Evidence map›Paper›PMID 41552739›Full record

ArticleCureus2026

Multiparametric Breast MRI for the Differentiation of Atypical Ductal Hyperplasia and Ductal Carcinoma In Situ in Postmenopausal Women.

Marko N Mihajlovic, Luka J Raspopovic, Dejan Dimitrijevic, Iva B Krusac, Andjela Djajic, Mirjan M Nadrljanski

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Marko N MihajlovicDepartment of Diagnostic Radiology, Institute of Oncology and Radiology of Serbia, Belgrade, SRB.
Luka J RaspopovicDepartment of Diagnostic Radiology, Institute of Oncology and Radiology of Serbia, Belgrade, SRB.
Dejan DimitrijevicDepartment of Diagnostic Radiology, Institute of Oncology and Radiology of Serbia, Belgrade, SRB.
Iva B KrusacDepartment of Diagnostic Radiology, Institute of Oncology and Radiology of Serbia, Belgrade, SRB.
Andjela DjajicDepartment of Diagnostic Radiology, Institute of Oncology and Radiology of Serbia, Belgrade, SRB.
Mirjan M NadrljanskiDepartment of Radiology, Faculty of Medicine, University of Belgrade, Belgrade, SRB.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Atypical ductal hyperplasia (ADH) is a proliferative epithelial breast lesion associated with an increased risk of progression to ductal carcinoma in situ (DCIS) or invasive carcinoma. Although breast MRI is highly sensitive for lesion detection, its ability to differentiate biologically related non-mass enhancement (NME) lesions such as ADH and DCIS remains incompletely defined. Aim The aim of this exploratory study was to investigate whether predefined morphologic, dynamic, and functional breast MRI parameters, such as lesion size, postcontrast signal intensity increase (wash-in), time-intensity curve (TIC) type, apparent diffusion coefficient (ADC), and positive enhancement integral (PEI), demonstrate measurable differences between ADH and DCIS in postmenopausal women. Materials and methods This retrospective, single-center study included 40 postmenopausal women with histopathologically confirmed ADH (n = 20) or DCIS (n = 20) who underwent standardized 1.5-Tesla (T) breast MRI. Quantitative MRI parameters evaluated included lesion size, early postcontrast signal intensity increase (wash-in), time-intensity curve (TIC) type, apparent diffusion coefficient (ADC), and positive enhancement integral (PEI). Groups were matched for age and lesion size. Statistical comparisons were performed using appropriate parametric tests, with a two-sided significance threshold of p < 0.05. Results No statistically significant differences were observed between ADH and DCIS across the evaluated MRI parameters, including lesion size (p = 0.119), wash-in (p = 0.484), ADC (p = 0.141), or PEI (p = 0.360). TIC Types 1 and 2 were similarly distributed between groups (p = 0.342), with no lesions demonstrating a washout pattern. Conclusion In this exploratory cohort of postmenopausal women, ADH and DCIS demonstrated substantial overlap in morphologic, dynamic, and functional breast MRI parameters. While no statistically significant differences were identified, these findings should be interpreted cautiously given the limited sample size and potential for Type II error. Larger, adequately powered studies incorporating advanced quantitative imaging techniques are required to determine whether multiparametric MRI can reliably differentiate between these entities.

Indexed as

atypical ductal hyperplasiadce-mriductal carcinoma in situfunctional parametersmorpho-dynamic parameters

Identifiers

PMID41552739
PMCPMC12811792

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