sizes. The presence of a cystic component in PDAC patients indicates high grade.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e140-e147"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative localisation of parathyroid adenomas using ultrasound-guided methylene blue dye injection.","authors":"Mohamed M Harraz, Ahmed H Abouissa, Ahmed Ibrahim Tawfik, Amir Monir Eltantawy","doi":"10.5114/pjr.2024.136402","DOIUrl":"10.5114/pjr.2024.136402","url":null,"abstract":"<p><strong>Purpose: </strong>Primary hyperparathyroidism is mainly caused by parathyroid adenomas. Preoperative imaging can be performed using different imaging modalities, e.g. ultrasound (US), radionuclide scanning, magnetic resonance imaging, and computed tomography, often used in combination. Currently, US-guided blue dyes, especially methylene blue (MB) injection, are used to identify parathyroid tumours.</p><p><strong>Material and methods: </strong>This was a retrospective study of 228 patients. Preoperative ultrasound, scintigraphy, and bio-chemistry were performed on all patients, and fine-needle aspiration procedures were performed on suspected patients. Using preoperative US-G injection with MB dye, target tumours were injected in all cases.</p><p><strong>Results: </strong>A total of 163 patients were female and 65 were male. The mean age was 42.5 years. US was positive in 203 (89%) cases, 25 (11%) were negative, and all had a positive sestamibi scan (100%). US-G needle injections with MB dye of target tumours were successful in all cases. The average diameter of the lesions was 18 mm. All had positive intraoperative identification of parathyroid adenoma and MB staining (100% accuracy, 100% sensitivity, and 100% specificity). Operating time (min ± SD) was 22.7 ± 11.5 minutes, and the success rate was 100%. All were parathyroid adenomas histologically. Intraoperative parathormone hormone decreased in all patients. In postoperative follow-up, all were normocalcaemic with no local or systemic complications.</p><p><strong>Conclusions: </strong>Localisation of small parathyroid adenomas by US-guided blue dye injection is a safe, simple, and useful tool when performing parathyroidectomy with no complications.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e134-e139"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative embolisation of renal cell carcinoma metastases to the spine - evaluation of procedural and clinical outcome.","authors":"Paweł Szmygin, Maciej Szmygin, Krzysztof Pyra, Władysław Rogała, Paweł Andrzejewicz, Tomasz Jargiełło","doi":"10.5114/pjr.2024.136398","DOIUrl":"10.5114/pjr.2024.136398","url":null,"abstract":"<p><strong>Purpose: </strong>Renal cell carcinoma (RCC) is the fourth most common metastatic tumour of the spine. RCC metastases are highly vascular and might cause life-threatening intraoperative bleeding. That is why preoperative embolisation is performed to reduce intraoperative blood loss. The aim of this study was to evaluate the procedural and clinical outcomes of preoperative embolisation of RCC metastases to the vertebral column.</p><p><strong>Material and methods: </strong>In this single-centre retrospective study, data of 59 consecutive patients undergoing endovascular treatment prior to surgical resection were collected and evaluated. In all cases superselective catheterisation and occlusion of feeding vessels was attempted and performed if deemed safe and possible. Completeness of embolisation, procedural details, and the complication rate were evaluated. Surgical procedures were carried out within 48 hours after embolisation. The surgical approach was dependent on the anatomical site and osseous destruction. Intraoperative blood loss was estimated.</p><p><strong>Results: </strong>Fifty-nine patients with a mean age of 63 years were included. Complete embolisation was successful in 76% (45/59) and partial in 15% (9/59). Microspheres were the most commonly used embolic material. In 5 cases (8%) safe occlusion was not possible due to the radiculomedullary artery originating from the same pedicle as the tumour. Minor complications (vomiting, increased pain) occurred in 8 patients. Paraplegia (one transient and one permanent) was noted in 2 cases. Estimated intraoperative blood loss was 830 ± 410 ml.</p><p><strong>Conclusions: </strong>The results of our study show that preoperative embolisation is a feasible and effective method with a relatively high rate of occlusion and low complication rate.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e128-e133"},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epicardial fat volume and its association with cardiac arrhythmias in CT coronary angiography.","authors":"Matthias Weidlich, Bernd Hamm, Lars-Arne Schaafs, Thomas Elgeti","doi":"10.5114/pjr.2024.135797","DOIUrl":"10.5114/pjr.2024.135797","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective study aimed to investigate the epicardial fat volume in cardiac computed tomography (CT), its relationship with cardiac arrhythmias, and its correlation with the coronary artery disease reporting and data system (CAD-RADS) score.</p><p><strong>Material and methods: </strong>Ninety-six patients who underwent CT coronary angiography (CTCA) were included in this study. Patient data, including demographic information, clinical history, and imaging data were collected retrospectively. Epicardial fat volume was quantified using a standardised algorithm, the CAD-RADS scoring system was applied to assess the extent of coronary artery disease (CAD). Descriptive statistics, correlation analyses, and receiver operating characteristics methods were used.</p><p><strong>Results: </strong>The study found a significant correlation between epicardial fat volume and CAD-RADS score (<i>r</i>² = 0.31; <i>p</i> < 0.001), indicating the known influence of epicardial fat on CAD risk. Moreover, patients with higher epicardial fat volumes were more likely to experience cardiac tachyarrhythmia (<i>p</i> < 0.001). Receiver operating characteristic analysis established a threshold value of 123 cm³ for epicardial fat volume to predict tachyarrhythmia with 80% sensitivity (AUC = 0.69).</p><p><strong>Conclusions: </strong>In this study a volume of at least 123 cm³ epicardial fat in native coronary calcium scans is associated with cardiac tachyarrhythmia. In these patients, careful selection of suitable imaging protocols is advised.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e122-e127"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10953510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anomalous left coronary artery from the pulmonary artery (ALCAPA) in adult patients - a multimodality imaging approach.","authors":"Alexander Suchodolski, Jan Głowacki, Jarosław Wasilewski, Mariola Szulik","doi":"10.5114/pjr.2024.135736","DOIUrl":"10.5114/pjr.2024.135736","url":null,"abstract":"<p><strong>Purpose: </strong>Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital ano-maly of the origin of the coronary arteries. The prevalence of this anomaly in the adult patient population is low, and therefore there is virtually no original research on this topic. Reports are limited to case reports.</p><p><strong>Material and methods: </strong>We evaluated 16,264 computed tomography (CT) exams (cardiac and chest) performed in our heart imaging department between 2015 and 2022 on a dual-source 128-slice CT scanner (SOMATOM Definition Flash, Siemens Healthineers, Forchheim, Germany) and established a retrospective registry of adult patients (> 18 years old) with ALCAPA. The study included 7 cases. Next, we collected clinical and echocardiographic data, which could be assessed retrospectively.</p><p><strong>Results: </strong>We found 7 cases of ALCAPA in adult patients (0.043%). Three of them were female, and 4 were male. The age varied between 20 and 60 years. Echocardiographic findings, as well as the clinical course, varied widely.</p><p><strong>Conclusions: </strong>ALCAPA is an extremely rare anomaly, which nonetheless must be taken into clinical consideration. This lesion may be fatal during infancy. Data regarding adult patients is scarce. Multicentre registries are needed to establish a more detailed clinical profile of adults with this anomaly.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e115-e121"},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10953507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differentiating gallbladder cancer from polyps using non-enhanced magnetic resonance imaging.","authors":"Kazuyoshi Ohki, Takao Igarashi, Hiroyuki Yakabe, Megumi Shiraishi, Takayuki Suzuki, Jun Woo, Hiroya Ojiri","doi":"10.5114/pjr.2024.135730","DOIUrl":"10.5114/pjr.2024.135730","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective cohort study assessed the efficiency of non-enhanced magnetic resonance imaging (MRI) for differentiating gallbladder cancer (GBC) from gallbladder polyps (GBPs) measuring ≥ 10 mm.</p><p><strong>Material and methods: </strong>Patients diagnosed with GBCs or GBPs ≥ 10 mm and GBC ≤ T2 stage were eligible for inclusion. Two independent blinded readers assessed the continuity of the mucosal and muscular layers (CMML; present or absent) and normalised signal intensity ratio (NIR) on the apparent diffusion coefficient map (NIR-ADC), T1-weighted image (NIR-T1WI), and T2-weighted half-Fourier acquisition single-shot turbo spin-echo image. Univariate and multivariate logistic regression analyses and interobserver agreement analyses were performed to detect predictive variables differentiating GBCs from GBPs. Receiver operating characteristic (ROC) analysis was performed to evaluate diagnostic performance. A reproducibility test was performed to verify the predictive variables.</p><p><strong>Results: </strong>Multivariate analysis showed significant differences in CMML, NIR-ADC, and NIR-T1WI (<i>p</i> < 0.001). The positive predictive value (PPV) and specificity of the absence of CMML were approximately 100%. The CMML showed the best specificity, accuracy, and PPV in the reproducibility study. The sensitivity of CMML alone was approximately 50%, whereas it increased to approximately 70% when combined with NIR-ADC. The diagnostic performance of the combination, including sensitivity, was almost like that of tumour size. The combined tumour size and CMML assessment showed higher diagnostic performance than tumour size alone.</p><p><strong>Conclusions: </strong>The absence of CMML and NIR-ADC ≤ 1.86 helped in differentiating GBCs from GBPs. Evaluation of the absence of CMML and measurement of tumour size could better aid in determining between the two than measurement of tumour size alone.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e106-e114"},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10953508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severity of muscle impairment and its progression assessed using musculoskeletal magnetic resonance imaging and diffusion tension imaging in 78 boys with Duchenne muscular dystrophy: a retrospective study.","authors":"Hemangi Sane, Samson Nivins, Amruta Paranjape, Nandini Gokulchandran, Suvarna Badhe, Ritu Varghese, Prerna Badhe, Alok Sharma","doi":"10.5114/pjr.2024.135718","DOIUrl":"10.5114/pjr.2024.135718","url":null,"abstract":"<p><strong>Purpose: </strong>Duchenne muscular dystrophy (DMD) is the most common and severe form of muscular dystrophy. Current diagnostic tests like genetic testing, needle electromyography, and muscle biopsy are either not easily available or invasive, and they are impractical for assessing disease progression and treatment outcomes. Therefore, there is a need for a non-invasive and accurate investigative modality for DMD. In recent years, musculoskeletal magnetic resonance imaging (MRI-MSK) along with fractional anisotropy (FA) and diffusion tensor imaging (DTI) have become major non-invasive tools.</p><p><strong>Material and methods: </strong>T1-weighted MRI-MSK and FA measures of DTI of 78 DMD patients were retrospectively studied to identify the distinct pattern of muscle involvement and fatty infiltration as age and/or disease progresses. Correlation analysis was performed between MRI-MSK grade score vs. age, muscle strength, and Vignos scale. Spearman's rank correlation coefficient was used.</p><p><strong>Results: </strong>As age increased, the MRI grade score and Vignos score increased. There was a statistically significant high positive correlation between MRI-MSK grade score and age, and low positive correlation with Vignos scores. With increasing age, the muscle strength on manual muscle testing (MMT) and FA value decreased. There was high negative correlation with muscle strength on MMT and low positive correlation between FA values and MMT score.</p><p><strong>Conclusions: </strong>On T1-weighted MRI, a distinct pattern, extent, and distribution of lower limb muscle involvement can be seen. MRI-MSK grade score worsens with progressing age, reducing strength, and increasing functional impairment. FA alone may not be an accurate marker in assessing progression of DMD. MRI-MSK and other DTI measures should be further explored as diagnostic and prognostic tools for DMD.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e88-e105"},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10953512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic validity of abbreviated breast MRI in the diagnosis of breast cancer: a comparative study to the full breast MRI protocol using BI-RADS.","authors":"Noha Yahia Ebaid, Mostafa Mohamad Assy, Ahmed M Alaa Eldin","doi":"10.5114/pjr.2024.135474","DOIUrl":"10.5114/pjr.2024.135474","url":null,"abstract":"<p><strong>Purpose: </strong>This work aimed to determine the diagnostic performance of the magnetic resonance imaging (MRI) breast abbreviated protocol (AP) in diagnosing malignant breast lesions using BI-RADS compared with the diagnostic accuracy of the full diagnostic protocol (FDP).</p><p><strong>Material and methods: </strong>A prospective single-centre study was conducted. A total of 125 female patients with suspicious breast masses underwent MRI with the AP and the FDP. The images of AP and FDP were independently interpreted by 2 radiologists with 10 years of experience in breast imaging, and any disagreement was resolved with a third one. Using the histopathological examination as a reference test, the diagnostic effectiveness of both FDP and AP in breast cancer screening was calculated. ROC curve was utilised to estimate the optimal BI-RADS cut-off for prediction of malignancy. The difference in image interpretation time between both protocols was estimated using the Mann-Whitney test. Moreover, the inter-test agreement between both protocols was assessed using Cohen's κ test.</p><p><strong>Results: </strong>The study included 83 malignant and 42 benign lesions. AP indicated a specificity, sensitivity, and accuracy of 90.5%, 96.4%, and 94.4%, while the FDP showed a specificity, sensitivity, and accuracy of 92.9%, 100%, and 97.6%, respectively. BI-RADS 3 category was the best cut-off for prediction of malignancy. There was a significant difference between both protocols concerning the interpretation time (<i>p</i> < 0.001). There was excellent agreement between both protocols, with a κ of 0.915.</p><p><strong>Conclusions: </strong>Breast MRI AP may be employed instead of FDP to identify breast cancer with similar diagnostic performance. Moreover, it reduces the interpretation time and the scan cost.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e80-e87"},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10953509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}