Determining the Diagnostic Value of DWIBS in the Diagnosis of Breast Lesions Compared to Dynamic Contrast-Enhanced MRI: A Retrospective Observational Study

Background: Diffusion-weighted imaging with background body signal suppression (DWIBS) is a new imaging tool for the diagnosis of breast lesions. This study aims to compare DWIBS with contrast-enhanced magnetic resonance imaging (CE-MRI) sequences. Materials and Methods: Eighty consecutive patients...

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Main Authors: Maryam Farghadani, Safura Mozafari, Maryam Riahinejad, Mashid Haghighi, Reza Eshraghi Samani, Amir Mohammad Taravati, Koushan Rostami, Seyedeh Ghazal Shahrokh, Arezoo Sadeghian
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Advanced Biomedical Research
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Online Access:https://journals.lww.com/10.4103/abr.abr_283_24
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author Maryam Farghadani
Safura Mozafari
Maryam Riahinejad
Mashid Haghighi
Reza Eshraghi Samani
Amir Mohammad Taravati
Koushan Rostami
Seyedeh Ghazal Shahrokh
Arezoo Sadeghian
author_facet Maryam Farghadani
Safura Mozafari
Maryam Riahinejad
Mashid Haghighi
Reza Eshraghi Samani
Amir Mohammad Taravati
Koushan Rostami
Seyedeh Ghazal Shahrokh
Arezoo Sadeghian
author_sort Maryam Farghadani
collection DOAJ
description Background: Diffusion-weighted imaging with background body signal suppression (DWIBS) is a new imaging tool for the diagnosis of breast lesions. This study aims to compare DWIBS with contrast-enhanced magnetic resonance imaging (CE-MRI) sequences. Materials and Methods: Eighty consecutive patients underwent both CE-MRI and DWIBS images. DWIBS was assessed qualitatively and quantitatively using the apparent diffusion coefficient mapping. A threshold of 1.44 × 10-3 mm2/s was considered as a cutoff value between malignant and benign lesions. CE-MRI images were evaluated based on a combination of kinetic and morphological information and reported using Breast Imaging Reporting and Data System lexicon. Statistical analysis was performed for both sequences based on pathologic findings as a gold standard. Results: Fifty-five out of 80 lesions (69%) were benign, and 25 malignant lesions (31%) have been reported. The sensitivity, specificity, positive predictive value, and negative predictive value for CE-MRI were 100, 38, 42, and 100%, respectively, and those for DWIBS were 77, 70, 53, and 87%, respectively. By comparing DWIBS and CE-MRI data, no statistically significant difference was reported. Conclusion: DWIBS can be used as an effective alternative for breast CE-MRI in cases of contradictions of IV contrast injection.
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spelling doaj-art-acc733447f144754abd38b8837afe37d2025-02-06T09:41:42ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752025-01-011416610.4103/abr.abr_283_24Determining the Diagnostic Value of DWIBS in the Diagnosis of Breast Lesions Compared to Dynamic Contrast-Enhanced MRI: A Retrospective Observational StudyMaryam FarghadaniSafura MozafariMaryam RiahinejadMashid HaghighiReza Eshraghi SamaniAmir Mohammad TaravatiKoushan RostamiSeyedeh Ghazal ShahrokhArezoo SadeghianBackground: Diffusion-weighted imaging with background body signal suppression (DWIBS) is a new imaging tool for the diagnosis of breast lesions. This study aims to compare DWIBS with contrast-enhanced magnetic resonance imaging (CE-MRI) sequences. Materials and Methods: Eighty consecutive patients underwent both CE-MRI and DWIBS images. DWIBS was assessed qualitatively and quantitatively using the apparent diffusion coefficient mapping. A threshold of 1.44 × 10-3 mm2/s was considered as a cutoff value between malignant and benign lesions. CE-MRI images were evaluated based on a combination of kinetic and morphological information and reported using Breast Imaging Reporting and Data System lexicon. Statistical analysis was performed for both sequences based on pathologic findings as a gold standard. Results: Fifty-five out of 80 lesions (69%) were benign, and 25 malignant lesions (31%) have been reported. The sensitivity, specificity, positive predictive value, and negative predictive value for CE-MRI were 100, 38, 42, and 100%, respectively, and those for DWIBS were 77, 70, 53, and 87%, respectively. By comparing DWIBS and CE-MRI data, no statistically significant difference was reported. Conclusion: DWIBS can be used as an effective alternative for breast CE-MRI in cases of contradictions of IV contrast injection.https://journals.lww.com/10.4103/abr.abr_283_24breast cancerdiffusion magnetic resonance imagingmagnetic resonance imaging
spellingShingle Maryam Farghadani
Safura Mozafari
Maryam Riahinejad
Mashid Haghighi
Reza Eshraghi Samani
Amir Mohammad Taravati
Koushan Rostami
Seyedeh Ghazal Shahrokh
Arezoo Sadeghian
Determining the Diagnostic Value of DWIBS in the Diagnosis of Breast Lesions Compared to Dynamic Contrast-Enhanced MRI: A Retrospective Observational Study
Advanced Biomedical Research
breast cancer
diffusion magnetic resonance imaging
magnetic resonance imaging
title Determining the Diagnostic Value of DWIBS in the Diagnosis of Breast Lesions Compared to Dynamic Contrast-Enhanced MRI: A Retrospective Observational Study
title_full Determining the Diagnostic Value of DWIBS in the Diagnosis of Breast Lesions Compared to Dynamic Contrast-Enhanced MRI: A Retrospective Observational Study
title_fullStr Determining the Diagnostic Value of DWIBS in the Diagnosis of Breast Lesions Compared to Dynamic Contrast-Enhanced MRI: A Retrospective Observational Study
title_full_unstemmed Determining the Diagnostic Value of DWIBS in the Diagnosis of Breast Lesions Compared to Dynamic Contrast-Enhanced MRI: A Retrospective Observational Study
title_short Determining the Diagnostic Value of DWIBS in the Diagnosis of Breast Lesions Compared to Dynamic Contrast-Enhanced MRI: A Retrospective Observational Study
title_sort determining the diagnostic value of dwibs in the diagnosis of breast lesions compared to dynamic contrast enhanced mri a retrospective observational study
topic breast cancer
diffusion magnetic resonance imaging
magnetic resonance imaging
url https://journals.lww.com/10.4103/abr.abr_283_24
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