Can preoperative 3-T MRI predict nipple–areolar complex involvement in patients with breast cancer?

PurposeTo evaluate the diagnostic performances of preoperative 3-T breast MRI for predicting nipple–areolar complex (NAC) involvement.Materials and methodsWe analyzed the predictors of NAC involvement in breast cancer, with diagnostic performances.ResultsAmong the 403 patients, 43 cases were surgically confirmed for NAC involvement. For predicting NAC involvement, sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 60.5%, 87.5%, 36.6%, 94.9%, and 84.6%, respectively. Continuity to NAC, unilateral enhancement of NAC and thickening of NAC were significant magnetic resonance findings predictive of NAC involvement.ConclusionsPreoperative 3-T breast MRI is a useful method to predict NAC involvement in breast cancer patients.