Meta-analysis: Architectural distortion and breast MRI.

Breast / diagnostic imaging Breast Neoplasms / diagnostic imaging Contrast Media Female Humans Magnetic Resonance Imaging Predictive Value of Tests
Breast MRI architectural distortion mammogram tomosynthesis

Journal

Breast disease
ISSN: 1558-1551
Titre abrégé: Breast Dis
Pays: Netherlands
ID NLM: 8801277

Informations de publication

Date de publication:
2022
Historique:
entrez: 31 1 2022
pubmed: 1 2 2022
medline: 9 3 2022
Statut: ppublish

Résumé

The implementation of digital breast tomosynthesis has increased the detection of architectural distortion (AD). Managing this finding may be experienced as a clinical dilemma in daily practice. Breast Contrast-Enhanced MRI (CE-BMR) is a known modality in case of problem-solving tool for mammographic abnormalities. However, the data about AR and CE-BMR are scant. The purpose was to estimate the benefit of CE-BMR in the setting of architectural distortion detected mammographically through a systematic review and meta-analysis of the literature. A search of MEDLINE and EMBASE databases were conducted in 2020. Based on the PRISMA guidelines, an analysis was performed using the chi-square test of independence to determine if there was a significant association between the result of the test (positive or negative) and the participant condition (malignant or non-malignant). Four studies were available. The negative predictive value (NPV) was 98.3% to 100%. The result of the chi-square indicated that there was significant association between the participant test result and the participant condition for the included publications (X(1,175)2= 84.051, p = 0.0001). The high NPV could allow for deferral of a biopsy in favor of a short-interval imaging follow-up in the setting of a negative CE-BMR.

Sections du résumé

BACKGROUND BACKGROUND
The implementation of digital breast tomosynthesis has increased the detection of architectural distortion (AD). Managing this finding may be experienced as a clinical dilemma in daily practice. Breast Contrast-Enhanced MRI (CE-BMR) is a known modality in case of problem-solving tool for mammographic abnormalities. However, the data about AR and CE-BMR are scant.
OBJECTIVE OBJECTIVE
The purpose was to estimate the benefit of CE-BMR in the setting of architectural distortion detected mammographically through a systematic review and meta-analysis of the literature.
METHODS METHODS
A search of MEDLINE and EMBASE databases were conducted in 2020. Based on the PRISMA guidelines, an analysis was performed using the chi-square test of independence to determine if there was a significant association between the result of the test (positive or negative) and the participant condition (malignant or non-malignant).
RESULTS RESULTS
Four studies were available. The negative predictive value (NPV) was 98.3% to 100%. The result of the chi-square indicated that there was significant association between the participant test result and the participant condition for the included publications (X(1,175)2= 84.051, p = 0.0001).
CONCLUSIONS CONCLUSIONS
The high NPV could allow for deferral of a biopsy in favor of a short-interval imaging follow-up in the setting of a negative CE-BMR.

Identifiants

DOI: 10.3233/BD-210045 PMID: 35094984
pubmed: 35094984
pii: BD210045
doi: 10.3233/BD-210045
doi:

Substances chimiques

Contrast Media 0

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

205-214

Auteurs

Romuald Ferre (R)

Radiology Department, La Sarre Hospital, QC, Canada.

Cherie M Kuzmiak (CM)

Department of Radiology, UNC School of Medicine, Chapel Hill, NC, USA.

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Classifications MeSH

questionsmedicales.fr › Régions du corps › Région mammaire › Meta-analysis: Architectural distortion and breast MRI.
questionsmedicales.fr › Maladies de la peau et du tissu conjonctif › Maladies de la peau › Maladies du sein › Tumeurs du sein › Meta-analysis: Architectural distortion and breast MRI.
questionsmedicales.fr › Actions chimiques et utilisations › Utilisations spécialisées de produits chimiques › Produits de contraste › Meta-analysis: Architectural distortion and breast MRI.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Meta-analysis: Architectural distortion and breast MRI.
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Imagerie par résonance magnétique › Meta-analysis: Architectural distortion and breast MRI.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Méthodologie en recherche épidémiologique › Valeur prédictive des tests › Meta-analysis: Architectural distortion and breast MRI.