Feasibility of ultrafast dynamic magnetic resonance imaging for the diagnosis of axillary lymph node metastasis: A case report. (2020)

• Record Type: Journal Article
• Authors: Kikuchi, Yuka; Mori, Mio; Fujioka, Tomoyuki; Yamaga, Emi; Oda, Goshi; Nakagawa, Tsuyoshi; Koyanagi, Anri; Tomii, Shohei; Kubota, Kazunori; Tateishi, Ukihide
• Is Part Of: European journal of radiology open. Volume 7(2020)
• Publication Date: 2020
• Subjects: SLNB sentinel lymph node biopsy -- ALN axillary lymph node -- MRI magnetic resonance imaging -- DCE-MRI dynamic contrast-enhanced MRI -- VAB vacuum assisted breast biopsy -- FNA fine-needle aspiration -- [F-18]FDG PET/CT 18F-fluorodeoxyglucose positron emission tomography/computed tomography -- SUVmax maximum standardized uptake value -- T1WIFS T1-weighted fat-suppressed -- VIBRANT volume imaged breast assessment -- FOV field-of-view -- CNB core needle biopsy; Breast cancer -- Axillary lymph node metastasis -- Nodal staging -- Dynamic contrast-enhanced breast magnetic resonance imaging -- Ultrafast dynamic magnetic resonance imaging; Medical radiology -- Periodicals; 616.075705
• DOI: 10.1016/j.ejro.2020.100261
• Languages: English
• ISSNs: 2352-0477

Abstract

Abstract: A 74 year old Japanese woman was diagnosed with invasive breast carcinoma. Her axillary lymph node was slightly swollen and had a short-axis diameter of 8 mm, but fine-needle aspiration did not lead to the diagnosis of metastasis. Subsequent 18F-fluorodeoxyglucose positron emission tomography/computed tomography showed no abnormal accumulation on the lymph node. Ultrafast dynamic magnetic resonance imaging yielded a very fast contrast enhancement like that of the primary lesion based on which we suspected lymph node metastasis. To our knowledge, this is the first report that shows that ultrafast imaging has contributed to the diagnosis of axillary lymph node metastasis.