News | August 05, 2007

MR Outperforms FFDM, US in High-Risk Breast Cancer Screenings

August 6, 2007 - Breast MRI enables radiologists to improve identification of tumors missed by mammography and ultrasound, according to a new study, ‘Cancer Yield of Mammography, MR and US in High-Risk Women: Prospective Multi-Institution Breast Cancer Screening Study,’ published in the August issue of the journal Radiology. The multi-center study compared the three imaging modalities in women at high risk for breast cancer. The researchers estimated that, compared to mammography and ultrasound, screening with MRI will allow detection of 23 more cancers per 1,000 high-risk women screened.

"Women at high risk for breast cancer can benefit from undergoing screening MRI," said the study's lead author, Constance Dobbins Lehman, M.D., Ph.D., director of radiology at the Seattle Cancer Care Alliance and professor of radiology at the University of Washington School of Medicine. "Of all the breast imaging tools we have currently available, MRI is clearly the best at detecting cancer."

For this study, researchers at six facilities studied 171 asymptomatic women over age 25 (average age 46) with at least a 20 percent lifetime risk of developing breast cancer to compare screening performance of MRI and mammography in high-risk patients. Each of the women underwent MRI, mammography and ultrasound.

Sixteen biopsies were performed, and six cancers were detected for an overall cancer yield of 3.5 percent. All six of the cancers were detected with MRI, while two cancers were detected with mammography and only one cancer was detected with ultrasound. The four cancers found in women with dense breast tissue were only detected with MRI. Biopsy rates were 8.2 percent for MRI and 2.3 percent for mammography and ultrasound. The positive predictive value (PPV) of biopsies performed as a result of MRI findings was 43 percent.

A previous study by Dr. Lehman (‘Breast MR Imaging: Computer Aided Evaluation (CAE) Program for Discriminating Benign and Malignant Lesions,' published in the July Radiology) indicated that by using computer-aided detection (CADstream) technology with breast MRI, discrimination of benign and malignant lesions can be improved and the number of false positives and unnecessary biopsies can be reduced.

“Computer software programs such as the one evaluated in our study can assist us in interpreting breast MRI scans more easily,” said Dr. Lehman. Our study suggests that the information provided may improve our ability to distinguish between benign and malignant lesions.”

Source: RSNA

For more information: www.rsna.org

Related Content

Videos | RSNA | January 13, 2020
ITN Editor Dave Fornell takes a tour of some of the most innovative new medical imaging technologies displayed on the
Videos | MRI Breast | December 26, 2019
Gillian Newstead, M.D., director of global breast imaging and former professor at the University of Chicago, explains
Managing Architectural Distortion on Mammography Based on MR Enhancement
News | Mammography | May 15, 2019
High negative predictive values (NPV) in mammography architectural distortion (AD) without ultrasonographic (US)...
Screening MRI Detects BI-RADS 3 Breast Cancer in High-risk Patients
News | MRI Breast | May 09, 2019
When appropriate, short-interval follow-up magnetic resonance imaging (MRI) can be used to identify early-stage breast...
Ikonopedia Introduces Automated Combined Reporting Package at SBI
News | Mammography Reporting Software | April 04, 2019
Ikonopedia will introduce its new Automated Combined Reporting package at the 2019 Society of Breast Imaging/American...
Videos | Breast Density | April 26, 2018
ITN Editorial Director Melinda Taschetta-Millane speaks to DenseBreast-info Executive Director JoAnn Pushkin
ACR/SBI Breast Cancer Screening Guidelines Reclassify African-American Women as High-Risk
News | Breast Imaging | April 06, 2018
New American College of Radiology (ACR) and Society of Breast Imaging (SBI) breast cancer screening guidelines are the...
ACR Recommends More Aggressive Breast Cancer Screening for Higher-Than-Average-Risk Women
News | Breast Imaging | March 29, 2018
The American College of Radiology (ACR) released new breast cancer screening guidelines recommending all women,...
Videos | Breast Imaging | December 05, 2017
Stamatia Destounis, M.D., FACR, associate professor, University of Rochester School of Medicine, attending radiologis