Title |
A survey by the European Society of Breast Imaging on the utilisation of breast MRI in clinical practice
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Published in |
European Radiology, November 2017
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DOI | 10.1007/s00330-017-5121-4 |
Pubmed ID | |
Authors |
Paola Clauser, Ritse Mann, Alexandra Athanasiou, Helmut Prosch, Katja Pinker, Matthias Dietzel, Thomas H. Helbich, Michael Fuchsjäger, Julia Camps-Herrero, Francesco Sardanelli, Gabor Forrai, Pascal A. T. Baltzer |
Abstract |
While magnetic resonance imaging (MRI) is considered a helpful diagnostic tool in breast imaging, discussions are ongoing about appropriate protocols and indications. The European Society of Breast Imaging (EUSOBI) launched a survey to evaluate the utilisation of breast MRI in clinical practice. An online survey reviewed by the EUSOBI board and committees was distributed amongst members. The questions encompassed: training and experience; annual breast MRI and MRI-guided-intervention workload; examination protocols; indications; reporting habits and preferences. Data were summarised and subgroups compared using χ2 test. Of 647 EUSOBI members, 177 (27.4%) answered the survey. The majority were radiologists (90.5%), half of them based in academic centres (51.9%). Common indications for MRI included cancer staging, treatment monitoring, high-risk screening and problem-solving, and differed significantly between countries (p≤0.03). Structured reporting and BI-RADS were mostly used. Breast radiologists with ≤10 years of experience preferred inclusion of additional techniques, such as T2/STIR (p=0.03) and DWI (p=0.08) in the scan protocol. MRI-guided interventions were performed by a minority of participants (35.4%). The utilisation of breast MRI in clinical practice is generally in line with international recommendations. There are substantial differences between countries. MRI-guided interventions and functional MRI parameters are not widely available. • MRI is commonly used for the detection and characterisation of breast lesions. • Clinical practice standards are generally in line with current recommendations. • Standardised criteria and diagnostic categories (mainly BI-RADS) are widely adopted. • Younger radiologists value additional techniques, such as T2/STIR and DWI. • MRI-guided breast biopsy is not widely available. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 100 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 16 | 16% |
Researcher | 13 | 13% |
Student > Postgraduate | 10 | 10% |
Student > Ph. D. Student | 9 | 9% |
Student > Doctoral Student | 6 | 6% |
Other | 15 | 15% |
Unknown | 31 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 36 | 36% |
Agricultural and Biological Sciences | 6 | 6% |
Engineering | 6 | 6% |
Nursing and Health Professions | 2 | 2% |
Physics and Astronomy | 2 | 2% |
Other | 12 | 12% |
Unknown | 36 | 36% |