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Abstract #2887

IVIM Combined with DCE-MRI Characterize Architectural Distortion Detected on Mammography: A Pilot Study

deshuo dong1, anliang chen1, lina zhang1, ailian liu1, qingwei song1, jie yang2, haonan guan3, and lizhi xie3
1The First Affiliated Hospital of Dalian Medical University, Dalian, China, 2Dalian Medical University, Dalian, China, 3GE Healthcare, MR Research China, Beijing, Dalian, China

Synopsis

Keywords: fMRI Analysis, Breast

Motivation:Breast adenosis (AD) detection is crucial for early breast cancer diagnosis. Traditional mammography has limitations.

Goal(s):To enhance AD diagnosis using MRI and evaluate MRI's diagnostic value for AD detected in mammography. Assess the combined potential of dynamic contrast-enhanced MRI (DCE-MRI) and intravoxel incoherent motion (IVIM) sequences.

Approach:Collected data from AD-diagnosed patients who underwent breast MRI. Analyzed DCE-MRI and IVIM parameters, compared benign and malignant AD, and assessed their combined diagnostic efficiency.

Results:MRI exhibited high sensitivity (100%) and NPV (100%) for malignancy exclusion. DCE-MRI and IVIM combined yielded superior results with an AUC of 0.984.

Impact: This study demonstrates that combining DCE-MRI and IVIM significantly enhances the diagnostic accuracy of AD changes. It offers a non-invasive approach to differentiate benign from malignant lesions, reducing unnecessary invasive procedures and improving breast cancer management.

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