Breast Lesion Characterisation with Diffusion Weighted Imaging Versus Dynamic Contrast Enhanced-MRI: A Prospective Observational Study in a Tertiary Care Hospital

Purpose: Dynamic contrast-enhanced (DCE)-MRI has a promising role in breast cancer detection and lesion characterisation. Diffusion-weighted imaging (DWI) acts as an adjunct the differentiation between benign malignant lesions. The purpose of study was to evaluate efficacy DCE-MRI DWI differentiating Methods: In prospective conducted March 2019 February 2020, 60 patients with lesions underwent combined breast. time–intensity curves were plotted. Lesions classified according latest American College Radiology Breast Imaging Reporting Data System (ACR BI-RADS; 5th edition). results compared histopathological diagnosis. sensitivity specificity DWI, DCE-MRI, calculated for Results: Sixty MRI which 78 detected, out 28 50 malignant. Quantitative apparent diffusion coefficient measurement revealed 96% 82% specificity, positive predictive value 92% negative 96%, from findings showed 78.5% specificity. 98% 86%, higher than alone. Conclusion: Multiparametric very high detecting characterising or had use greater