Publication Details
Abstract
The review was a cross-sectional survey of breast lesions in ladies from Al-Imam Al-Hussein Teaching Hospital, Nasiriyah, Iraq, directed between April 2022 and July 2023. The patients were examined with ultrasound and mammogram and went through MRI evaluations utilizing a 1.5 Tesla MR unit. The outcomes were assessed as per the American School of Radiology BI-RADS breast imaging dictionary. A sum of 38 patients were remembered for the review, with a sum of 46 injuries. All lesions went through histopathological findings, which was viewed as the best quality level for the review. The ideal cutoff value was <1.232x10-3 mm2/s, displaying a sensitivity of 100 percent, specificity of 90%, a positive predictive value (PPV) of 92%, a negative predictive value (NPV) of 100 percent, and an accuracy rate of 95.7%. The DCE-MRI exhibited a sensitivity of 96%, a specificity of 85%, a positive predictive value (PPV) of 89%, a negative predictive value (NPV) of 94%, and an accuracy rate of 91.3%. The combined examination of a contrast-enhanced DCE-MRI and diffusion-weighted imaging (DWI) brought about an increment of 4% in the sensitivity and the specificity by 10 %. The addition of DWI to the standard breast MRI has a sensitivity of 100%, a specificity of 95%, a positive predictive value (PPV) of 96%, a negative predictive value (NPV) of 100%, and an accuracy rate of 97.8%. These outcomes show that DWI is an important instrument for portraying breast lesions.