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Usefulness of abbreviated breast MRI screening for women with a history of breast cancer surgery

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A Correction to this article was published on 14 November 2017

This article has been updated

Abstract

Purpose

We investigated the usefulness of abbreviated breast MRI (AB-MRI), including fat-suppressed T2-weighted imaging, pre- and postcontrast image acquisition, and subtracted maximum-intensity projection imaging, for the screening of women with a history of breast cancer surgery.

Methods

Between October 2014 and March 2016, a total of 799 AB-MRI examinations were performed for 725 women with a history of breast cancer surgery. The image acquisition time was 8.5 min. Screening mammography, ultrasound, and AB-MRI were generally performed around the same time. The cancer detection rate, positive predictive values for recall and biopsy, sensitivity and specificity of screening MRI, and rate of malignancy belonging to each breast imaging reporting and data system (BI-RADS) category were assessed.

Results

AB-MRI detected 12 malignancies in 12 women (15.0 cancers per 1000 cases). Seven of these 12 malignancies were initially invisible on ultrasound and mammography, although subsequent targeted ultrasound revealed lesions corresponding to the MRI-detected lesions. The positive predictive values for recall and biopsy and sensitivity and specificity values for screening MRI were 12.4, 61.5, 100, and 89.2%, respectively. The rates of malignancies belonging to categories 1, 2, 3, and 4 of the BI-RADS were 0, 0, 4.8, and 57.1%, respectively.

Conclusions

The diagnostic performance of screening AB-MRI for women with a history of breast cancer surgery is acceptable, with the advantages of short examination and interpretation times and low costs. Thus, it could be used as a main screening modality that may replace conventional imaging in breast cancer survivors.

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Change history

  • 14 November 2017

    In the original publication of the article, the acknowledgment section was missed out inadvertently. The acknowledgement section is below

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Authors and Affiliations

  1. Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 05030, Republic of Korea

    Bo Hwa Choi, Nami Choi & Mi Young Kim

  2. Department of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 05030, Republic of Korea

    Jung-Hyun Yang & Young Bum Yoo

  3. Department of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea

    Bo Hwa Choi

  4. Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea

    Hae Kyoung Jung

Authors
  1. Bo Hwa Choi
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  2. Nami Choi
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  3. Mi Young Kim
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  4. Jung-Hyun Yang
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  5. Young Bum Yoo
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Correspondence to Nami Choi.

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Additional information

A correction to this article is available online at https://doi.org/10.1007/s10549-017-4568-y.

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Choi, B.H., Choi, N., Kim, M.Y. et al. Usefulness of abbreviated breast MRI screening for women with a history of breast cancer surgery. Breast Cancer Res Treat 167, 495–502 (2018). https://doi.org/10.1007/s10549-017-4530-z

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  • DOI: https://doi.org/10.1007/s10549-017-4530-z

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