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ArticleEuropean radiology2016

Breast MR biopsy: Pathological and radiological correlation.

Chloé Dratwa, Aurélie Jalaguier-Coudray, Jeanne Thomassin-Piana, Julie Gonin, Jocelyne Chopier, Martine Antoine, Isabelle Trop, Emile Darai, Isabelle Thomassin-Naggara

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chloé DratwaDepartment of Radiology, AP-HP, Hôpital Tenon, 75020, Paris, France. chloedratwa@gmail.com.
Aurélie Jalaguier-CoudrayDepartment of Radiology, Institut Paoli-Calmettes, 13009, Marseille, France.
Jeanne Thomassin-PianaBiopathology Department, Institut Paoli-Calmettes, 13009, Marseille, France.
Julie GoninDepartment of Pathology, AP-HP, Hôpital Tenon, 75020, Paris, France.
Jocelyne ChopierDepartment of Radiology, AP-HP, Hôpital Tenon, 75020, Paris, France.
Martine AntoineDepartment of Pathology, AP-HP, Hôpital Tenon, 75020, Paris, France.
Isabelle TropDepartment of Radiology, Hôtel-Dieu de Montréal, Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada, H2W 1T8.
Emile DaraiDepartment of Gynaecology and Obstetrics, AP-HP, Hôpital Tenon, 75020, Paris, France.
Isabelle Thomassin-NaggaraDepartment of Radiology, AP-HP, Hôpital Tenon, 75020, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify pathological features for sample analysis of magnetic resonance imaging-guided vaccum-assisted breast biopsy (MRIgVaBB) to optimize radio pathological correlation and identify discordant benign result. MATERIAL AND

methodsDatabases of two centres were queried to identify MRIgVaBB performed between January 2009 and February 2013. A cohort of 197 women (mean age: 54.5 years (24-77)) with 208 lesions was identified. We retrospectively analyzed all prebiopsy MRI examinations according to the new BI-RADS lexicon, and all biopsy samples to describe the lesion of interest, its interface with the surrounding breast tissue and other associated features.

resultsThe malignancy rate was 26.0 % (54/208) with an underestimation rate of 15.67 % (5/32). A visible interface at pathology between a biopsied lesion and the surrounding breast tissue was more frequently identified in mass enhancement compared to NME or focus (p = 0.0003). Regional NME was correlated with a high degree of fibrosis (p = 0.001) and the presence of PASH (p = 0.0007). Linear or segmental NME was correlated with the presence of periductal mastitis (p = 0.0003).

conclusionThe description of a visible interface between the target lesion and the surrounding tissue is crucial to confirm the correct targeting of an MR mass or a NME. KEY POINTS: • Pathological interface correlated with magnetic resonance mass and focal non-mass enhancement (NME). • Linear or segmental NME correlated with mastitis or ductal carcinoma in situ. • Fibrosis and pseudoangiomatous stromal hyperplasia (PASH) are correlated with regional NME.

Indexed as

AdultAgedBiopsy, NeedleBreastBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingFemaleHumansImage-Guided BiopsyMagnetic Resonance ImagingMiddle AgedRetrospective StudiesYoung AdultBiopsyBreastMagnetic Resonance ImagingNeoplasmsPathology

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.