Top

European Radiology

Published in:

01-08-2021 | Mammography | Editorial Comment

Breast MRI in the setting of DCIS: quality trials are still needed to determine its value

Authors: Habib Rahbar, Judy A. Tjoe

Published in: European Radiology | Issue 8/2021

Key Points

• Existing evidence suggests that preoperative breast MRI does not improve treatment outcomes for DCIS.

• The quality of the available data used to answer this question is poor.

• Quality randomized controlled trials are needed to definitively assess the benefits and harms of preoperative MRI in the setting of DCIS.

Shehata M, Grimm L, Ballantyne N et al (2019) Ductal carcinoma in situ: current concepts in biology, imaging, and treatment. J Breast Imaging 1:166–176CrossRef

Kuhl CK, Schrading S, Bieling HB et al (2007) MRI for diagnosis of pure ductal carcinoma in situ: a prospective observational study. Lancet 370:485–492CrossRef

Bartram A, Gilbert F, Thompson A, Mann GB, Agrawal A (2021) Breast MRI in DCIS size estimation, breast-conserving surgery and oncoplastic breast surgery. Cancer Treat Rev 94:102158CrossRef

Fancellu A, Turner RM, Dixon JM, Pinna A, Cottu P, Houssami N (2015) Meta-analysis of the effect of preoperative breast MRI on the surgical management of ductal carcinoma in situ. Br J Surg 102:883–893CrossRef

Canelo-Aybar C, Taype-Roldan A, Zafra-Tanaka JH et al (2021) Preoperative breast magnetic resonance imaging in patients with ductal carcinoma in situ: a systematic review for the European Commission Initiative on Breast Cancer (ECIBC). Eur Radiol. https://doi.org/10.1007/s00330-021-07873-2

Balshem H, Helfand M, Schunemann HJ et al (2011) GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol 64:401–406CrossRef

Lehman CD, Gatsonis C, Romanoff J et al (2019) Association of magnetic resonance imaging and a 12-gene expression assay with breast ductal carcinoma in situ treatment. JAMA Oncol. https://doi.org/10.1001/jamaoncol.2018.6269

The American Society of Breast Surgeons Official Statement: Consensus Guideline on Breast Cancer Lumpectomy Margins. Available at https://www.breastsurgeons.org/docs/statements/Consensus-Guideline-on-Breast-Cancer-Lumpectomy-Margins.pdf Accessed on March 24, 2021

Carlos RC, Snyder BS, Lehman CD et al (2017) Decision quality and quality of life after treatment for DCIS: a trial of the ECOG-ACRIN Cancer Research Group (E4112). Presented at 2017 Radiological Society of North America Annual Meeting, High Impact Clinical Trials Session, Chicago, IL

10.

Balleyguier C, Dunant A, Ceugnart L et al (2019) Preoperative breast magnetic resonance imaging in women with local ductal carcinoma in situ to optimize surgical outcomes: results from the randomized phase III trial IRCIS. J Clin Oncol 37:885–892CrossRef

Title: Breast MRI in the setting of DCIS: quality trials are still needed to determine its value
Authors: Habib Rahbar
Judy A. Tjoe
Publication date: 01-08-2021
Publisher: Springer Berlin Heidelberg
Keywords: Mammography
Breast MRI
Mammography
Published in: European Radiology / Issue 8/2021
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-021-08057-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Breast MRI in the setting of DCIS: quality trials are still needed to determine its value

Key Points

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Key Points

Please log in to get access to this content

Other articles of this Issue 8/2021

Visualization of lenticulostriate artery by intracranial dark-blood vessel wall imaging and its relationships with lacunar infarction in basal ganglia: a retrospective study

Liver fibrosis assessment with multiphasic dual-energy CT: diagnostic performance of iodine uptake parameters

Stent placement combined with intraluminal radiofrequency ablation and hepatic arterial infusion chemotherapy for advanced biliary tract cancers with biliary obstruction: a multicentre, retrospective, controlled study

Computed tomographic angiography may be used for assessing the dilatation of the anterior choroidal and posterior communicating arteries in patients with moyamoya syndrome

Automatic opportunistic osteoporosis screening in routine CT: improved prediction of patients with prevalent vertebral fractures compared to DXA

Dual-energy CT performance in acute pulmonary embolism: a meta-analysis