지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.8
- 수록면
- 377 - 388 (12page)
- DOI
- 10.4048/jbc.2021.24.e35
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초록· 키워드
오류제보하기
Purpose: To evaluate the accuracy of magnetic resonance imaging (MRI)-guided breast biopsy.
Methods: We retrospectively reviewed the clinical data of 111 consecutive patients referred for MRI-guided breast biopsy after mammography and breast ultrasound between May 2009 and April 2019. After excluding 37 patients without follow-up images (> 2 years), 74 patients (74 lesions) were finally included. We reviewed the histologic results of MRI-guided biopsy and subsequent surgery, post-biopsy management, and breast cancer development during follow-up. We investigated the false-negative rate, ductal carcinoma in situ (DCIS) underestimation, atypical ductal hyperplasia (ADH) underestimation rate, and technical failure rate of MRI-guided biopsy.
Results: Among 74 scheduled MRI-guided biopsies, six were canceled because biopsy was deemed unnecessary, while three failed due to technical difficulties (technical failure rate: 3/68, 4.4%). MRI-guided biopsy was performed in 65 patients, of which 18 patients were diagnosed with malignant lesions, 46 with benign lesions, and one with ADH bordering on DCIS. Subsequent surgery (n = 27) showed DCIS underestimation in three cases (3/7, 43%), ADH underestimation in two cases (1/2, 50%), as well as seven concordant benign and 11 concordant malignant lesions. The overall false-negative rate was 4.3% (2/46). Thirty-eight out of 48 benign lesions were followed-up (median period, 5.8 years; interquartile range, 4.1 years) without subsequent surgery. Thirty-seven concordant benign lesions were stable (n = 27) or disappeared (n = 10); however, the size of one discordant benign lesion increased on follow-up MRI and it was diagnosed as DCIS after 1 year.
Conclusion: MRI-guided biopsy is an accurate method for exclusion of malignancy with a very low false-negative rate.
목차
등록된 정보가 없습니다.
참고문헌 (3)
참고문헌 신청
정혜나 / 2014 / Initial Experience with Magnetic Resonance-Guided Vacuum-Assisted Biopsy in Korean Women with Breast Cancer / Journal of Breast Cancer 17(3):270~278
윤보라 / 2016 / Breast Magnetic Resonance Imaging-Guided Biopsy / 대한영상의학회지 74(6):351~360
강상율 / 2018 / Basic Findings Regarding Breast Cancer in Korea in 2015: Data from a Breast Cancer Registry / Journal of Breast Cancer 21(1):1~10
윤보라 / 2016 / Breast Magnetic Resonance Imaging-Guided Biopsy / 대한영상의학회지 74(6):351~360
강상율 / 2018 / Basic Findings Regarding Breast Cancer in Korea in 2015: Data from a Breast Cancer Registry / Journal of Breast Cancer 21(1):1~10
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