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• Clinical Article •
Efficacy of X-ray mammography in breast diseases detection using MRI as reference
GAO Yang  XI Xiaoxu  LI Menglu  Xing Ning  CHENG Liuquan 

Cite this article as: Gao Y, Xi XX, Li ML, et al. Efficacy of X-ray mammography in breast diseases detection using MRI as reference. Chin J Magn Reson Imaging, 2020, 11(9): 752-757. DOI:10.12015/issn.1674-8034.2020.09.007.


[Abstract] Objective: Digital X-ray mammography (DMG) interpretation shows reader’s discrepancy and lacks pathological confirmation for some cases. In this study, we used MRI as a reference to investigate DMG in detection and categorization of breast lesions in a prospective and retrospective readings.Materials and Methods: A total of 316 patients underwent breast MRI and DMG were enrolled in this study. The prospective BI-RADS categorization of DMG (pDMG) was independent of MRI, while the retrospective BI-RADS categorization of DMG (rDMG) was MRI-assisted. The detection and categorization between DMG and MRI were compared.Results: The consistency between pDMG and rDMG in BI-RADS category Ⅱ—Ⅳ was 69.66% (163/234), where Spearman r=0.813 and P<0.05. Their consistency between pDMG and MRI in BI-RADS category Ⅱ—Ⅴ was 36.41% (79/217), where Spearman r=0.435 and P<0.05. The consistency between rDMG and MRI in BI-RADS category Ⅱ—Ⅴ was 44.22% (134/303), where Spearman r=0.546, P<0.05. Using MRI as reference, the DMG had a detection rate of 66.42% (269/405) prospectively and 74.81% (303/405) retrospectively. The imaging findings of calcification, mass and asymmetric density on DMG were not consistent with the mass, non-mass-enhancement or background parenchymal enhancement on MRI.Conclusions: DMG is reader dependent in the lesions detection and categorization. MRI and DMG lack a satisfactory consistency in the lesions detection and BI-RADS categorization. Their imaging findings also lack any sort of one-to-one correspondence.
[Keywords] breast diseases；mammography；magnetic resonance imaging；case-control studies

GAO Yang Radiology, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China; Radiology, Nanhua University Affiliated Changsha Hospital, Changsha 410005, China

XI Xiaoxu Radiology, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China

LI Menglu Radiology, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China

Xing Ning Radiology, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China

CHENG Liuquan* Radiology, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China

*Correspondence to: Cheng LQ, E-mail: 13910209982@139.com

Conflicts of interest   None.

Received  2020-01-06
Accepted  2020-05-21
DOI: 10.12015/issn.1674-8034.2020.09.007
Cite this article as: Gao Y, Xi XX, Li ML, et al. Efficacy of X-ray mammography in breast diseases detection using MRI as reference. Chin J Magn Reson Imaging, 2020, 11(9): 752-757. DOI:10.12015/issn.1674-8034.2020.09.007.

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