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BENIGN AND MALIGNANT BREAST-LESIONS - DIFFERENTIATION WITH ECHO-PLANAR MR-IMAGING
Author(s): HULKA CA, SMITH BL, SGROI DC, TAN LJ, EDMISTER WB, SEMPLE JP, CAMPBELL T, KOPANS DB, BRADY TJ, WEISSKOFF RM
Source: RADIOLOGY    Volume: 197    Issue: 1    Pages: 33-38    Published: OCT 1995  
Times Cited: 146     References: 28     
Abstract: PURPOSE: To quantify dynamic enhancement of breast lesions with echo-planar and conventional magnetic resonance (MR) imaging, to correlate these data with histologic findings and vessel density, and to evaluate the effect of T1 values on enhancement data.

MATERIALS AND METHODS: Twenty female patients with 22 breast lesions underwent conventional and echo-planar MR imaging. T1 values, change in gadopentetate dimeglumine concentration, and extraction-flow products were calculated with echo-planar imaging data and were correlated with histologic findings and microvessel density.

RESULTS: T1 values of cancers were not statistically significantly shorter. Cancers had more rapid uptake and higher extraction-flow products (P < .02). Sensitivity was 86% and specificity was 93% for diagnosis of malignancy. Microvessel density was higher far malignant lesions (P < .02) with an overall positive (not statistically significant) correlation between extraction-flow product and microvessel density.

CONCLUSION Echo-planar imaging appears promising for quantification of breast lesion enhancement. Microvessel data indicate that tumor angiogenesis affects enhancement.

Document Type: Proceedings Paper
Language: English
Reprint Address: HULKA, CA (reprint author), MASSACHUSETTS GEN HOSP, DEPT RADIOL, FRUIT ST, BOSTON, MA 02114 USA
Addresses:
1. MASSACHUSETTS GEN HOSP, CTR NUCL MAGNET RESONANCE, BOSTON, MA 02114 USA
2. MASSACHUSETTS GEN HOSP, DEPT SURG, BOSTON, MA 02114 USA
3. MASSACHUSETTS GEN HOSP, DEPT PATHOL, BOSTON, MA 02114 USA
4. HARVARD UNIV, SCH MED, BOSTON, MA 02114 USA
5. TUFTS UNIV, NEW ENGLAND MED CTR, SCH MED, DEPT PATHOL, BOSTON, MA 02111 USA
Publisher: RADIOLOGICAL SOC NORTH AMER, 20TH AND NORTHAMPTON STS, EASTON, PA 18042
Subject Category: Radiology, Nuclear Medicine & Medical Imaging
IDS Number: RV899
ISSN: 0033-8419
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