Third-look contrast-enhanced ultrasonography plus needle biopsy for differential diagnosis of magnetic resonance imaging-only detected breast lesions

Miyake, Tomohiro; Shimazu, Kenzo

doi:https://doi.org/10.1007/s10396-023-01298-8

Third-look contrast-enhanced ultrasonography plus needle biopsy for differential diagnosis of magnetic resonance imaging-only detected breast lesions

Miyake, Tomohiro; Shimazu, Kenzo

Journal of Medical Ultrasonics, 2023

アクセス数:283件（2025-07-01 07:18 集計）

固定URL: https://hdl.handle.net/11094/90704

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タイトル	Third-look contrast-enhanced ultrasonography plus needle biopsy for differential diagnosis of magnetic resonance imaging-only detected breast lesions
著者	NRID 1000000636110 1000000636110 ORCID 0000-0002-9362-9822 0000-0002-9362-9822 researchmap permalink tomohiromiyake tomohiromiyake Scopus Author ID 55165894400 55165894400 著者名 Miyake, Tomohiro
著者	NRID 1000030448039 1000030448039 researchmap permalink _-23f _-23f Scopus Author ID 7005224756 7005224756 著者名 Shimazu, Kenzo
キーワード等	Breast cancer
	MRI-only detected breast lesions
	Contrast-enhanced ultrasonography
	Second-look ultrasonography
	Needle biopsy
内容	This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s10396-023-01298-8.
抄録	Research has shown that in approximately 20–30% of cases, breast lesions that were not detected on mammography (MG) or ultrasonography (US) were incidentally found during preoperative magnetic resonance imaging (MRI) examination for breast cancer. MRI-guided needle biopsy is recommended or considered for such MRI-only detected breast lesions invisible on second-look US, but many facilities in Japan cannot perform this biopsy procedure because it is expensive and time consuming. Thus, a simpler and more accessible diagnostic method is needed. Two studies to date have shown that third-look contrast-enhanced US (CEUS) plus needle biopsy for MRI-only detected breast lesions (i.e., MRI + /MG-/US-) that were not detected on second-look US showed moderate/high sensitivity (57.1 and 90.9%) and high specificity (100.0% in both studies) with no severe complications. In addition, the identification rate was higher for MRI-only lesions with a higher MRI BI-RADS category (i.e., category 4/5) than for those with a lower category (i.e., category 3). Despite the fact that there are limitations in our literature review, CEUS plus needle biopsy is a feasible and convenient diagnostic tool for MRI-only lesions invisible on second-look US and is expected to reduce the frequency of MRI-guided needle biopsy. When third-look CEUS does not reveal MRI-only lesions, a further indication for MRI-guided needle biopsy should be considered according to the BI-RADS category.
出版者	Springer
収録物名	Journal of Medical Ultrasonics
刊行年月	2023-03-11
ハンドルURL	https://hdl.handle.net/11094/90704
PISSN	13464523
eISSN	16132254
NCID	AA11563281
関連情報 (isVersionOf)	DOI (出版社版) https://doi.org/10.1007/s10396-023-01298-8
アクセス権	open access
出版タイプ	Accepted Manuscript
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	Journal of Medical Ultrasonics. 2023
DC.title	Third-look contrast-enhanced ultrasonography plus needle biopsy for differential diagnosis of magnetic resonance imaging-only detected breast lesions
DC.creator	Miyake, Tomohiro
DC.creator	Shimazu, Kenzo
DC.publisher	Springer
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2023-03-11
DC.identifier	https://doi.org/10.1007/s10396-023-01298-8
DC.subject	Breast cancer
	MRI-only detected breast lesions
	Contrast-enhanced ultrasonography
	Second-look ultrasonography
	Needle biopsy
DC.description	This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s10396-023-01298-8.
DCTERMS.abstract	Research has shown that in approximately 20–30% of cases, breast lesions that were not detected on mammography (MG) or ultrasonography (US) were incidentally found during preoperative magnetic resonance imaging (MRI) examination for breast cancer. MRI-guided needle biopsy is recommended or considered for such MRI-only detected breast lesions invisible on second-look US, but many facilities in Japan cannot perform this biopsy procedure because it is expensive and time consuming. Thus, a simpler and more accessible diagnostic method is needed. Two studies to date have shown that third-look contrast-enhanced US (CEUS) plus needle biopsy for MRI-only detected breast lesions (i.e., MRI + /MG-/US-) that were not detected on second-look US showed moderate/high sensitivity (57.1 and 90.9%) and high specificity (100.0% in both studies) with no severe complications. In addition, the identification rate was higher for MRI-only lesions with a higher MRI BI-RADS category (i.e., category 4/5) than for those with a lower category (i.e., category 3). Despite the fact that there are limitations in our literature review, CEUS plus needle biopsy is a feasible and convenient diagnostic tool for MRI-only lesions invisible on second-look US and is expected to reduce the frequency of MRI-guided needle biopsy. When third-look CEUS does not reveal MRI-only lesions, a further indication for MRI-guided needle biopsy should be considered according to the BI-RADS category.
DC.format	90704
citation_title	Third-look contrast-enhanced ultrasonography plus needle biopsy for differential diagnosis of magnetic resonance imaging-only detected breast lesions
citation_author	Miyake, Tomohiro
citation_author	Shimazu, Kenzo
citation_publisher	Springer
citation_date	2023-03-11
citation_journal_title	Journal of Medical Ultrasonics
citation_doi	https://doi.org/10.1007/s10396-023-01298-8
citation_public_url	https://hdl.handle.net/11094/90704

Third-look contrast-enhanced ultrasonography plus needle biopsy for differential diagnosis of magnetic resonance imaging-only detected breast lesions

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