Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study
Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed a...
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E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
Breast neoplasms (biopsy, needle) |
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© The Author(s) 2023 |
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| Übergeordnetes Werk: |
Enthalten in: European radiology - Springer Berlin Heidelberg, 1991, 34(2023), 6 vom: 24. Nov., Seite 3970-3980 |
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| Übergeordnetes Werk: |
volume:34 ; year:2023 ; number:6 ; day:24 ; month:11 ; pages:3970-3980 |
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| DOI / URN: |
10.1007/s00330-023-10409-5 |
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| Katalog-ID: |
SPR056201060 |
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| 100 | 1 | |a Cozzi, Andrea |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study |
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| 520 | |a Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. | ||
| 650 | 4 | |a Breast neoplasms (biopsy, needle) |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Carcinoma (intraductal, noninfiltrating) |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Magnetic resonance imaging |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Mastectomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Reoperation |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Di Leo, Giovanni |e verfasserin |4 aut | |
| 700 | 1 | |a Houssami, Nehmat |e verfasserin |4 aut | |
| 700 | 1 | |a Gilbert, Fiona J. |e verfasserin |4 aut | |
| 700 | 1 | |a Helbich, Thomas H. |e verfasserin |4 aut | |
| 700 | 1 | |a Álvarez Benito, Marina |e verfasserin |4 aut | |
| 700 | 1 | |a Balleyguier, Corinne |e verfasserin |4 aut | |
| 700 | 1 | |a Bazzocchi, Massimo |e verfasserin |4 aut | |
| 700 | 1 | |a Bult, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Calabrese, Massimo |e verfasserin |4 aut | |
| 700 | 1 | |a Camps Herrero, Julia |e verfasserin |4 aut | |
| 700 | 1 | |a Cartia, Francesco |e verfasserin |4 aut | |
| 700 | 1 | |a Cassano, Enrico |e verfasserin |4 aut | |
| 700 | 1 | |a Clauser, Paola |e verfasserin |4 aut | |
| 700 | 1 | |a de Lima Docema, Marcos F. |e verfasserin |4 aut | |
| 700 | 1 | |a Depretto, Catherine |e verfasserin |4 aut | |
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| 700 | 1 | |a Forrai, Gábor |e verfasserin |4 aut | |
| 700 | 1 | |a Girometti, Rossano |e verfasserin |4 aut | |
| 700 | 1 | |a Harms, Steven E. |e verfasserin |4 aut | |
| 700 | 1 | |a Hilborne, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Ienzi, Raffaele |e verfasserin |4 aut | |
| 700 | 1 | |a Lobbes, Marc B. I. |e verfasserin |4 aut | |
| 700 | 1 | |a Losio, Claudio |e verfasserin |4 aut | |
| 700 | 1 | |a Mann, Ritse M. |e verfasserin |4 aut | |
| 700 | 1 | |a Montemezzi, Stefania |e verfasserin |4 aut | |
| 700 | 1 | |a Obdeijn, Inge-Marie |e verfasserin |4 aut | |
| 700 | 1 | |a Aksoy Ozcan, Umit |e verfasserin |4 aut | |
| 700 | 1 | |a Pediconi, Federica |e verfasserin |4 aut | |
| 700 | 1 | |a Pinker, Katja |e verfasserin |4 aut | |
| 700 | 1 | |a Preibsch, Heike |e verfasserin |4 aut | |
| 700 | 1 | |a Raya Povedano, José L. |e verfasserin |4 aut | |
| 700 | 1 | |a Rossi Saccarelli, Carolina |e verfasserin |4 aut | |
| 700 | 1 | |a Sacchetto, Daniela |e verfasserin |4 aut | |
| 700 | 1 | |a Scaperrotta, Gianfranco P. |e verfasserin |4 aut | |
| 700 | 1 | |a Schlooz, Margrethe |e verfasserin |4 aut | |
| 700 | 1 | |a Szabó, Botond K. |e verfasserin |4 aut | |
| 700 | 1 | |a Taylor, Donna B. |e verfasserin |4 aut | |
| 700 | 1 | |a Ulus, Sila Ö. |e verfasserin |4 aut | |
| 700 | 1 | |a Van Goethem, Mireille |e verfasserin |4 aut | |
| 700 | 1 | |a Veltman, Jeroen |e verfasserin |4 aut | |
| 700 | 1 | |a Weigel, Stefanie |e verfasserin |4 aut | |
| 700 | 1 | |a Wenkel, Evelyn |e verfasserin |4 aut | |
| 700 | 1 | |a Zuiani, Chiara |e verfasserin |4 aut | |
| 700 | 1 | |a Sardanelli, Francesco |e verfasserin |0 (orcid)0000-0001-6545-9427 |4 aut | |
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10.1007/s00330-023-10409-5 doi (DE-627)SPR056201060 (SPR)s00330-023-10409-5-e DE-627 ger DE-627 rakwb eng 610 VZ 44.64 bkl Cozzi, Andrea verfasserin aut Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. Breast neoplasms (biopsy, needle) (dpeaa)DE-He213 Carcinoma (intraductal, noninfiltrating) (dpeaa)DE-He213 Magnetic resonance imaging (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Reoperation (dpeaa)DE-He213 Di Leo, Giovanni verfasserin aut Houssami, Nehmat verfasserin aut Gilbert, Fiona J. verfasserin aut Helbich, Thomas H. verfasserin aut Álvarez Benito, Marina verfasserin aut Balleyguier, Corinne verfasserin aut Bazzocchi, Massimo verfasserin aut Bult, Peter verfasserin aut Calabrese, Massimo verfasserin aut Camps Herrero, Julia verfasserin aut Cartia, Francesco verfasserin aut Cassano, Enrico verfasserin aut Clauser, Paola verfasserin aut de Lima Docema, Marcos F. verfasserin aut Depretto, Catherine verfasserin aut Dominelli, Valeria verfasserin aut Forrai, Gábor verfasserin aut Girometti, Rossano verfasserin aut Harms, Steven E. verfasserin aut Hilborne, Sarah verfasserin aut Ienzi, Raffaele verfasserin aut Lobbes, Marc B. I. verfasserin aut Losio, Claudio verfasserin aut Mann, Ritse M. verfasserin aut Montemezzi, Stefania verfasserin aut Obdeijn, Inge-Marie verfasserin aut Aksoy Ozcan, Umit verfasserin aut Pediconi, Federica verfasserin aut Pinker, Katja verfasserin aut Preibsch, Heike verfasserin aut Raya Povedano, José L. verfasserin aut Rossi Saccarelli, Carolina verfasserin aut Sacchetto, Daniela verfasserin aut Scaperrotta, Gianfranco P. verfasserin aut Schlooz, Margrethe verfasserin aut Szabó, Botond K. verfasserin aut Taylor, Donna B. verfasserin aut Ulus, Sila Ö. verfasserin aut Van Goethem, Mireille verfasserin aut Veltman, Jeroen verfasserin aut Weigel, Stefanie verfasserin aut Wenkel, Evelyn verfasserin aut Zuiani, Chiara verfasserin aut Sardanelli, Francesco verfasserin (orcid)0000-0001-6545-9427 aut Enthalten in European radiology Springer Berlin Heidelberg, 1991 34(2023), 6 vom: 24. Nov., Seite 3970-3980 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:34 year:2023 number:6 day:24 month:11 pages:3970-3980 https://dx.doi.org/10.1007/s00330-023-10409-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 VZ AR 34 2023 6 24 11 3970-3980 |
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10.1007/s00330-023-10409-5 doi (DE-627)SPR056201060 (SPR)s00330-023-10409-5-e DE-627 ger DE-627 rakwb eng 610 VZ 44.64 bkl Cozzi, Andrea verfasserin aut Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. Breast neoplasms (biopsy, needle) (dpeaa)DE-He213 Carcinoma (intraductal, noninfiltrating) (dpeaa)DE-He213 Magnetic resonance imaging (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Reoperation (dpeaa)DE-He213 Di Leo, Giovanni verfasserin aut Houssami, Nehmat verfasserin aut Gilbert, Fiona J. verfasserin aut Helbich, Thomas H. verfasserin aut Álvarez Benito, Marina verfasserin aut Balleyguier, Corinne verfasserin aut Bazzocchi, Massimo verfasserin aut Bult, Peter verfasserin aut Calabrese, Massimo verfasserin aut Camps Herrero, Julia verfasserin aut Cartia, Francesco verfasserin aut Cassano, Enrico verfasserin aut Clauser, Paola verfasserin aut de Lima Docema, Marcos F. verfasserin aut Depretto, Catherine verfasserin aut Dominelli, Valeria verfasserin aut Forrai, Gábor verfasserin aut Girometti, Rossano verfasserin aut Harms, Steven E. verfasserin aut Hilborne, Sarah verfasserin aut Ienzi, Raffaele verfasserin aut Lobbes, Marc B. I. verfasserin aut Losio, Claudio verfasserin aut Mann, Ritse M. verfasserin aut Montemezzi, Stefania verfasserin aut Obdeijn, Inge-Marie verfasserin aut Aksoy Ozcan, Umit verfasserin aut Pediconi, Federica verfasserin aut Pinker, Katja verfasserin aut Preibsch, Heike verfasserin aut Raya Povedano, José L. verfasserin aut Rossi Saccarelli, Carolina verfasserin aut Sacchetto, Daniela verfasserin aut Scaperrotta, Gianfranco P. verfasserin aut Schlooz, Margrethe verfasserin aut Szabó, Botond K. verfasserin aut Taylor, Donna B. verfasserin aut Ulus, Sila Ö. verfasserin aut Van Goethem, Mireille verfasserin aut Veltman, Jeroen verfasserin aut Weigel, Stefanie verfasserin aut Wenkel, Evelyn verfasserin aut Zuiani, Chiara verfasserin aut Sardanelli, Francesco verfasserin (orcid)0000-0001-6545-9427 aut Enthalten in European radiology Springer Berlin Heidelberg, 1991 34(2023), 6 vom: 24. Nov., Seite 3970-3980 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:34 year:2023 number:6 day:24 month:11 pages:3970-3980 https://dx.doi.org/10.1007/s00330-023-10409-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 VZ AR 34 2023 6 24 11 3970-3980 |
| allfields_unstemmed |
10.1007/s00330-023-10409-5 doi (DE-627)SPR056201060 (SPR)s00330-023-10409-5-e DE-627 ger DE-627 rakwb eng 610 VZ 44.64 bkl Cozzi, Andrea verfasserin aut Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. Breast neoplasms (biopsy, needle) (dpeaa)DE-He213 Carcinoma (intraductal, noninfiltrating) (dpeaa)DE-He213 Magnetic resonance imaging (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Reoperation (dpeaa)DE-He213 Di Leo, Giovanni verfasserin aut Houssami, Nehmat verfasserin aut Gilbert, Fiona J. verfasserin aut Helbich, Thomas H. verfasserin aut Álvarez Benito, Marina verfasserin aut Balleyguier, Corinne verfasserin aut Bazzocchi, Massimo verfasserin aut Bult, Peter verfasserin aut Calabrese, Massimo verfasserin aut Camps Herrero, Julia verfasserin aut Cartia, Francesco verfasserin aut Cassano, Enrico verfasserin aut Clauser, Paola verfasserin aut de Lima Docema, Marcos F. verfasserin aut Depretto, Catherine verfasserin aut Dominelli, Valeria verfasserin aut Forrai, Gábor verfasserin aut Girometti, Rossano verfasserin aut Harms, Steven E. verfasserin aut Hilborne, Sarah verfasserin aut Ienzi, Raffaele verfasserin aut Lobbes, Marc B. I. verfasserin aut Losio, Claudio verfasserin aut Mann, Ritse M. verfasserin aut Montemezzi, Stefania verfasserin aut Obdeijn, Inge-Marie verfasserin aut Aksoy Ozcan, Umit verfasserin aut Pediconi, Federica verfasserin aut Pinker, Katja verfasserin aut Preibsch, Heike verfasserin aut Raya Povedano, José L. verfasserin aut Rossi Saccarelli, Carolina verfasserin aut Sacchetto, Daniela verfasserin aut Scaperrotta, Gianfranco P. verfasserin aut Schlooz, Margrethe verfasserin aut Szabó, Botond K. verfasserin aut Taylor, Donna B. verfasserin aut Ulus, Sila Ö. verfasserin aut Van Goethem, Mireille verfasserin aut Veltman, Jeroen verfasserin aut Weigel, Stefanie verfasserin aut Wenkel, Evelyn verfasserin aut Zuiani, Chiara verfasserin aut Sardanelli, Francesco verfasserin (orcid)0000-0001-6545-9427 aut Enthalten in European radiology Springer Berlin Heidelberg, 1991 34(2023), 6 vom: 24. Nov., Seite 3970-3980 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:34 year:2023 number:6 day:24 month:11 pages:3970-3980 https://dx.doi.org/10.1007/s00330-023-10409-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 VZ AR 34 2023 6 24 11 3970-3980 |
| allfieldsGer |
10.1007/s00330-023-10409-5 doi (DE-627)SPR056201060 (SPR)s00330-023-10409-5-e DE-627 ger DE-627 rakwb eng 610 VZ 44.64 bkl Cozzi, Andrea verfasserin aut Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. Breast neoplasms (biopsy, needle) (dpeaa)DE-He213 Carcinoma (intraductal, noninfiltrating) (dpeaa)DE-He213 Magnetic resonance imaging (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Reoperation (dpeaa)DE-He213 Di Leo, Giovanni verfasserin aut Houssami, Nehmat verfasserin aut Gilbert, Fiona J. verfasserin aut Helbich, Thomas H. verfasserin aut Álvarez Benito, Marina verfasserin aut Balleyguier, Corinne verfasserin aut Bazzocchi, Massimo verfasserin aut Bult, Peter verfasserin aut Calabrese, Massimo verfasserin aut Camps Herrero, Julia verfasserin aut Cartia, Francesco verfasserin aut Cassano, Enrico verfasserin aut Clauser, Paola verfasserin aut de Lima Docema, Marcos F. verfasserin aut Depretto, Catherine verfasserin aut Dominelli, Valeria verfasserin aut Forrai, Gábor verfasserin aut Girometti, Rossano verfasserin aut Harms, Steven E. verfasserin aut Hilborne, Sarah verfasserin aut Ienzi, Raffaele verfasserin aut Lobbes, Marc B. I. verfasserin aut Losio, Claudio verfasserin aut Mann, Ritse M. verfasserin aut Montemezzi, Stefania verfasserin aut Obdeijn, Inge-Marie verfasserin aut Aksoy Ozcan, Umit verfasserin aut Pediconi, Federica verfasserin aut Pinker, Katja verfasserin aut Preibsch, Heike verfasserin aut Raya Povedano, José L. verfasserin aut Rossi Saccarelli, Carolina verfasserin aut Sacchetto, Daniela verfasserin aut Scaperrotta, Gianfranco P. verfasserin aut Schlooz, Margrethe verfasserin aut Szabó, Botond K. verfasserin aut Taylor, Donna B. verfasserin aut Ulus, Sila Ö. verfasserin aut Van Goethem, Mireille verfasserin aut Veltman, Jeroen verfasserin aut Weigel, Stefanie verfasserin aut Wenkel, Evelyn verfasserin aut Zuiani, Chiara verfasserin aut Sardanelli, Francesco verfasserin (orcid)0000-0001-6545-9427 aut Enthalten in European radiology Springer Berlin Heidelberg, 1991 34(2023), 6 vom: 24. Nov., Seite 3970-3980 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:34 year:2023 number:6 day:24 month:11 pages:3970-3980 https://dx.doi.org/10.1007/s00330-023-10409-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 VZ AR 34 2023 6 24 11 3970-3980 |
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10.1007/s00330-023-10409-5 doi (DE-627)SPR056201060 (SPR)s00330-023-10409-5-e DE-627 ger DE-627 rakwb eng 610 VZ 44.64 bkl Cozzi, Andrea verfasserin aut Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. Breast neoplasms (biopsy, needle) (dpeaa)DE-He213 Carcinoma (intraductal, noninfiltrating) (dpeaa)DE-He213 Magnetic resonance imaging (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Reoperation (dpeaa)DE-He213 Di Leo, Giovanni verfasserin aut Houssami, Nehmat verfasserin aut Gilbert, Fiona J. verfasserin aut Helbich, Thomas H. verfasserin aut Álvarez Benito, Marina verfasserin aut Balleyguier, Corinne verfasserin aut Bazzocchi, Massimo verfasserin aut Bult, Peter verfasserin aut Calabrese, Massimo verfasserin aut Camps Herrero, Julia verfasserin aut Cartia, Francesco verfasserin aut Cassano, Enrico verfasserin aut Clauser, Paola verfasserin aut de Lima Docema, Marcos F. verfasserin aut Depretto, Catherine verfasserin aut Dominelli, Valeria verfasserin aut Forrai, Gábor verfasserin aut Girometti, Rossano verfasserin aut Harms, Steven E. verfasserin aut Hilborne, Sarah verfasserin aut Ienzi, Raffaele verfasserin aut Lobbes, Marc B. I. verfasserin aut Losio, Claudio verfasserin aut Mann, Ritse M. verfasserin aut Montemezzi, Stefania verfasserin aut Obdeijn, Inge-Marie verfasserin aut Aksoy Ozcan, Umit verfasserin aut Pediconi, Federica verfasserin aut Pinker, Katja verfasserin aut Preibsch, Heike verfasserin aut Raya Povedano, José L. verfasserin aut Rossi Saccarelli, Carolina verfasserin aut Sacchetto, Daniela verfasserin aut Scaperrotta, Gianfranco P. verfasserin aut Schlooz, Margrethe verfasserin aut Szabó, Botond K. verfasserin aut Taylor, Donna B. verfasserin aut Ulus, Sila Ö. verfasserin aut Van Goethem, Mireille verfasserin aut Veltman, Jeroen verfasserin aut Weigel, Stefanie verfasserin aut Wenkel, Evelyn verfasserin aut Zuiani, Chiara verfasserin aut Sardanelli, Francesco verfasserin (orcid)0000-0001-6545-9427 aut Enthalten in European radiology Springer Berlin Heidelberg, 1991 34(2023), 6 vom: 24. Nov., Seite 3970-3980 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:34 year:2023 number:6 day:24 month:11 pages:3970-3980 https://dx.doi.org/10.1007/s00330-023-10409-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 VZ AR 34 2023 6 24 11 3970-3980 |
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Breast neoplasms (biopsy, needle) Carcinoma (intraductal, noninfiltrating) Magnetic resonance imaging Mastectomy Reoperation |
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Cozzi, Andrea @@aut@@ Di Leo, Giovanni @@aut@@ Houssami, Nehmat @@aut@@ Gilbert, Fiona J. @@aut@@ Helbich, Thomas H. @@aut@@ Álvarez Benito, Marina @@aut@@ Balleyguier, Corinne @@aut@@ Bazzocchi, Massimo @@aut@@ Bult, Peter @@aut@@ Calabrese, Massimo @@aut@@ Camps Herrero, Julia @@aut@@ Cartia, Francesco @@aut@@ Cassano, Enrico @@aut@@ Clauser, Paola @@aut@@ de Lima Docema, Marcos F. @@aut@@ Depretto, Catherine @@aut@@ Dominelli, Valeria @@aut@@ Forrai, Gábor @@aut@@ Girometti, Rossano @@aut@@ Harms, Steven E. @@aut@@ Hilborne, Sarah @@aut@@ Ienzi, Raffaele @@aut@@ Lobbes, Marc B. I. @@aut@@ Losio, Claudio @@aut@@ Mann, Ritse M. @@aut@@ Montemezzi, Stefania @@aut@@ Obdeijn, Inge-Marie @@aut@@ Aksoy Ozcan, Umit @@aut@@ Pediconi, Federica @@aut@@ Pinker, Katja @@aut@@ Preibsch, Heike @@aut@@ Raya Povedano, José L. @@aut@@ Rossi Saccarelli, Carolina @@aut@@ Sacchetto, Daniela @@aut@@ Scaperrotta, Gianfranco P. @@aut@@ Schlooz, Margrethe @@aut@@ Szabó, Botond K. @@aut@@ Taylor, Donna B. @@aut@@ Ulus, Sila Ö. @@aut@@ Van Goethem, Mireille @@aut@@ Veltman, Jeroen @@aut@@ Weigel, Stefanie @@aut@@ Wenkel, Evelyn @@aut@@ Zuiani, Chiara @@aut@@ Sardanelli, Francesco @@aut@@ |
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The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. 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Cozzi, Andrea ddc 610 bkl 44.64 misc Breast neoplasms (biopsy, needle) misc Carcinoma (intraductal, noninfiltrating) misc Magnetic resonance imaging misc Mastectomy misc Reoperation Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study |
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610 VZ 44.64 bkl Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study Breast neoplasms (biopsy, needle) (dpeaa)DE-He213 Carcinoma (intraductal, noninfiltrating) (dpeaa)DE-He213 Magnetic resonance imaging (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Reoperation (dpeaa)DE-He213 |
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Cozzi, Andrea Di Leo, Giovanni Houssami, Nehmat Gilbert, Fiona J. Helbich, Thomas H. Álvarez Benito, Marina Balleyguier, Corinne Bazzocchi, Massimo Bult, Peter Calabrese, Massimo Camps Herrero, Julia Cartia, Francesco Cassano, Enrico Clauser, Paola de Lima Docema, Marcos F. Depretto, Catherine Dominelli, Valeria Forrai, Gábor Girometti, Rossano Harms, Steven E. Hilborne, Sarah Ienzi, Raffaele Lobbes, Marc B. I. Losio, Claudio Mann, Ritse M. Montemezzi, Stefania Obdeijn, Inge-Marie Aksoy Ozcan, Umit Pediconi, Federica Pinker, Katja Preibsch, Heike Raya Povedano, José L. Rossi Saccarelli, Carolina Sacchetto, Daniela Scaperrotta, Gianfranco P. Schlooz, Margrethe Szabó, Botond K. Taylor, Donna B. Ulus, Sila Ö. Van Goethem, Mireille Veltman, Jeroen Weigel, Stefanie Wenkel, Evelyn Zuiani, Chiara Sardanelli, Francesco |
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preoperative breast mri positively impacts surgical outcomes of needle biopsy–diagnosed pure dcis: a patient-matched analysis from the mipa study |
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Preoperative breast MRI positively impacts surgical outcomes of needle biopsy–diagnosed pure DCIS: a patient-matched analysis from the MIPA study |
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Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. © The Author(s) 2023 |
| abstractGer |
Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. © The Author(s) 2023 |
| abstract_unstemmed |
Objectives To investigate the influence of preoperative breast MRI on mastectomy and reoperation rates in patients with pure ductal carcinoma in situ (DCIS). Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies. © The Author(s) 2023 |
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Methods The MIPA observational study database (7245 patients) was searched for patients aged 18–80 years with pure unilateral DCIS diagnosed at core needle or vacuum-assisted biopsy (CNB/VAB) and planned for primary surgery. Patients who underwent preoperative MRI (MRI group) were matched (1:1) to those who did not receive MRI (noMRI group) according to 8 confounding covariates that drive referral to MRI (age; hormonal status; familial risk; posterior-to-nipple diameter; BI-RADS category; lesion diameter; lesion presentation; surgical planning at conventional imaging). Surgical outcomes were compared between the matched groups with nonparametric statistics after calculating odds ratios (ORs). Results Of 1005 women with pure unilateral DCIS at CNB/VAB (507 MRI group, 498 noMRI group), 309 remained in each group after matching. First-line mastectomy rate in the MRI group was 20.1% (62/309 patients, OR 2.03) compared to 11.0% in the noMRI group (34/309 patients, p = 0.003). The reoperation rate was 10.0% in the MRI group (31/309, OR for reoperation 0.40) and 22.0% in the noMRI group (68/309, p < 0.001), with a 2.53 OR of avoiding reoperation in the MRI group. The overall mastectomy rate was 23.3% in the MRI group (72/309, OR 1.40) and 17.8% in the noMRI group (55/309, p = 0.111). Conclusions Compared to those going directly to surgery, patients with pure DCIS at CNB/VAB who underwent preoperative MRI had a higher OR for first-line mastectomy but a substantially lower OR for reoperation. Clinical relevance statement When confounding factors behind MRI referral are accounted for in the comparison of patients with CNB/VAB-diagnosed pure unilateral DCIS, preoperative MRI yields a reduction of reoperations that is more than twice as high as the increase in overall mastectomies. Key Points • Confounding factors cause imbalance when investigating the influence of preoperative MRI on surgical outcomes of pure DCIS. • When patient matching is applied to women with pure unilateral DCIS, reoperation rates are significantly reduced in women who underwent preoperative MRI. • The reduction of reoperations brought about by preoperative MRI is more than double the increase in overall mastectomies.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Breast neoplasms (biopsy, needle)</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Carcinoma (intraductal, noninfiltrating)</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Magnetic resonance imaging</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Mastectomy</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Reoperation</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Di Leo, Giovanni</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Houssami, Nehmat</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Gilbert, Fiona J.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Helbich, Thomas H.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Álvarez Benito, Marina</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Balleyguier, Corinne</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bazzocchi, Massimo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bult, Peter</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Calabrese, Massimo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Camps Herrero, Julia</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Cartia, Francesco</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Cassano, Enrico</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Clauser, Paola</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">de Lima Docema, Marcos F.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Depretto, Catherine</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Dominelli, Valeria</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Forrai, Gábor</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Girometti, Rossano</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Harms, Steven E.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hilborne, Sarah</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Ienzi, Raffaele</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Lobbes, Marc B. 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| score |
7.400176 |