THE ROLE OF BREAST IMAGING MODALITIES IN THE DIAGNOSIS AND MANAGEMENT OF BENIGN BREAST DISEASES

Authors

  • PIYUSH JAIN Department of General Surgery, NIMS Hospital Jaipur, Rajsthan, India
  • SUNIL JAIN Department of General Surgery, ESIC Model Hospital Sodala Jaipur, Rajsthan, India

DOI:

https://doi.org/10.22159/ijcpr.2025v17i1.6012

Keywords:

Benign breast diseases, Breast imaging, Mammography, Ultrasound, MRI, Diagnostic accuracy, Management strategies

Abstract

Objective: Accurate diagnosis and management of benign breast diseases are crucial aspects of breast healthcare. Breast imaging modalities such as mammography, ultrasound, and magnetic resonance imaging (MRI) play a pivotal role in differentiating benign from malignant lesions and guiding appropriate management strategies.

Methods: This retrospective study was conducted at [Institution Name] from January 2018 to December 2022. It involved a review of medical records, imaging results, and management outcomes of patients diagnosed with benign breast diseases. Imaging modalities included mammography, ultrasound, and MRI. The diagnostic accuracy of each modality was assessed by comparing imaging findings with histopathological results. Statistical analyses were performed using SPSS version 26.0.

Results: A total of 200 patients were included, with a mean age of 45.3±12.6 y. Mammography showed a sensitivity of 85% and specificity of 78%, while ultrasound had a sensitivity of 92% and specificity of 84%. MRI exhibited the highest accuracy with a sensitivity of 95% and specificity of 90%. Combined imaging modalities achieved the highest diagnostic performance. Management strategies varied, with watchful waiting, medication, minimally invasive procedures, and surgical interventions employed based on the specific condition.

Conclusion: Breast imaging modalities are indispensable in diagnosing and managing benign breast diseases. The integration of mammography, ultrasound, and MRI provides comprehensive diagnostic information, guiding optimal management strategies and improving patient outcomes. Future advancements in imaging technology promise to further enhance diagnostic capabilities.

Downloads

Download data is not yet available.

References

Guray M, Sahin AA. Benign breast diseases: classification diagnosis and management. Oncologist. 2006;11(5):435-49. doi: 10.1634/theoncologist.11-5-435, PMID 16720843.

Hayes WC, Piazza SJ, Zysset PK. Biomechanics of fracture risk prediction of the hip and spine by quantitative computed tomography. Radiol Clin North Am. 1991;29(1):1-18. doi: 10.1016/S0033-8389(22)02675-6.

Zheng B, Ganott MA, Britton CA, Hakim CM, Hardesty LA, Chang TS. Soft copy mammographic readings with different computer-assisted detection curing environments: preliminary findings. Radiology. 2001;221(3):633-40. doi: 10.1148/radiol.2213010308, PMID 11719657.

Orel SG, Schnall MD. MR imaging of the breast for the detection, diagnosis and staging of breast cancer. Radiology. 2001;220(1):13-30. doi: 10.1148/radiology.220.1.r01jl3113, PMID 11425968.

Sanders RC, Hartman DS. The sonographic distinction between neonatal multicystic kidney and hydronephrosis. Radiology. 1984;151(3):621-5. doi: 10.1148/radiology.151.3.6718720, PMID 6718720.

Stavros AT, Thickman D, Rapp CL, Dennis MA, Parker SH, Sisney GA. Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology. 1995;196(1):123-34. doi: 10.1148/radiology.196.1.7784555, PMID 7784555.

Heywang Kobrunner SH, Viehweg P, Heinig A, Kuchler C. Contrast-enhanced MRI of the breast: accuracy value controversies solutions. Eur J Radiol. 1997;24(2):94-108. doi: 10.1016/s0720-048x(96)01142-4, PMID 9097051.

American College of Radiology. ACR BI-RADS® atlas breast imaging reporting and data system. Reston VA: American College of Radiology; 2013.

Berg WA, Gutierrez L, Ness Aiver MS, Carter WB, Bhargavan M, Lewis RS. Diagnostic accuracy of mammography clinical examination US and MR imaging in preoperative assessment of breast cancer. Radiology. 2004;233(3):830-49. doi: 10.1148/radiol.2333031484, PMID 15486214.

Sardanelli F, Giuseppetti GM, Panizza P, Bazzocchi M, Fausto A, Simonetti G. Sensitivity of MRI versus mammography for detecting foci of multifocal, multicentric breast cancer in fatty and dense breasts using the whole breast pathologic examination as a gold standard. AJR Am J Roentgenol. 2004;183(4):1149-57. doi: 10.2214/ajr.183.4.1831149, PMID 15385322.

Baroni RH, Ashiku S, Boiselle PM. Dynamic CT evaluation of the central airways in patients undergoing tracheoplasty for tracheobronchomalacia. AJR Am J Roentgenol. 2005;184(5):1444-9. doi: 10.2214/ajr.184.5.01841444, PMID 15855094.

Kopans DB. Breast imaging. Lippincott Williams & Wilkins; 2007.

Lehman CD, Blume JD, Weatherall P, Thickman D, Hylton N, Warner E. Screening women at high risk for breast cancer with mammography and magnetic resonance imaging. Cancer. 2005;103(9):1898-905. doi: 10.1002/cncr.20971, PMID 15800894.

Published

15-01-2025

How to Cite

JAIN, P., and S. JAIN. “THE ROLE OF BREAST IMAGING MODALITIES IN THE DIAGNOSIS AND MANAGEMENT OF BENIGN BREAST DISEASES”. International Journal of Current Pharmaceutical Research, vol. 17, no. 1, Jan. 2025, pp. 26-29, doi:10.22159/ijcpr.2025v17i1.6012.

Issue

Section

Original Article(s)