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Radiology, Vol 191, 625-631, Copyright © 1994 by Radiological Society of North America

ARTICLES

Nonpalpable breast tumors: diagnosis with contrast-enhanced subtraction dynamic MR imaging [published erratum appears in Radiology 1994 Oct;193(1):285]

R Gilles, JM Guinebretiere, O Lucidarme, P Cluzel, G Janaud, JF Finet, A Tardivon, J Masselot and D Vanel
Department of Radiology, Institut Gustave Roussy, Villejuif, France.

PURPOSE: To determine the accuracy of contrast material-enhanced subtraction dynamic magnetic resonance (MR) imaging in the diagnosis of nonpalpable breast tumors. MATERIALS AND METHODS: One hundred forty- three patients underwent surgical biopsy of a nonpalpable breast lesion. Their mammograms showed microcalcifications (n = 80), opacity (n = 52), architectural distortion (n = 10), or asymmetric density (n = 1). All patients underwent a preoperative gadolinium tetraazacyclododecanetetraacetic acid-enhanced subtraction dynamic study. Any early contrast enhancement in the breast parenchyma was considered pathologic. RESULTS: At histologic analysis, 27 intraductal carcinomas, 37 invasive carcinomas, and 79 benign lesions were found. Dynamic MR studies showed early contrast enhancement in 61 of 64 breast cancers (sensitivity, 95%) and in 37 of 79 benign lesions (specificity, 53%). Two invasive lobular carcinomas and one tubular carcinoma showed no early contrast enhancement. CONCLUSION: Subtraction dynamic MR imaging may be helpful to rule out malignancy in nonpalpable breast tumors.


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