Comparison of breast density measured on MR images acquired using fat-suppressed versus nonfat-suppressed sequences.

Abstract:

PURPOSE:To investigate the difference of MR percent breast density measured from fat-suppressed versus nonfat-suppressed imaging sequences. METHODS:Breast magnetic resonance imaging (MRI) with and without fat suppression was acquired from 38 subjects. Breasts were divided into subgroups of different morphological patterns ("central" and "intermingled" types). Breast volume, fibroglandular tissue volume, and percent density were measured. The results were compared using nonparametric statistical tests and regarded as significant at p < 0.05. RESULTS:Breast volume, fibroglandular volume, and percent density between fat-suppressed and nonfat-suppressed sequences were highly correlated. Breast volumes measured on these two sequences were almost identical. Fibroglandular tissue volume and percent density, however, had small (<5%) yet significant differences between the two sequences-they were both higher on the fat-suppressed sequence. Intraobserver variability was within 4% for both sequences and different morphological types. The fibroglandular tissue volume measured on downsampled images showed a small (<5%) yet significant difference. CONCLUSIONS:The measurement of breast density made on MRI acquired using fat-suppressed and nonfat-suppressed T1W images was about 5% difference, only slightly higher than the intraobserver variability of 3%-4%. When the density data from multiple centers were to be combined, evaluating the degree of difference is needed to take this difference into account.

journal_name

Med Phys

journal_title

Medical physics

authors

Chang DH,Chen JH,Lin M,Bahri S,Yu HJ,Mehta RS,Nie K,Hsiang DJ,Nalcioglu O,Su MY

doi

10.1118/1.3646756

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

5961-8

issue

11

eissn

0094-2405

issn

2473-4209

journal_volume

38

pub_type

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