impact of DWI as a complimentary tool to conventional MRI in evaluation and differentiation between recurrent breast tumor and surgical scar | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 11 November 2022 PDF (468.36 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2022.163254.1669 | ||
| Authors | ||
| Medhat Mohammed Refaat1; Marwa Mawfak Abdul Razzaq* 2; Enas Sweed3 | ||
| 1Head of radiology departement , Faculty of medicine , Benha university | ||
| 2Department of radiology | ||
| 3Radiodiagnosis, Faculty of Medicine, Banha University | ||
| Abstract | ||
| Background: Breast MRI plays an increasingly important role after breast conservative therapy due to its high contrast resolution, lack of ionizing radiation and possibility of performing functional imaging sequences. DWI can now be used in breast imaging with an improved image quality and enables qualitative and quantitative assessment of tissue diffusivity. This study aimed to assess the impact of diffusion-weighted images as a complementary tool to conventional breast MRI in the evaluation and differentiation between recurrent tumor and surgical scar. Methods: The current study included 37 consecutive women (mean age 54.4, range 40-85 years) who had surgery for breast cancer and referred for breast MRI for workup of a suspicious clinical, mammographic, or sonographic abnormality, were included in the study. The study was conducted in Banha hospital during the period from 29 July 2021 to July 2022. Cases were referred from general surgery departments in Banha hospital. The patients underwent full history taking and clinical examination. Results: The combination of DWI to contrast-enhanced-MRI could show high diagnostic value in the evaluation of scar in patients operated for breast cancer. The combination of DWI and contrast-enhanced- MRI could reveal high diagnostic accuracy in the suspect of local recurrence of breast cancer. Conclusion: DWI improves the diagnostic accuracy of the DCE-MRI of the breast. It is a better method for detection than either T1- or T2-weighted imaging, but it is better to be performed in conjunction with contrast enhanced MRI | ||
| Keywords | ||
| DWI; complimentary tool; conventional MRI; recurrent breast tumor; surgical scar | ||
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