MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component

M. Van Goethem; K. Schelfout; E. Kersschot; C. Colpaert; I. Verslegers; I. Biltjes; W. A. Tjalma; A. De Schepper; J. Weyler; P. M. Parizel

doi:10.1016/j.ejrad.2006.12.004

MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component

M. Van Goethem, K. Schelfout, E. Kersschot, C. Colpaert, I. Verslegers, I. Biltjes, W. A. Tjalma, A. De Schepper, J. Weyler, P. M. Parizel

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Abstract

Purpose: To determine the role of magnetic resonance (MR) mammography in detection and assessment of extent of tumors with extensive intraductal component (EIC+).

Material and methods: In a prospective study, 233 consecutive women with a suspicious lesion underwent preoperative MR mammography and 209 invasive ductal carcinomas were detected. We studied the prediction of intraductal spread on mammography (MX), ultrasound (US) and MR. We compared the size of the total lesion on MX, US and MR and correlated it with histopathology. Enhancement patterns on MR were described.

Results: Of 209 invasive ductal carcinomas, 50 were EIC+ (24%).

MX predicted intraductal spread in EIC+ carcinomas in 48.5%, US in 34.2% and MR in 68%. Compared to MX and US, MR was best in assessment of total tumor size.

On MR, ductal spread in EIC+ tumors presented as ductal or linear enhancement, long spicules, a regional enhancing area or nodules adjacent to a mass.

Original language	English
Pages (from-to)	273-282
Number of pages	10
Journal	European Journal of Radiology
Volume	62
Issue number	2
DOIs	https://doi.org/10.1016/j.ejrad.2006.12.004
Publication status	Published - May 2007
Externally published	Yes

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Van Goethem, M., Schelfout, K., Kersschot, E., Colpaert, C., Verslegers, I., Biltjes, I., Tjalma, W. A., De Schepper, A., Weyler, J., & Parizel, P. M. (2007). MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component. European Journal of Radiology, 62(2), 273-282. https://doi.org/10.1016/j.ejrad.2006.12.004

@article{210e7ac2d5614bc59940d56f9f1bbdf1,

title = "MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component",

abstract = "Purpose: To determine the role of magnetic resonance (MR) mammography in detection and assessment of extent of tumors with extensive intraductal component (EIC+).Material and methods: In a prospective study, 233 consecutive women with a suspicious lesion underwent preoperative MR mammography and 209 invasive ductal carcinomas were detected. We studied the prediction of intraductal spread on mammography (MX), ultrasound (US) and MR. We compared the size of the total lesion on MX, US and MR and correlated it with histopathology. Enhancement patterns on MR were described.Results: Of 209 invasive ductal carcinomas, 50 were EIC+ (24%).MX predicted intraductal spread in EIC+ carcinomas in 48.5%, US in 34.2% and MR in 68%. Compared to MX and US, MR was best in assessment of total tumor size.On MR, ductal spread in EIC+ tumors presented as ductal or linear enhancement, long spicules, a regional enhancing area or nodules adjacent to a mass.Conclusion: MR had the highest sensitivity to predict intraductal spread and was superior in assessing total tumor size. (c) 2006 Elsevier Ireland Ltd. All rights reserved.",

keywords = "invasive breast cancer, extensive intraductal component, ductal carcinoma in situ, MR mammography, detection, extent, DUCTAL CARCINOMA, IN-SITU, CONSERVING SURGERY, RADIATION-THERAPY, LOCAL RECURRENCE, RESIDUAL DISEASE, CANCER, RESONANCE, RISK, PREDICTORS",

author = "{Van Goethem}, M. and K. Schelfout and E. Kersschot and C. Colpaert and I. Verslegers and I. Biltjes and Tjalma, {W. A.} and {De Schepper}, A. and J. Weyler and Parizel, {P. M.}",

year = "2007",

month = may,

doi = "10.1016/j.ejrad.2006.12.004",

language = "English",

volume = "62",

pages = "273--282",

journal = "European Journal of Radiology",

issn = "0720-048X",

publisher = "Elsevier",

number = "2",

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Van Goethem, M, Schelfout, K, Kersschot, E, Colpaert, C, Verslegers, I, Biltjes, I, Tjalma, WA, De Schepper, A, Weyler, J & Parizel, PM 2007, 'MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component', European Journal of Radiology, vol. 62, no. 2, pp. 273-282. https://doi.org/10.1016/j.ejrad.2006.12.004

TY - JOUR

T1 - MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component

AU - Van Goethem, M.

AU - Schelfout, K.

AU - Kersschot, E.

AU - Colpaert, C.

AU - Verslegers, I.

AU - Biltjes, I.

AU - Tjalma, W. A.

AU - De Schepper, A.

AU - Weyler, J.

AU - Parizel, P. M.

PY - 2007/5

Y1 - 2007/5

N2 - Purpose: To determine the role of magnetic resonance (MR) mammography in detection and assessment of extent of tumors with extensive intraductal component (EIC+).Material and methods: In a prospective study, 233 consecutive women with a suspicious lesion underwent preoperative MR mammography and 209 invasive ductal carcinomas were detected. We studied the prediction of intraductal spread on mammography (MX), ultrasound (US) and MR. We compared the size of the total lesion on MX, US and MR and correlated it with histopathology. Enhancement patterns on MR were described.Results: Of 209 invasive ductal carcinomas, 50 were EIC+ (24%).MX predicted intraductal spread in EIC+ carcinomas in 48.5%, US in 34.2% and MR in 68%. Compared to MX and US, MR was best in assessment of total tumor size.On MR, ductal spread in EIC+ tumors presented as ductal or linear enhancement, long spicules, a regional enhancing area or nodules adjacent to a mass.Conclusion: MR had the highest sensitivity to predict intraductal spread and was superior in assessing total tumor size. (c) 2006 Elsevier Ireland Ltd. All rights reserved.

AB - Purpose: To determine the role of magnetic resonance (MR) mammography in detection and assessment of extent of tumors with extensive intraductal component (EIC+).Material and methods: In a prospective study, 233 consecutive women with a suspicious lesion underwent preoperative MR mammography and 209 invasive ductal carcinomas were detected. We studied the prediction of intraductal spread on mammography (MX), ultrasound (US) and MR. We compared the size of the total lesion on MX, US and MR and correlated it with histopathology. Enhancement patterns on MR were described.Results: Of 209 invasive ductal carcinomas, 50 were EIC+ (24%).MX predicted intraductal spread in EIC+ carcinomas in 48.5%, US in 34.2% and MR in 68%. Compared to MX and US, MR was best in assessment of total tumor size.On MR, ductal spread in EIC+ tumors presented as ductal or linear enhancement, long spicules, a regional enhancing area or nodules adjacent to a mass.Conclusion: MR had the highest sensitivity to predict intraductal spread and was superior in assessing total tumor size. (c) 2006 Elsevier Ireland Ltd. All rights reserved.

KW - invasive breast cancer

KW - extensive intraductal component

KW - ductal carcinoma in situ

KW - MR mammography

KW - detection

KW - extent

KW - DUCTAL CARCINOMA

KW - IN-SITU

KW - CONSERVING SURGERY

KW - RADIATION-THERAPY

KW - LOCAL RECURRENCE

KW - RESIDUAL DISEASE

KW - CANCER

KW - RESONANCE

KW - RISK

KW - PREDICTORS

UR - http://www.scopus.com/inward/record.url?scp=34147114725&partnerID=8YFLogxK

U2 - 10.1016/j.ejrad.2006.12.004

DO - 10.1016/j.ejrad.2006.12.004

M3 - Article

C2 - 17223002

SN - 0720-048X

VL - 62

SP - 273

EP - 282

JO - European Journal of Radiology

JF - European Journal of Radiology

IS - 2

ER -

MR mammography is useful in the preoperative locoregional staging of breast carcinomas with extensive intraductal component

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