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Type 2 dynamic curves: A diagnostic dilemma     
Yazarlar
Erdal Karavaş
Bandırma Onyedi Eylül Üniversitesi, Türkiye
Doç. Dr. Bünyamin ECE Doç. Dr. Bünyamin ECE
Kastamonu Üniversitesi, Türkiye
Sonay Aydın
Erzincan Binali Yıldırım Üniversitesi, Türkiye
Özet
Magnetic resonance imaging (MRI) with multiparametric dynamic contrast plays a critical role in the assessment of breast lesions. Dynamic curves are a critical parameter in determining the benign or malignant nature of lesions. Dynamic curves of type 1 are known to represent benign masses, while dynamic curves of type 3 are known to identify malignant masses. Type 2 dynamic curves have a sensitivity of 42.6% and specificity of 75% for malignancy detection. To investigate the pathological diagnosis of lesions with type 2 dynamic curves. We evaluated breast MRI examinations performed between 2020 and 2021 retrospectively and included lesions with type 2 dynamic curves. We included 38 lesions from 33 patients. The lesions were evaluated for their pathological diagnosis and morphological characteristics. Twenty-six lesions were malignant, while twelve were benign. The most frequently encountered benign lesion (7/12, 58.3%) was sclerosing adenosis, while the most frequently encountered malignant diagnosis was invasive ductal cancer. The presence of a type 2 dynamic curve had a sensitivity of 40.2% and specificity of 73.4% for predicting malignancy. By combining type 2 curves and morphological features, the sensitivity and specificity were increased. The high rates of malignancy detected histopathologically among patients with type 2 dynamic curves in our study are remarkable. Type 2 dynamic curves can be detected in benign breast masses, especially in sclerosing adenosis cases. Considering morphological features can increase the diagnostic accuracy in cases with type 2 dynamic curves.
Anahtar Kelimeler
Benign | Breast | Dynamic curve | Magnetic resonance imaging | Malignant | Type 2
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı WORLD JOURNAL OF RADIOLOGY
Dergi ISSN 1949-8470
Dergi Tarandığı Indeksler Emerging Sources Citation Index (ESCI, Web of Science)
Makale Dili İngilizce
Basım Tarihi 07-2022
Cilt No 14
Sayı 7
Sayfalar 229 / 237
Doi Numarası 10.4329/wjr.v14.i7.229
Makale Linki http://dx.doi.org/10.4329/wjr.v14.i7.229
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Type 2 dynamic curves: A diagnostic dilemma

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