Localization of breast lesions using magnetic resonance imaging/ultrasound image fusion virtual navigation technology: a preliminary study

doi:10.3877/cma.j.issn.1672-6448.2020.01.007

Abstract

Abstract:

Objective

The purpose of our study was to evaluate the clinical utility of virtual navigation for magnetic resonance imaging (MRI)-detected incidental breast lesions.

Methods

Between June 2016 and December 2018, 21 consecutive patients with 22 BI-RADS category 4 or above lesions that were detected on MRI but occult on second-look ultrasound (US) were enrolled in the study. All suspicious lesions were localized by using US/MRI fusion virtual navigation, and then underwent US-guided biopsy or surgical excision. The detection rate was calculated by comparing pre-/post-operation MRI and pathological results. The MRI features and pathological types of these lesions were analyzed.

Results

A total of 20 lesions were successfully localized using virtual navigation and underwent US-guided biopsy or localization, and the detection rate of virtual navigation was 91%. Eighteen (90%) lesions were proved to be benign lesions, and two (10%) proved to be malignant lesions by pathology. Of the 22 MRI-detected lesions, 20 (91%) manifested as non-mass enhancements and only two (9%) were masses.

Conclusion

Real-time US/MRI fusion virtual navigation can be an effective method for the evaluation of MRI-detected lesions that are not visible on US.

Key words: Virtual navigation, Breast lesion, Magnetic resonance imaging, Ultrasonography

RuiXiang Qi, Jianhua Fang, Luoxi Zhu, Yanna Shan, Wei Wang, Jingjing Xiang, Lingyun Bao. Localization of breast lesions using magnetic resonance imaging/ultrasound image fusion virtual navigation technology: a preliminary study[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(01): 33-38.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2020.01.007

https://chaosheng.cma-cmc.com.cn/EN/Y2020/V17/I01/33

Figures/Tables 3

References 16

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