Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
5 topics, 22 min.
4 topics, 15 min.
2 topics, 6 min.
3 topics, 12 min.
0:00
Now we move on to women with average
0:02
risk who get supplemental MR screening.
0:04
This was another Christiana
0:05
cool, very important study.
0:07
Um, and she had, um, over 2,000 women
0:10
who had multiple sequential screens
0:12
and these were full protocol MR.
0:15
She found 60 additional cancers.
0:17
Good combination of DCIS
0:18
and invasive cancers.
0:18
There were 48 at that 1st
0:18
round, 13 at the 2nd round.
0:20
There was 1 cancer actually found by
0:21
all 3 modalities in retrospect, but no
0:24
cancer diagnosed only by mammography
0:25
or only by ultrasound and not by MR.
0:29
0 interval cancer rate and
0:31
cancer detection rate by MR
0:34
15.
0:34
5 per 1,000.
0:37
Good rate.
0:38
And it wasn't about density.
0:39
This was women of all densities.
0:41
So here's the numbers.
0:42
You can see the different density
0:43
categories, A, B, C, and D.
0:45
And you see the percent of women across the whole,
0:46
all the women who had, um, cancer diagnosed.
0:47
And so it shows you that even in those low
0:50
density breasts, cancers were detected by MR only.
0:53
And these MRs, uh, the MR detected
0:56
cancers tended to be small, node negative,
0:59
yet high grade, so aggressive cancers.
1:01
Those are the ones we really want to find.
1:02
Find them early.
Interactive Transcript
0:00
Now we move on to women with average
0:02
risk who get supplemental MR screening.
0:04
This was another Christiana
0:05
cool, very important study.
0:07
Um, and she had, um, over 2,000 women
0:10
who had multiple sequential screens
0:12
and these were full protocol MR.
0:15
She found 60 additional cancers.
0:17
Good combination of DCIS
0:18
and invasive cancers.
0:18
There were 48 at that 1st
0:18
round, 13 at the 2nd round.
0:20
There was 1 cancer actually found by
0:21
all 3 modalities in retrospect, but no
0:24
cancer diagnosed only by mammography
0:25
or only by ultrasound and not by MR.
0:29
0 interval cancer rate and
0:31
cancer detection rate by MR
0:34
15.
0:34
5 per 1,000.
0:37
Good rate.
0:38
And it wasn't about density.
0:39
This was women of all densities.
0:41
So here's the numbers.
0:42
You can see the different density
0:43
categories, A, B, C, and D.
0:45
And you see the percent of women across the whole,
0:46
all the women who had, um, cancer diagnosed.
0:47
And so it shows you that even in those low
0:50
density breasts, cancers were detected by MR only.
0:53
And these MRs, uh, the MR detected
0:56
cancers tended to be small, node negative,
0:59
yet high grade, so aggressive cancers.
1:01
Those are the ones we really want to find.
1:02
Find them early.
Report
Faculty
Emily F. Conant, MD
Professor of Radiology, Chief of Breast Imaging, Vice Chair of Faculty Development
Department of Radiology, University of Pennsylvania
Tags
Screening
Neoplastic
MRI
Diagnosis & Staging
Breast
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