Objectives This study aims to retrospectively evaluate the role of multiparametric magnetic resonance imaging (MRI), including diffusion-weighted imaging (DWI) with apparent diffusion coefficient (ADC) mapping, in predicting the histopathological upgrade of B3 breast lesions. The primary objective is to calculate the mean ADC values for B3 and B5 lesions. The secondary objective involves evaluating the kinetic enhancement patterns of these lesions. Materials and Methods This retrospective analysis includes patients who underwent MR mammography between 2019 and 2023 in our institution and subsequently underwent trucut biopsy and histopathologically proven to be either B3 or B5 category breast lesions. Results Student’s t-test was used to find out the significant difference in ADC between the two groups. B5 lesions had lower mean ADC value (0.8 ± 0.2 ×10–3 mm2/sec, p = 0.026), whereas B3 lesions had higher mean ADC value (1.1 ± 0.3 × 10–3 mm2/sec, p = 0.026). Conclusion The multiparametric MRI including DWI in high-risk breast lesions would help in predicting their pathological behavior non-invasively. Identifying the mean ADC value and MR morphological characteristics in these lesions may guide clinicians in reducing misdiagnosis and over-treatment.
Read full abstract