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Published in: European Radiology 7/2003

01-07-2003 | Breast

Follow-up of women with breast cancer: comparison between MRI and FDG PET

Authors: Gerhard W. Goerres, Sven C. A. Michel, Mathias K. Fehr, Achim H. Kaim, Hans C. Steinert, Burkhardt Seifert, Gustav K. von Schulthess, Rahel A. Kubik-Huch

Published in: European Radiology | Issue 7/2003

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Abstract.

The aim of this study was to compare MRI of the breast with 18F-fluoro-deoxy-glucose (FDG) positron emission tomography (PET) in patients with suspected local or regional breast cancer recurrence or suspected contralateral breast cancer. Thirty-two patients (mean age 57.2 years, age range 32–76 years) with suspected loco-regional recurrence (n=19), chest wall recurrence (n=5), and suspected secondary tumor of the contralateral breast (n=8) underwent MRI of the breast and FDG PET of the whole body and breast region. Cytology/histology (n=17) or a clinical follow-up examination (n=15) with additional imaging served as the standard of reference. A McNemar test was performed to compare PET and MRI, and kappa was determined to quantify agreement of both methods. Sensitivity was 79 and 100%, specificity was 94 and 72%, and accuracy was 88 and 84% for MRI and PET, respectively. Additional metastases outside the field of view of MRI were found in PET in 5 patients. In this study both imaging methods had comparable accuracy. The detection of distant metastases with whole-body PET imaging can influence patient management.
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Metadata
Title
Follow-up of women with breast cancer: comparison between MRI and FDG PET
Authors
Gerhard W. Goerres
Sven C. A. Michel
Mathias K. Fehr
Achim H. Kaim
Hans C. Steinert
Burkhardt Seifert
Gustav K. von Schulthess
Rahel A. Kubik-Huch
Publication date
01-07-2003
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 7/2003
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-002-1720-8

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