The role of conventional and functional MRI in diagnosis of breast masses

ObjectiveTo evaluate the role of conventional and functional MRI in diagnosis of breast masses.Patients and methodsThis study included 34 female patients who presented clinically by breast mass and/or had abnormal sonomammographic findings and referred from General surgery Department for MRI assessment. The MRI results were correlated with pathological results for all cases.ResultsThose 34 patients were classified pathologically into 21 patients with benign breast lesion (21/34) (61.8%), 10 patients with malignant lesion (29.4%) and 3 patients with high risk lesion (8.8%). The type III intensity curve was the most depicted type in the malignant breast lesion (60%), while type Ia curve was the most depicted type in the benign lesions (61.8%). Out of 25 patients without restricted diffusion; 19 patients showed benign lesions (76%) and out of 9 patients with restricted diffusion; 6 patients showed malignant lesion (66.7%). Out of 17 patients with choline trace; 9 patients were malignant, 5 were benign and 3 were with high risk lesion.ConclusionDCE-MRI of the breast had a higher sensitivity for breast cancer detection and more accurate in delineation of the disease extension. The breast MRI with three parameters (DCE-MRI, DWI, and MRS) increased the diagnostic accuracy of the breast cancer.