Evidence map›Paper›PMID 30324386›Full record

ArticleEuropean radiology2019

Six-year prospective evaluation of second-look US with volume navigation for MRI-detected additional breast lesions.

Alfonso Fausto, Marco Bernini, Daniele La Forgia, Annarita Fanizzi, Marco Marcasciano, Luca Volterrani, Donato Casella, Maria Antonietta Mazzei

Open access · greenAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
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

22 citing papers in PubMed, 26 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Alfonso FaustoDepartment of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Viale Bracci 16, 53100, Siena, Italy. afausto@sirm.org.ORCID http://orcid.org/0000-0001-9700-1648
Marco BerniniBreast Unit, Department of Surgery, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Daniele La ForgiaDepartment of Breast Radiology, IRCCS Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco, 65, 70124, Bari, Italy.
Annarita FanizziDepartment of Breast Radiology, IRCCS Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco, 65, 70124, Bari, Italy.
Marco MarcascianoBreast Unit, Department of Surgery, Azienda U.S.L. Toscana Nord-Ovest, Hospital of Livorno, Via Vittorio Alfieri 36, 57124, Livorno, Italy.
Luca VolterraniDepartment of Medical, Surgical and Neuro Sciences, Diagnostic Imaging, University of Siena, Strada delle Scotte 2, 53100, Siena, Italy.
Donato CasellaBreast Unit, Department of Surgery, Azienda U.S.L. Toscana Nord-Ovest, Hospital of Livorno, Via Vittorio Alfieri 36, 57124, Livorno, Italy.
Maria Antonietta MazzeiDepartment of Medical, Surgical and Neuro Sciences, Diagnostic Imaging, University of Siena, Strada delle Scotte 2, 53100, Siena, Italy.
Istituto Tumori Bari · ITOspedale di Livorno · ITUniversity of Siena · ITAzienda Ospedaliera Universitaria Senese · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to present a 6-year prospective evaluation of second-look ultrasound (US) using volume navigation (V Nav) for MRI-detected additional breast lesions.

methodsAfter IRB approvals in both institutions, 1930 consecutive prone MRI breast examinations in 1437 patients were prospectively evaluated. All patients with an MRI-detected additional lesion underwent second-look US, and if occult, contrast-enhanced MRI in supine position was performed for US and MRI co-registration. For patients with breast hypertrophy, MRI-guided biopsy was performed directly. Pathologic examination was the standard of reference. One-way ANOVA and chi-square tests were used.

resultsIn 490 MRI examinations (25.4%, 490/1930), at least one additional breast lesion was detected for a total of 722 only MRI-detected lesions. Second-look US identified 549 additional lesions (23 ± 8 mm); 362 (65.9%, 362/549) proved benign at pathology and 187 (34.1%, 187/549) malignant. Second-look US with V Nav identified 151 additional lesions (17 ± 9 mm, p = n.s.); 67 (44.4%, 67/151) proved benign at pathology and 84 (55.6%, 84/151) malignant. MRI-guided biopsy was performed on 22 additional breast lesions (22 ± 8 mm, p = n.s.); pathology revealed 20 (90.9%, 20/22) benign lesions and 2 (9.1%, 2/22) malignant ones. Mass lesions were significantly higher in the second-look US group (p < 0.001). No significant difference in lesion dimension was found between the three groups (p = 0.729).

conclusionsSecond-look US with V Nav can be effective in detecting a large number of additional breast lesions occult at second-look US and to biopsy a significant number of malignant lesions safely and irrespective of distance from skin or lesion position. KEY POINTS: • Second-look US with volume navigation is effective in detecting occult additional lesions. • Permits safe biopsies irrespective of position and depth • Reduces the need for MRI-guided biopsy.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsContrast MediaFemaleFollow-Up StudiesHumansImage-Guided BiopsyMagnetic Resonance ImagingMiddle AgedMultimodal ImagingProspective StudiesReproducibility of ResultsSensitivity and SpecificityUltrasonography, MammaryContrast MediaBreast tumoursBreast ultrasonographyImage-guided biopsyMagnetic resonance imagingMultimodal imaging

Identifiers

PMID30324386
OpenAlexW2896867622

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.