Dynamic Contrast enhanced MR Imaging of breast lumps: Correlating morphology & kinetic curves with histopathology.

Dr Ganesh Saravagi; Dr Mukul Bhatia; Dr Arijit Sen; Dr Vikranth Varma

Volume : VI, Issue : VII, July - 2017

Dynamic Contrast enhanced MR Imaging of breast lumps: Correlating morphology & kinetic curves with histopathology.

Dr Ganesh Saravagi, Dr Mukul Bhatia, Dr Arijit Sen, Dr Vikranth Varma

Abstract :

Background: The diagnostic study was undertaken to evaluate the role of dynamic contrast enhanced MRI(DCMR) in the evaluation of east lumps based on the morphological and kinetic characteristics.

Material and Methods: A study was done taking 70 patients of east lump, who were found to have a BIRADS III or higher lesion on X–ray mammography. A DCMR was performed on these patients and histopthological correlation was done.

Results: DCMR was 100 % sensitive with a specificity of 76.19% in the diagnosis of malignancy. The negative predictive value was 100% and the positive predictive value was 90.74%.

Conclusion: We recommend that DCMR of the east, being an excellent complimentary examination in the evaluation east lumps be carried out prior to biopsy in BIRADS 3, 4 and 5 cases. Both morphology and kinetics need to be carefully analysed and importance given to the most ominous characteristic.