Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Prior to Breast MRI Guidelines in Korea, Where Were We?

  • Hwang, Cheong Hoon (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Rho, Miribi (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Minah (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Ga Ram (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Vivian Youngjean (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Yoon, Jung Hyun (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Min Jung (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine)
  • Received : 2020.12.09
  • Accepted : 2021.01.21
  • Published : 2021.03.30
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Abstract

Purpose: To evaluate and analyze the adequacy of breast magnetic resonance imaging (MRI)s taken before publication of the 2018 recommendation in South Korea. Materials and Methods: We enrolled 87 cases of breast MRIs, from January 2010 to November 2013, taken at external hospitals in the study. Breast MRI protocol elements are divided into three categories based on the recommendation by the Breast Imaging Study Group of the Korean Society of Magnetic Resonance: (1) Essential elements for breast MRI protocol; (2) Element to consider when evaluating imaging quality; and (3) Optional element for breast MRI protocol. Also, we divided enrolled cases into three groups based on their conducting locations -- (1) Primary hospitals, (2) Secondary hospitals, and (3) Tertiary hospitals-and analyzed them for the adequacy of imaging protocols based on the 2018 recommendation. We used a Chi-square test and Fisher's exact test to identify differences between categorical variables. Results: Over 98% of the criteria for 'essential elements for breast MRI protocol' were satisfied when compared with the 2018 Recommendation. Over 96% of the criteria for 'elements to consider when evaluating imaging quality' were also satisfied, except for the slice thickness (83.9%). Optional elements for breast MRI protocol were satisfied with various percentages. There were no statistically significant differences between groups of tertiary, secondary, and primary hospitals; however, 3 tesla of MRI (P = 0.04), subtraction image protocol (P = 0.032), and DWI protocol (P = 0.03) were used more frequently in the tertiary hospitals than in the others. Conclusion: We found that the categories of 'essential elements' and 'elements to consider when evaluating imaging quality' were satisfied at 98% and 96%, respectively, when compared with the 2018 Recommendation by the Breast Imaging Study Group of the Korean Society of Magnetic Resonance.

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References

  1. Lehtimaki T, Lundin M, Linder N, et al. Long-term prognosis of breast cancer detected by mammography screening or other methods. Breast Cancer Res 2011;13:R134 https://doi.org/10.1186/bcr3080
  2. Kolb TM, Lichy J, Newhouse JH. Comparison of the performance of screening mammography, physical examination, and breast US and evaluation of factors that influence them: an analysis of 27,825 patient evaluations. Radiology 2002;225:165-175 https://doi.org/10.1148/radiol.2251011667
  3. Oh CM, Won YJ, Jung KW, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2013. Cancer Res Treat 2016;48:436-450 https://doi.org/10.4143/crt.2016.089
  4. Hwang JY, Han BK, Ko EY, Shin JH, Hahn SY, Nam MY. Screening ultrasound in women with negative mammography: outcome analysis. Yonsei Med J 2015;56:1352-1358 https://doi.org/10.3349/ymj.2015.56.5.1352
  5. Youn I, Choi S, Kook SH, Choi YJ. Mammographic breast density evaluation in Korean women using fully automated volumetric assessment. J Korean Med Sci 2016;31:457-462 https://doi.org/10.3346/jkms.2016.31.3.457
  6. Kim S, Kang BJ, Kim SH, Lee J, Park GE. Computer-aided detection with automated breast ultrasonography for suspicious lesions detected on breast MRI. Investig Magn Reson Imaging 2019;23:46-54 https://doi.org/10.13104/imri.2019.23.1.46
  7. Plana MN, Carreira C, Muriel A, et al. Magnetic resonance imaging in the preoperative assessment of patients with primary breast cancer: systematic review of diagnostic accuracy and meta-analysis. Eur Radiol 2012;22:26-38 https://doi.org/10.1007/s00330-011-2238-8
  8. Hylton NM, Gatsonis CA, Rosen MA, et al. Neoadjuvant chemotherapy for breast cancer: functional tumor volume by MR imaging predicts recurrence-free survival-results from the ACRIN 6657/CALGB 150007 I-SPY 1 TRIAL. Radiology 2016;279:44-55 https://doi.org/10.1148/radiol.2015150013
  9. Healthcare Bigdata Hub. Number of breast MRI examinations 2021. Available at. http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do. Accessed January 13, 2021.
  10. Choi SH, Kang BJ, Jung SE. Breast magnetic resonance image (MRI) guideline: breast imaging study group of Korean Society of Magnetic Resonance in Medicine recommendations. Investig Magn Reson Imaging 2018;22:205-208 https://doi.org/10.13104/imri.2018.22.4.205
  11. Jeong EH, Choi EJ, Choi H, Park EH, Song JS. Prediction of axillary lymph node metastasis in early breast cancer using dynamic contrast-enhanced magnetic resonance imaging and diffusion-weighted imaging. Investig Magn Reson Imaging 2019;23:125-135 https://doi.org/10.13104/imri.2019.23.2.125
  12. Cho N, Han W, Han BK, et al. Breast cancer screening with mammography plus ultrasonography or magnetic resonance imaging in women 50 years or younger at diagnosis and treated with breast conservation therapy. JAMA Oncol 2017;3:1495-1502 https://doi.org/10.1001/jamaoncol.2017.1256
  13. Marino MA, Helbich T, Baltzer P, Pinker-Domenig K. Multiparametric MRI of the breast: a review. J Magn Reson Imaging 2018;47:301-315 https://doi.org/10.1002/jmri.25790
  14. Rahbar H, Partridge SC. Multiparametric MR imaging of breast cancer. Magn Reson Imaging Clin N Am 2016;24:223-238 https://doi.org/10.1016/j.mric.2015.08.012
  15. Sardanelli F, Boetes C, Borisch B, et al. Magnetic resonance imaging of the breast: recommendations from the EUSOMA working group. Eur J Cancer 2010;46:1296-1316 https://doi.org/10.1016/j.ejca.2010.02.015
  16. Mann RM, Kuhl CK, Kinkel K, Boetes C. Breast MRI: guidelines from the European Society of Breast Imaging. Eur Radiol 2008;18:1307-1318 https://doi.org/10.1007/s00330-008-0863-7
  17. Konyer NB, Ramsay EA, Bronskill MJ, Plewes DB. Comparison of MR imaging breast coils. Radiology 2002;222:830-834 https://doi.org/10.1148/radiol.2223001310
  18. Yeh ED, Georgian-Smith D, Raza S, Bussolari L, Pawlisz-Hoff J, Birdwell RL. Positioning in breast MR imaging to optimize image quality. Radiographics 2014;34:E1-17 https://doi.org/10.1148/rg.341125193
  19. Westra C, Dialani V, Mehta TS, Eisenberg RL. Using T2-weighted sequences to more accurately characterize breast masses seen on MRI. AJR Am J Roentgenol 2014;202:W183-190 https://doi.org/10.2214/AJR.13.11266
  20. Cheung HS, Tse GM, Lai SY, Yeung DK. Relationship between lesion size and signal enhancement on subtraction fat-suppressed MR imaging of the breast. Magn Reson Imaging 2004;22:1259-1264 https://doi.org/10.1016/j.mri.2004.09.001
  21. Kuhl C. The current status of breast MR imaging. Part I. Choice of technique, image interpretation, diagnostic accuracy, and transfer to clinical practice. Radiology 2007;244:356-378 https://doi.org/10.1148/radiol.2442051620
  22. Partridge SC, McDonald ES. Diffusion weighted magnetic resonance imaging of the breast: protocol optimization, interpretation, and clinical applications. Magn Reson Imaging Clin N Am 2013;21:601-624 https://doi.org/10.1016/j.mric.2013.04.007
  23. Partridge SC, Nissan N, Rahbar H, Kitsch AE, Sigmund EE. Diffusion-weighted breast MRI: clinical applications and emerging techniques. J Magn Reson Imaging 2017;45:337-355 https://doi.org/10.1002/jmri.25479
  24. Kim HS, Kang BJ, Kim SH, Choi JJ, Lee JH. Usefulness of three-dimensional maximal intensity projection (MIP) reconstruction image in breast MRI. Investig Magn Reson Imaging 2009;13:183-189
  25. Dontchos BN, Rahbar H, Partridge SC, Lehman CD, DeMartini WB. Influence of menstrual cycle timing on screening breast MRI background parenchymal enhancement and diagnostic performance in premenopausal women. J Breast Imaging 2019;1:205-211 https://doi.org/10.1093/jbi/wbz022