Comparison of Diagnostic Performance between Classic and Modified Abbreviated Breast MRI and the MRI Features Affecting Their Diagnostic Performance

Abbreviated breast magnetic resonance imaging (AB-MRI) has emerged as a supplementary screening tool, though protocols have not been standardized. The purpose of this study was to compare the diagnostic performance of modified and classic AB-MRI and determine MRI features affecting their diagnostic...
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Autor*in:	Subin Lee [verfasserIn] Eun Jung Choi [verfasserIn] Hyemi Choi [verfasserIn] Jung Hee Byon [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	breast neoplasm magnetic resonance imaging screening area under the curve sensitivity specificity

Übergeordnetes Werk:	In: Diagnostics - MDPI AG, 2012, 14(2024), 3, p 282
Übergeordnetes Werk:	volume:14 ; year:2024 ; number:3, p 282

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/diagnostics14030282

Katalog-ID:	DOAJ094503516

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source	In Diagnostics 14(2024), 3, p 282 volume:14 year:2024 number:3, p 282
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callnumber-first	R - Medicine
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topic_title	R5-920 Comparison of Diagnostic Performance between Classic and Modified Abbreviated Breast MRI and the MRI Features Affecting Their Diagnostic Performance breast neoplasm magnetic resonance imaging screening area under the curve sensitivity specificity
topic	misc R5-920 misc breast neoplasm misc magnetic resonance imaging misc screening misc area under the curve misc sensitivity misc specificity misc Medicine (General)
topic_unstemmed	misc R5-920 misc breast neoplasm misc magnetic resonance imaging misc screening misc area under the curve misc sensitivity misc specificity misc Medicine (General)
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title	Comparison of Diagnostic Performance between Classic and Modified Abbreviated Breast MRI and the MRI Features Affecting Their Diagnostic Performance
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title_full	Comparison of Diagnostic Performance between Classic and Modified Abbreviated Breast MRI and the MRI Features Affecting Their Diagnostic Performance
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title_sort	comparison of diagnostic performance between classic and modified abbreviated breast mri and the mri features affecting their diagnostic performance
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title_auth	Comparison of Diagnostic Performance between Classic and Modified Abbreviated Breast MRI and the MRI Features Affecting Their Diagnostic Performance
abstract	Abbreviated breast magnetic resonance imaging (AB-MRI) has emerged as a supplementary screening tool, though protocols have not been standardized. The purpose of this study was to compare the diagnostic performance of modified and classic AB-MRI and determine MRI features affecting their diagnostic performance. Classic AB-MRI included one pre- and two post-contrast T1-weighted imaging (T1WI) scans, while modified AB-MRI included a delayed post-contrast axial T1WI scan and an axial T2-weighted interpolated scan obtained between the second and third post-contrast T1WI scans. Four radiologists (two specialists and two non-specialists) independently categorized the lesions. The MRI features investigated were lesion size, lesion type, and background parenchymal enhancement (BPE). The Wilcoxon rank-sum test, Fisher’s exact test, and bootstrap-based test were used for statistical analysis. The average area under the curve (AUC) for modified AB-MRI was significantly greater than that for classic AB-MRI (0.76 vs. 0.70, <i<p</i< = 0.010) in all reader evaluations, with a similar trend in specialist evaluations (0.83 vs. 0.76, <i<p</i< = 0.004). Modified AB-MRI demonstrated increased AUCs and better diagnostic performance than classic AB-MRI, especially for lesion size < 10 mm (<i<p</i< = 0.018) and mass lesion type (<i<p</i< = 0.014) in specialist evaluations and lesion size < 10 mm (<i<p</i< = 0.003) and mild (<i<p</i< = 0.026) or moderate BPE (<i<p</i< = 0.010) in non-specialist evaluations.
abstractGer	Abbreviated breast magnetic resonance imaging (AB-MRI) has emerged as a supplementary screening tool, though protocols have not been standardized. The purpose of this study was to compare the diagnostic performance of modified and classic AB-MRI and determine MRI features affecting their diagnostic performance. Classic AB-MRI included one pre- and two post-contrast T1-weighted imaging (T1WI) scans, while modified AB-MRI included a delayed post-contrast axial T1WI scan and an axial T2-weighted interpolated scan obtained between the second and third post-contrast T1WI scans. Four radiologists (two specialists and two non-specialists) independently categorized the lesions. The MRI features investigated were lesion size, lesion type, and background parenchymal enhancement (BPE). The Wilcoxon rank-sum test, Fisher’s exact test, and bootstrap-based test were used for statistical analysis. The average area under the curve (AUC) for modified AB-MRI was significantly greater than that for classic AB-MRI (0.76 vs. 0.70, <i<p</i< = 0.010) in all reader evaluations, with a similar trend in specialist evaluations (0.83 vs. 0.76, <i<p</i< = 0.004). Modified AB-MRI demonstrated increased AUCs and better diagnostic performance than classic AB-MRI, especially for lesion size < 10 mm (<i<p</i< = 0.018) and mass lesion type (<i<p</i< = 0.014) in specialist evaluations and lesion size < 10 mm (<i<p</i< = 0.003) and mild (<i<p</i< = 0.026) or moderate BPE (<i<p</i< = 0.010) in non-specialist evaluations.
abstract_unstemmed	Abbreviated breast magnetic resonance imaging (AB-MRI) has emerged as a supplementary screening tool, though protocols have not been standardized. The purpose of this study was to compare the diagnostic performance of modified and classic AB-MRI and determine MRI features affecting their diagnostic performance. Classic AB-MRI included one pre- and two post-contrast T1-weighted imaging (T1WI) scans, while modified AB-MRI included a delayed post-contrast axial T1WI scan and an axial T2-weighted interpolated scan obtained between the second and third post-contrast T1WI scans. Four radiologists (two specialists and two non-specialists) independently categorized the lesions. The MRI features investigated were lesion size, lesion type, and background parenchymal enhancement (BPE). The Wilcoxon rank-sum test, Fisher’s exact test, and bootstrap-based test were used for statistical analysis. The average area under the curve (AUC) for modified AB-MRI was significantly greater than that for classic AB-MRI (0.76 vs. 0.70, <i<p</i< = 0.010) in all reader evaluations, with a similar trend in specialist evaluations (0.83 vs. 0.76, <i<p</i< = 0.004). Modified AB-MRI demonstrated increased AUCs and better diagnostic performance than classic AB-MRI, especially for lesion size < 10 mm (<i<p</i< = 0.018) and mass lesion type (<i<p</i< = 0.014) in specialist evaluations and lesion size < 10 mm (<i<p</i< = 0.003) and mild (<i<p</i< = 0.026) or moderate BPE (<i<p</i< = 0.010) in non-specialist evaluations.
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title_short	Comparison of Diagnostic Performance between Classic and Modified Abbreviated Breast MRI and the MRI Features Affecting Their Diagnostic Performance
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Comparison of Diagnostic Performance between Classic and Modified Abbreviated Breast MRI and the MRI Features Affecting Their Diagnostic Performance

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