Diagnostic Value of diffusion-weighted MR and MR spectroscopy in the differentiation of benign from malignant breast lesions : An Updated review of literature

Document Type : Original Article

Author

Egypt Sohag Akhmim _ Diagnostic and interventional radiology _faculty of medicine_sohag university

Abstract

Abstract:
Breast lesions affect women in a variety of ways (both benign and malignant). Breast cancer is the second greatest cause of death in women , invasive ductal carcinoma (IDC) is being the most common pathological type. The most frequent benign breast lesion, especially in young women, is fibroadenoma. Ultrasound and mammography are two common diagnostic imaging techniques that can be utilised for screening and diagnosis of any breast lesion as well as early cancer detection. DCE-MRI is required for morphological evaluation of the mass's nature, extent, enhancing pattern, and staging. DWI and MRS are functional MRI imaging modalities that help correctly characterise and diagnose the type of any breast disease by detecting the degree of restriction at DWI with ADC maps analysis in addition to detection of the level of choline and lipid peaks at MRS. The use of DCE-MR and MRS in conjunction with DWI resulted in a more accurate result in discrimination between malignant and benign lesions, reducing the need for additional unnecessary biopsy and these methods can be used without DCE-MR in cases where contrast injection is contraindicated.

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