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Abstract #1988

Initial Experience and Clinical Application of Gadoterate Meglumine in Abbreviated DCE-MRI of the Breast with Ultrafast Imaging.

Saengsiri Chumsaengsri1,2, Kirti Kulkarni1, Zhen Ren1, Hiroyuki Abe1, and Gregory Karczmar1
1Department of Radiology, University of Chicago, Chicago, IL, United States, 2Chulabhorn Royal Academy, Bangkok, Thailand

Synopsis

Keywords: Breast, Cancer, Quantitative Imaging, Ultrafast, Kinetics, Gadoterate meglumine, DCE-MRI, high temporal resolution, diagnosis

Motivation: There is increasing interest in high temporal resolution imaging techniques in MRI breast for cancer detection.

Goal(s): Our goal was to evaluate clinical application of Gadoterate Meglumine in abbreviated DCE-MRI breast for cancer detection, focusing on quantitative analysis with ultrafast imaging.

Approach: We calculated quantitative pharmacokinetic parameters from ultrafast imaging for breast cancer detection.

Results: Ktrans had the highest diagnostic sensitivity (98.3% [95% CI: 91.1-100; p-value < 0.05]). A, A* α, AUC30 (initial area under contrast enhancement versus time curve over 30 seconds), and Ktrans have excellent power for cancer detection, with areas under ROC of 0.955, 0.962, 0.963, and 0.938, respectively.

Impact: Ultrafast imaging (3.5–4.6 seconds) yields benefit individuals with preserved diagnostic accuracy for breast cancer detection. Furthermore, lower signal enhancement of background parenchyma by using gadoterate meglumine may help for lesion detection in screening settings, particularly in young or premenopausal women.

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