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. 2017 Feb;90(1070):20160542.
doi: 10.1259/bjr.20160542. Epub 2016 Dec 7.

Evaluation of background parenchymal enhancement on breast MRI: a systematic review

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Evaluation of background parenchymal enhancement on breast MRI: a systematic review

Bianca Bignotti et al. Br J Radiol. 2017 Feb.

Abstract

Objective: To perform a systematic review of the methods used for background parenchymal enhancement (BPE) evaluation on breast MRI.

Methods: Studies dealing with BPE assessment on breast MRI were retrieved from major medical libraries independently by four reviewers up to 6 October 2015. The keywords used for database searching are "background parenchymal enhancement", "parenchymal enhancement", "MRI" and "breast". The studies were included if qualitative and/or quantitative methods for BPE assessment were described.

Results: Of the 420 studies identified, a total of 52 articles were included in the systematic review. 28 studies performed only a qualitative assessment of BPE, 13 studies performed only a quantitative assessment and 11 studies performed both qualitative and quantitative assessments. A wide heterogeneity was found in the MRI sequences and in the quantitative methods used for BPE assessment.

Conclusion: A wide variability exists in the quantitative evaluation of BPE on breast MRI. More studies focused on a reliable and comparable method for quantitative BPE assessment are needed. Advances in knowledge: More studies focused on a quantitative BPE assessment are needed.

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Figures

Figure 1.
Figure 1.
A flowchart of the selection of studies. BPE, background parenchymal enhancement.

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