IJSR - International Journal of Scientific Research

Dr. Satya A. Jha; Dr. Asif Tamboli; Dr.Vijayanand HK; Dr.Suvinay Saxena

Volume : VIII, Issue : VIII, August - 2019

Role of contrast MRI in evaluation of breast lesions with histopathological correlation –a prospective analytical study

Dr. Satya A. Jha, Dr. Asif Tamboli, Dr. Vijayanand Hk, Dr. Suvinay Saxena

Abstract :

AIM AND OBJECTIVE : : The main aim was to evaluate the role of dynamic contrast enhanced MRI in detection of east lesions and correlate the result to histopathology as gold standard. The primary objective was to ascertain the differential characteristics of various east lesions, so as to establish a diagnosis of benign or malignant lesions. This correlation was determined to evaluate the accuracy of contrast MRI as a primary screening and diagnostic tool in east imaging . METHODOLOGY: Patients referred from OPD or IPD were further evaluated by contrast MRI. Prospective study of 54 patients was done over a span of two years. The MRI finding were confirmed by histopatholy as gold standard. Multivaraiate analysis was performed and interpretation was done by assessment of kappa value and ‘p’ factor for establishing agreement.chi square and Fischer’s test was performed to evaluate dynamic contrast enhancement` and its histopathological correlation was assessed. RESULTS and conclusion: DCE MRI of east has been found to be an excellent diagnostic and screening tool for detecting and characterizing east lesions. Evaluation is done based on morphology and enhancement pattern of the margin and an enhancement pattern of washout. Amongst these two, evaluation of morphology has emerged as the most useful and reliable parameter. Kinetic curve assessment, however, adds significantly in increasing the sensitivity of this modality imaging parameters for the characterization of suspicious east lesions. Breast MRI finding are independent of the composition of fio glandular parenchyma. With the help of a multimodality approach, we can go a long way in screening and early detection of east lesions