Abbreviated magnetic resonance imaging in breast cancer: A systematic review of literature

Eur J Radiol Open. 2020 Dec 17:8:100307. doi: 10.1016/j.ejro.2020.100307. eCollection 2021.

Abstract

Background: : magnetic resonance imaging (MRI) has been increasingly used to study breast cancer for screening high-risk cases, pre-operative staging, and problem-solving because of its high sensitivity. However, its cost-effectiveness is still debated. Thus, the concept of abbreviated MRI (ABB-MRI) protocols was proposed as a possible solution for reducing MRI costs.

Purpose: : to investigate the role of the abbreviated MRI protocols in detecting and staging breast cancer.

Methods: : a systematic search of the literature was carried out in the bibliographic databases: Scopus, PubMed, Medline, and Science Direct.

Results: : forty-one articles were included, which described results of the assessment of fifty-three abbreviated protocols for screening, staging, recurrence assessing, and problem-solving or clarification.

Conclusions: : the use of ABB-MRI protocols allows reducing the acquisition and reading times, maintaining a high concordance with the final interpretation, in comparison to a complete protocol. However, larger prospective and multicentre trials are necessary to validate the performance in specific clinical environments.

Keywords: Abbreviated protocols; Breast cancer; Magnetic resonance imaging; Screening; Staging.

Publication types

  • Review