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Istomin A, Masarwah A, Okuma H, Sutela A, Vanninen R, Sudah M. A multiparametric classification system for lesions detected by breast magnetic resonance imaging. Eur J Radiol 2020;132:109322. [DOI: 10.1016/j.ejrad.2020.109322] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 09/19/2020] [Accepted: 09/24/2020] [Indexed: 12/18/2022]

Joukainen S, Masarwah A, Könönen M, Husso M, Sutela A, Kärjä V, Vanninen R, Sudah M. Feasibility of mapping breast cancer with supine breast MRI in patients scheduled for oncoplastic surgery. Eur Radiol 2018;29:1435-1443. [PMID: 30120494 DOI: 10.1007/s00330-018-5681-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2018] [Revised: 07/09/2018] [Accepted: 07/24/2018] [Indexed: 02/07/2023]

Abstract

OBJECTIVES

To prospectively determine the feasibility of preoperative supine breast MRI in breast cancer patients scheduled for oncoplastic breast-conserving surgery.

METHODS

In addition to a diagnostic prone breast MRI, a supplementary supine MRI was performed with the patient in the surgical position including skin markers. Tumours' locations were ink-marked on the skin according to findings obtained from supine MRI. Changes in tumours' largest diameter and locations between prone and supine MRI were measured and compared to histology. Nipple-to-tumour and tumour-to-chest wall distances were also measured. Tumours and suspicious areas were surgically removed according to skin ink-markings. The differences between MRI measurements with reference to histopathology were evaluated with the paired-sample t test.

RESULTS

Fourteen consecutive patients, 15 breasts and 27 lesions were analysed. Compared to histology, prone MRI overestimated tumour size by 47.1% (p = 0.01) and supine MRI by 14.5% (p = 0.259). In supine MRI, lesions' mean diameters and areas were smaller compared to prone MRI (- 20.9%, p = 0.009 and - 38.3%, p = 0.016, respectively). This difference in diameter was more pronounced in non-mass lesions (- 31.2%, p = 0.031) compared to mass lesions (- 9.2%, p = 0.009). Tumours' mean distance from chest wall diminished by 69.4% (p < 0.001) and from nipple by 18.2% (p < 0.001). Free microscopic margins were achieved in first operation in all patients.

CONCLUSIONS

Supine MRI in the surgical position is feasible and useful in the precise localisation of prone MRI-detected lesions and provides a helpful tool to implement in surgery. Supine MRI more accurately determines tumours' size and location and might have an important role to diminish overestimations.

KEY POINTS

• Breath-hold supine breast MRI is feasible using commercially available coils and sequences. • Size and area of lesions on MRI were consistently smaller when measured from the supine position as compared to the prone position. • Supine breast MRI is useful in the precise preoperative localisation of prone MRI-detected lesions. •.

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Adam A, Robison J, Lu J, Jose R, Badran N, Vivas-Buitrago T, Rigamonti D, Sattar A, Omoush O, Hammad M, Dawood M, Maghaslah M, Belcher T, Carson K, Hoffberger J, Jusué Torres I, Foley S, Yasar S, Thai QA, Wemmer J, Klinge P, Al-Mutawa L, Al-Ghamdi H, Carson KA, Asgari M, de Zélicourt D, Kurtcuoglu V, Garnotel S, Salmon S, Balédent O, Lokossou A, Page G, Balardy L, Czosnyka Z, Payoux P, Schmidt EA, Zitoun M, Sevestre MA, Alperin N, Baudracco I, Craven C, Matloob S, Thompson S, Haylock Vize P, Thorne L, Watkins LD, Toma AK, Bechter K, Pong AC, Jugé L, Bilston LE, Cheng S, Bradley W, Hakim F, Ramón JF, Cárdenas MF, Davidson JS, García C, González D, Bermúdez S, Useche N, Mejía JA, Mayorga P, Cruz F, Martinez C, Matiz MC, Vallejo M, Ghotme K, Soto HA, Riveros D, Buitrago A, Mora M, Murcia L, Bermudez S, Cohen D, Dasgupta D, Curtis C, Domínguez L, Remolina AJ, Grijalba MA, Whitehouse KJ, Edwards RJ, Eleftheriou A, Lundin F, Fountas KN, Kapsalaki EZ, Smisson HF, Robinson JS, Fritsch MJ, Arouk W, Garzon M, Kang M, Sandhu K, Baghawatti D, Aquilina K, James G, Thompson D, Gehlen M, Schmid Daners M, Eklund A, Malm J, Gomez D, Guerra M, Jara M, Flores M, Vío K, Moreno I, Rodríguez S, Ortega E, Rodríguez EM, McAllister JP, Guerra MM, Morales DM, Sival D, Jimenez A, Limbrick DD, Ishikawa M, Yamada S, Yamamoto K, Junkkari A, Häyrinen A, Rauramaa T, Sintonen H, Nerg O, Koivisto AM, Roine RP, Viinamäki H, Soininen H, Luikku A, Jääskeläinen JE, Leinonen V, Kehler U, Lilja-Lund O, Kockum K, Larsson EM, Riklund K, Söderström L, Hellström P, Laurell K, Kojoukhova M, Sutela A, Vanninen R, Vanha KI, Timonen M, Rummukainen J, Korhonen V, Helisalmi S, Solje E, Remes AM, Huovinen J, Paananen J, Hiltunen M, Kurki M, Martin B, Loth F, Luciano M, Luikku AJ, Hall A, Herukka SK, Mattila J, Lötjönen J, Alafuzoff I, Jurjević I, Miyajima M, Nakajima M, Murai H, Shin T, Kawaguchi D, Akiba C, Ogino I, Karagiozov K, Arai H, Reis RC, Teixeira MJ, Valêncio CG, da Vigua D, Almeida-Lopes L, Mancini MW, Pinto FCG, Maykot RH, Calia G, Tornai J, Silvestre SSS, Mendes G, Sousa V, Bezerra B, Dutra P, Modesto P, Oliveira MF, Petitto CE, Pulhorn H, Chandran A, McMahon C, Rao AS, Jumaly M, Solomon D, Moghekar A, Relkin N, Hamilton M, Katzen H, Williams M, Bach T, Zuspan S, Holubkov R, Rigamonti A, Clemens G, Sharkey P, Sanyal A, Sankey E, Rigamonti K, Naqvi S, Hung A, Schmidt E, Ory-Magne F, Gantet P, Guenego A, Januel AC, Tall P, Fabre N, Mahieu L, Cognard C, Gray L, Buttner-Ennever JA, Takagi K, Onouchi K, Thompson SD, Thorne LD, Tully HM, Wenger TL, Kukull WA, Doherty D, Dobyns WB, Moran D, Vakili S, Patel MA, Elder B, Goodwin CR, Crawford JA, Pletnikov MV, Xu J, Blitz A, Herzka DA, Guerrero-Cazares H, Quiñones-Hinojosa A, Mori S, Saavedra P, Treviño H, Maitani K, Ziai WC, Eslami V, Nekoovaght-Tak S, Dlugash R, Yenokyan G, McBee N, Hanley DF. Abstracts from Hydrocephalus 2016. Fluids Barriers CNS 2017;14:15. [PMID: 28929972 PMCID: PMC5471936 DOI: 10.1186/s12987-017-0054-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open

Affiliation(s)

A Adam Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Johns Hopkins Biostatistics Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.,Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
J Robison Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
J Lu Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
R Jose Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
N Badran Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
T Vivas-Buitrago Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
D Rigamonti Johns Hopkins University, Baltimore, MD, USA.,Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.,Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA.,Johns Hopkins Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
A Sattar Johns Hopkins Aramco Healthcare, Ras Tanura, Saudi Arabia.,Primary Care, Johns Hopkins Aramco Healthcare, Ras Tanura, Saudi Arabia
O Omoush Johns Hopkins Aramco Healthcare, Ras Tanura, Saudi Arabia.,Primary Care, Johns Hopkins Aramco Healthcare, Ras Tanura, Saudi Arabia
M Hammad Johns Hopkins Aramco Healthcare, Ras Tanura, Saudi Arabia
M Dawood Johns Hopkins Aramco Healthcare, Ras Tanura, Saudi Arabia
M Maghaslah Johns Hopkins Aramco Healthcare, Ras Tanura, Saudi Arabia
T Belcher Johns Hopkins Aramco Healthcare, Ras Tanura, Saudi Arabia
K Carson Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
J Hoffberger Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
I Jusué Torres Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
S Foley Department of Neurosurgery, Rhode Island Hospital, Providence, RI, USA
S Yasar Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
Q A Thai Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
J Wemmer Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
P Klinge Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
L Al-Mutawa Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
H Al-Ghamdi Department of Neurosurgery, Rhode Island Hospital, Providence, RI, USA
K A Carson Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
M Asgari The Interface Group, Institute of PhysiologyUniversity of Zurich, Zurich, Switzerland
D de Zélicourt The Interface Group, Institute of PhysiologyUniversity of Zurich, Zurich, Switzerland
V Kurtcuoglu The Interface Group, Institute of PhysiologyUniversity of Zurich, Zurich, Switzerland.,Institute of Physiology, University of Zurich, Zurich, Switzerland.,Neuroscience Center Zurich and the Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland
S Garnotel BioFlowImage Laboratory, University of Picardie Jules Verne, Amiens, France.,Reims Mathematics Laboratory, University of Reims Champagne-Ardenne, Reims, France.,Image Processing Laboratory, University Hospital of Amiens-Picardie, Amiens, France.,BioFlowImage Laboratory, Department of Medical Image Processing, University Hospital of Picardie Jules Verne, Amiens, France
S Salmon Reims Mathematics Laboratory, University of Reims Champagne-Ardenne, Reims, France
O Balédent BioFlowImage Laboratory, University of Picardie Jules Verne, Amiens, France.,Image Processing Laboratory, University Hospital of Amiens-Picardie, Amiens, France.,BioFlowImage Laboratory, Department of Medical Image Processing, University Hospital of Picardie Jules Verne, Amiens, France
A Lokossou BioFlowImage Laboratory, Department of Medical Image Processing, University Hospital of Picardie Jules Verne, Amiens, France
G Page BioFlowImage Laboratory, Department of Medical Image Processing, University Hospital of Picardie Jules Verne, Amiens, France
L Balardy Department of Geriatric, University Hospital of Toulouse, Toulouse, France.,Departments of Geriatric, University Hospital of Toulouse, Toulouse, France.,Department of Geriatry, University Hospital Toulouse, Toulouse, France
Z Czosnyka Neurosciences department, University of Cambridge, Cambridge, UK.,Brain Physics Lab, Academic Neurosurgery, University of Cambridge, Cambridge, UK
P Payoux Department of Nuclear Medicine, University Hospital of Toulouse, Toulouse, France.,Department of Nuclear Medicine, University Hospital Toulouse, Toulouse, France.,INSER TONIC 1014, Toulouse Neuroimaging Center, Toulouse, France
E A Schmidt UMR 1214-INSERM/UPS-TONIC Toulouse Neuro-Imaging Center, Toulouse, France.,Department of Neurosurgery, University Hospital of Toulouse, Toulouse, France.,Department of Neurosurgery, University Hospital Toulouse, Toulouse, France
M Zitoun BioFlowImage, University Hospital of Picardie Jules Verne, Amiens, France
M A Sevestre BioFlowImage, University Hospital of Picardie Jules Verne, Amiens, France
N Alperin University of Miami Health System, Miami, FL, USA
I Baudracco Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
C Craven Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
S Matloob Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
S Thompson Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
P Haylock Vize Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
L Thorne Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
L D Watkins Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.,The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
A K Toma Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.,The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
Karl Bechter Department Psychiatry II/Bezirkskliniken, Ulm University, Günzburg, Germany
A C Pong Neuroscience Research Australia, Randwick, Australia.,School of Medical Sciences, University of New South Wales, Kensington, Australia
L Jugé Neuroscience Research Australia, Randwick, Australia.,School of Medical Sciences, University of New South Wales, Kensington, Australia
L E Bilston Neuroscience Research Australia, Randwick, Australia.,Prince of Wales Clinical School, University of New South Wales, Kensington, Australia
S Cheng Neuroscience Research Australia, Randwick, Australia.,Department of Engineering, Faculty of Science and Engineering, Macquarie University, Sydney, Australia
W Bradley Department of Radiology, University of California San Diego Health System, San Diego, CA, USA
F Hakim Department of Surgery, Section of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia.,Neurosurgery Department, Hospital Universitario, Fundación Santafe de Bogota, Bogota, Colombia
J F Ramón Department of Surgery, Section of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia.,Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.,Neurosurgery Department, Hospital Universitario, Fundación Santafe de Bogota, Bogota, Colombia
M F Cárdenas Department of Surgery, Section of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
J S Davidson Department of Surgery, Section of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
C García Department of Surgery, Section of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
D González Department of Surgery, Section of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
S Bermúdez Department of Diagnostic Imaging, Section of Neuroradiology, Fundación Santa Fe de Bogotá, Bogotá, Colombia
N Useche Department of Diagnostic Imaging, Section of Neuroradiology, Fundación Santa Fe de Bogotá, Bogotá, Colombia
J A Mejía Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
P Mayorga Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
F Cruz Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
C Martinez Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
M C Matiz Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
M Vallejo Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
K Ghotme Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
H A Soto Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
D Riveros Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
A Buitrago Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
M Mora Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
L Murcia Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
S Bermudez Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
D Cohen Grupo de Hidrocefalia con Presión Normal, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
D Dasgupta Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
C Curtis Department of Microbiology, University College London Hospital NHS Foundation Trust, London, UK
L Domínguez Neurosurgery Department, Cartagena University, Cartagena de Indias, Colombia
A J Remolina Neurosurgery Department, Cartagena University, Cartagena de Indias, Colombia
M A Grijalba Neurosurgery Department, Cartagena University, Cartagena de Indias, Colombia
K J Whitehouse Department of Paediatric Neurosurgery, Bristol Royal Hospital for Children, Bristol, UK
R J Edwards Department of Paediatric Neurosurgery, Bristol Royal Hospital for Children, Bristol, UK
A Eleftheriou Department of Neurology, University Hospital, Linköping, Sweden
F Lundin Division of Neuroscience, Department of Clinical and Experimental Medicine (IKE), Linköping University, Linköping, Sweden
K N Fountas Department of Neurosurgery, School of Medicine, University of Thessaly, Larisa, Greece
E Z Kapsalaki Department of Diagnostic Radiology, School of Medicine, University of Thessaly, Larisa, Greece
H F Smisson Department of Neurosurgery, Georgia Neurosurgical Institute, Macon, GA, USA
J S Robinson Department of Neurosurgery, Georgia Neurosurgical Institute, Macon, GA, USA
M J Fritsch Klinik für Neurochirurgie, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg, Germany
W Arouk Klinik für Neurochirurgie, Dietrich-Bonhoeffer-Klinikum, Neubrandenburg, Germany
M Garzon Great Ormond Street Hospital, London, UK
M Kang Great Ormond Street Hospital, London, UK
K Sandhu Great Ormond Street Hospital, London, UK
D Baghawatti Great Ormond Street Hospital, London, UK
K Aquilina Great Ormond Street Hospital, London, UK
G James Great Ormond Street Hospital, London, UK
D Thompson Great Ormond Street Hospital, London, UK
M Gehlen Department of Mechanical and Process Engineering, ETH Zurich, Zurich, Switzerland.,Institute of Physiology, University of Zurich, Zurich, Switzerland
M Schmid Daners Department of Mechanical and Process Engineering, ETH Zurich, Zurich, Switzerland
A Eklund Department of Radiation Sciences, Umeå University, Umeå, Sweden
J Malm Department of Pharmacology and Clinical Neuroscience, Umeå University, Umeå, Sweden
D Gomez Neurosurgery Department, Hospital Universitario, Fundación Santafe de Bogota, Bogota, Colombia
M Guerra Instituto de Anatomía, Histología y Patología, Facultad de Medicina, UACh, Valdivia, Chile
M Jara Instituto de Anatomía, Histología y Patología, Facultad de Medicina, UACh, Valdivia, Chile
M Flores Laboratorio de Polímeros, Facultad de Ciencias, UACh, Valdivia, Chile
K Vío Instituto de Anatomía, Histología y Patología, Facultad de Medicina, UACh, Valdivia, Chile
I Moreno Laboratorio de Polímeros, Facultad de Ciencias, UACh, Valdivia, Chile
S Rodríguez Instituto de Anatomía, Histología y Patología, Facultad de Medicina, UACh, Valdivia, Chile
E Ortega Instituto de Neurociencias Clínicas, Facultad de Medicina, UACh, Valdivia, Chile
E M Rodríguez Instituto de Anatomía, Histología y Patología, Facultad de Medicina, UACh, Valdivia, Chile.,Instituto de Histologia y Patologia, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
J P McAllister Department of Neurosurgery, St. Louis Children's Hospital, St. Louis, MO, USA
M M Guerra Instituto de Histologia y Patologia, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
D M Morales Department of Neurosurgery, St. Louis Children's Hospital, St. Louis, MO, USA
D Sival Department of Pediatrics Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
A Jimenez Departamento de Biología Celular, Genética y Fisiología Facultad de Ciencias, Universidad de Malaga, Malaga, Spain
D D Limbrick Department of Neurosurgery, St. Louis Children's Hospital, St. Louis, MO, USA.,Department of Pediatrics, St. Louis Children's Hospital, St. Louis, MO, USA
M Ishikawa Rakuwa Villa Ilios, Kyoto, Japan.,Normal Pressure Hydrocephalus Center, Otowa Hospital, Kyoto, Japan
S Yamada Normal Pressure Hydrocephalus Center, Otowa Hospital, Kyoto, Japan.,Department of Neurosurgery, Otowa Hospital, Kyoto, Japan
K Yamamoto Department of Neurosurgery, Otowa Hospital, Kyoto, Japan
A Junkkari Neurosurgery of NeuroCenter, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.,Neurosurgery of NeuroCenter, Kuopio University Hospital, Kuopio, Finland
A Häyrinen Neurosurgery of NeuroCenter, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland
T Rauramaa Department of Pathology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.,Department of Pathology, Kuopio University Hospital, Kuopio, Finland.,Institute of Clinical Medicine-Pathology, University of Eastern Finland, Kuopio, Finland
H Sintonen Department of Public Health, University of Helsinki, Helsinki, Finland
O Nerg Neurology of NeuroCenter, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland.,Neurology of NeuroCenter, Kuopio University Hospital, Kuopio, Finland.,Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland
A M Koivisto Neurology of NeuroCenter, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland.,Unit of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Neurology of NeuroCenter, Kuopio University Hospital, Kuopio, Finland.,Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland.,Department of Neurology, Kuopio University Hospital, Kuopio, Finland
R P Roine University of Eastern Finland, Kuopio Finland and Helsinki and Uusimaa Hospital DistrictGroup Administration, Helsinki, Finland
H Viinamäki Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland
H Soininen Department of Neurology, University of Eastern Finland, Kuopio, Finland.,Unit of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Neurology of NeuroCenter, Kuopio University Hospital, Kuopio, Finland.,Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland.,Department of Neurology, Kuopio University Hospital, Kuopio, Finland
A Luikku Neurology of NeuroCenter, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland
J E Jääskeläinen Neurosurgery of NeuroCenter, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.,Department of Neurosurgery, Kuopio University Hospital, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Neurosurgery of NeuroCenter, Kuopio University Hospital, Kuopio, Finland
V Leinonen Neurosurgery of NeuroCenter, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.,Department of Neurosurgery, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland.,Department of Neurosurgery, Kuopio University Hospital, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Neurosurgery of NeuroCenter, Kuopio University Hospital, Kuopio, Finland
U Kehler Neurosurgical Department, Asklepios Klinik Hamburg Altona, Hamburg, Germany
O Lilja-Lund Department of Pharmacology and Clinical Neuroscience, Unit of Neurology, Östersund, Umeå University, Umeå, Sweden
K Kockum Department of Pharmacology and Clinical Neuroscience, Unit of Neurology, Östersund, Umeå University, Umeå, Sweden
E M Larsson Department of Radiology, Uppsala University, Uppsala, Sweden
K Riklund Department of Radiation Sciences, Umeå University, Umeå, Sweden
L Söderström Department of Pharmacology and Clinical Neuroscience, Unit of Neurology, Östersund, Umeå University, Umeå, Sweden
P Hellström Hydrocephalus Research Unit, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
K Laurell Department of Pharmacology and Clinical Neuroscience, Unit of Neurology, Östersund, Umeå University, Umeå, Sweden
M Kojoukhova Neurosurgery of NeuroCenter, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.,Neurosurgery of NeuroCenter, Kuopio University Hospital, Kuopio, Finland.,Department of Radiology, Kuopio University Hospital, Kuopio, Finland
A Sutela Department of Radiology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.,Department of Radiology, Kuopio University Hospital, Kuopio, Finland
R Vanninen Department of Radiology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland
K I Vanha Neurosurgery of NeuroCenter, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland
M Timonen Neurosurgery of NeuroCenter, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland
J Rummukainen Department of Pathology, Kuopio University Hospital, Kuopio, Finland
V Korhonen Department of Neurosurgery, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland
S Helisalmi Unit of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland.,Department of Neurology, Kuopio University Hospital, Kuopio, Finland
E Solje Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland.,Department of Neurology, Kuopio University Hospital, Kuopio, Finland
A M Remes Unit of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Neurology of NeuroCenter, Kuopio University Hospital, Kuopio, Finland.,Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland.,Department of Neurology, Kuopio University Hospital, Kuopio, Finland
J Huovinen Department of Neurosurgery, Kuopio University Hospital, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland
J Paananen Unit of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Department of Neurology, Kuopio University Hospital, Kuopio, Finland.,Institute of Biomedicine, University of Eastern Finland, Kuopio, Finland
M Hiltunen Unit of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Neurology of NeuroCenter, Kuopio University Hospital, Kuopio, Finland.,Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland.,Department of Neurology, Kuopio University Hospital, Kuopio, Finland.,Institute of Biomedicine, University of Eastern Finland, Kuopio, Finland
M Kurki Department of Neurosurgery, Kuopio University Hospital, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Analytical and Translational Genetics Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.,Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.,Stanley Center for Psychiatric Research, Broad Institute for Harvard and MIT, Cambridge, MA, USA
B Martin Biological Engineering, University of Idaho, Moscow, ID, USA
F Loth Mechanical Engineering, University of Akron, Akron, Ohio, USA
M Luciano Neurosurgery, Johns Hopkins University, Baltimore, MA, USA.,Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, MD, USA
A J Luikku Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland.,Neurosurgery of NeuroCenter, Kuopio University Hospital, Kuopio, Finland
A Hall Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland
S K Herukka Neurology of NeuroCenter, Kuopio University Hospital, Kuopio, Finland.,Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland
J Mattila VTT Technical Research Centre of Finland, Tampere, Finland.,Combinostics Ltd, Tampere, Finland
J Lötjönen VTT Technical Research Centre of Finland, Tampere, Finland.,Combinostics Ltd, Tampere, Finland
I Alafuzoff Institute of Clinical Medicine-Neurology, University of Eastern Finland, Kuopio, Finland.,Rudbeck Laboratory, Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.,Department of Pathology and Cytology, Uppsala University Hospital, Uppsala, Sweden
I Jurjević Department of Neurosurgery, Graduate School of Medicine, Juntendo University, Tokyo, Japan.,Department of Pharmacology and Department of Neurology, University of Zagreb School of Medicine, Zagreb, Croatia
M Miyajima Department of Neurosurgery, Graduate School of Medicine, Juntendo University, Tokyo, Japan.,Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
M Nakajima Department of Neurosurgery, Graduate School of Medicine, Juntendo University, Tokyo, Japan.,Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
H Murai Department of Neurosurgery, Graduate School of Medicine, Chiba University, Chiba, Japan
T Shin Department of Neurosurgery, Graduate School of Medicine, Chiba University, Chiba, Japan
D Kawaguchi Department of Neurosurgery, Graduate School of Medicine, Chiba University, Chiba, Japan
C Akiba Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
I Ogino Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
K Karagiozov Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
H Arai Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
R C Reis Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
M J Teixeira Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
C G Valêncio Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
D da Vigua Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
L Almeida-Lopes Núcleo de Pesquisa e Ensino de Fototerapia nas Ciências da Saúde (NUPEN), São Carlos, Brazil
M W Mancini Núcleo de Pesquisa e Ensino de Fototerapia nas Ciências da Saúde (NUPEN), São Carlos, Brazil
F C G Pinto Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
R H Maykot Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
G Calia Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
J Tornai Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
S S S Silvestre Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
G Mendes Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
V Sousa Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
B Bezerra Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
P Dutra Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
P Modesto Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
M F Oliveira Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
C E Petitto Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
H Pulhorn Department of Neurosurgery, The Walton Centre, Liverpool, UK
A Chandran Department of Neuroradiology, The Walton Centre, Liverpool, UK
C McMahon Department of Neurosurgery, The Walton Centre, Liverpool, UK
A S Rao The Johns Hopkins Hospital, Baltimore, MD, USA
M Jumaly The Johns Hopkins Hospital, Baltimore, MD, USA
D Solomon The Johns Hopkins Hospital, Baltimore, MD, USA.,Neurology, Johns Hopkins Hospital, Baltimore, MD, USA.,Department of Neurology, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA
A Moghekar The Johns Hopkins Hospital, Baltimore, MD, USA
N Relkin Department of Neurology, Weill Cornell Medical College, New York, NY, USA
M Hamilton Department of Neurosurgery, University of Calgary, Alberta, Canada
H Katzen Department of Neurology, University of Miami, Miami, FL, USA
M Williams Department of Neurosurgery, Washington University, Seattle, WA, USA
T Bach Utah Data Collection Center (DCC), University of Utah, Salt Lake City, UT, USA
S Zuspan Utah Data Collection Center (DCC), University of Utah, Salt Lake City, UT, USA
R Holubkov Utah Data Collection Center (DCC), University of Utah, Salt Lake City, UT, USA
A Rigamonti Cornell University, Ithaca, NY, USA
G Clemens Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
P Sharkey School of Business, Loyola University Maryland, Baltimore, MD, USA
A Sanyal Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
E Sankey Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
K Rigamonti Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA
S Naqvi Primary Care, Johns Hopkins Aramco Healthcare, Abqaiq, Saudi Arabia
A Hung Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.,Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
E Schmidt Department of Neurosurgery, University Hospital Toulouse, Toulouse, France
F Ory-Magne Department of Neurology, University Hospital Toulouse, Toulouse, France.,INSER TONIC 1014, Toulouse Neuroimaging Center, Toulouse, France
P Gantet Department of Nuclear Medicine, University Hospital Toulouse, Toulouse, France
A Guenego Department of Neurosurgery, University Hospital Toulouse, Toulouse, France.,Department of Neuroradiology, University Hospital Toulouse, Toulouse, France
A C Januel Department of Neuroradiology, University Hospital Toulouse, Toulouse, France
P Tall Department of Neuroradiology, University Hospital Toulouse, Toulouse, France
N Fabre Department of Neurology, University Hospital Toulouse, Toulouse, France
L Mahieu Department of Ophtalmology, University Hospital Toulouse, Toulouse, France
C Cognard Department of Neuroradiology, University Hospital Toulouse, Toulouse, France
L Gray Department of Physiology, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
J A Buttner-Ennever Anatomy and Cell Biology, Ludwig-Maximilians-University, Munich, Germany
K Takagi Normal Pressure Hydrocephalus Center, Kashiwa-Tanaka Hospital, Kashiwa, Japan
K Onouchi Department of Neurology, Kashiwa-Tanaka Hospital, Kashiwa, Japan
S D Thompson The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
L D Thorne The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
H M Tully Department of Neurology, University of Washington, Seattle, WA, USA
T L Wenger Department of Pediatrics, University of Washington, Seattle, WA, USA
W A Kukull Department of Epidemiology, University of Washington, Seattle, WA, USA
D Doherty Department of Pediatrics, University of Washington, Seattle, WA, USA
W B Dobyns Department of Pediatrics, University of Washington, Seattle, WA, USA
D Moran Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
S Vakili Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
M A Patel Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
B Elder Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
C R Goodwin Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
J A Crawford Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
M V Pletnikov Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
J Xu F. M. Kirby Research Center for Functional Brain Imaging at the Kennedy Krieger Institute, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
A Blitz Department of Radiology and Radiological Science, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
D A Herzka Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA
H Guerrero-Cazares Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
A Quiñones-Hinojosa Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA.,Department of Oncology, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
S Mori Department of Radiology-Magnetic Resonance Research, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
P Saavedra Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
H Treviño Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA
K Maitani Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA.,Tohoku University School of Medicine, Sendai, Japan
W C Ziai Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
V Eslami Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
S Nekoovaght-Tak Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
R Dlugash Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
G Yenokyan Department of Biostatistics, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
N McBee Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
D F Hanley Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

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Masarwah A, Sudah M, Sutela A, Päivi A, Ritva V. Abstract P5-08-41: Prognostic contribution of mammographic breast density and HER-2 overexpression to the Nottingham prognostic index in patients with invasive breast cancer. Cancer Res 2016. [DOI: 10.1158/1538-7445.sabcs15-p5-08-41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]

Abstract Abstract Purpose: To examine the associations between very low mammographic breast density (VLD), HER2, ER and PR status in a more homogenized patient group within matched NPI categories. We also aimed to investigate whether those variables could be added to the NPI to enhance its prognostic and predictive values and better categorize which patients are at higher risk. Materials and methods: A total of 270 patients with invasive breast cancer were included in the final analysis. Patients with mammographic breast density of <10% were considered as VLD. We compared the performance of NPI with and without ER, PR , VLD and/or HER2. Factors first underwent univariate and then multivariate analysis to assess the factors combined until the best fit was obtained. Cox multivariate analysis, time-dependent receiver operating characteristic curve (tdROC), concordance index (c-index) and prediction error (i.e. 0.632+ bootstrap estimator) were used to derive an updated version of NPI. Patients' survival was assessed by the Kaplan-Meier method using a log rank (Mantel-Cox) test. Results: The average NPI value was 4.66 (range 2.12-7.40), the percentage of HER2 positive patients progressively increased from the low to the high prognostic groups of NPI (p<0.001). While MBD, ER and PR status showed no such difference in distribution. Patients showed survival differences in the intermediate and high risk groups of NPI according to VLD and HER2 status (p<0.001 and p=0.02, respectively). Outcome analysis showed that the addition of both factors combined provides improved patient outcome stratification superior to the traditional NPI helping to significantly decrease the percentage of patients in the intermediate patient groups. Conclusion: VLD breasts and HER2 positivity are prognostic factors for breast cancer independent of the NPI. Moreover, their addition to the NPI helps increase its prognostic accuracy and reduces the percentage of patients in the intermediate prognostic group. Citation Format: Masarwah A, Sudah M, Sutela A, Päivi A, Ritva V. Prognostic contribution of mammographic breast density and HER-2 overexpression to the Nottingham prognostic index in patients with invasive breast cancer. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P5-08-41. Collapse

Arponen O, Sudah M, Masarwah A, Sutela A, Vanninen R. Abstract P4-02-14: Incidentally detected enhancing lesions found on preoperative breast MRI: Analysis of T2 signal intensity and apparent diffusion coefficient significantly improve classification. Cancer Res 2016. [DOI: 10.1158/1538-7445.sabcs15-p4-02-14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]

Abstract Abstract Purpose and Background− Reportedly, magnetic resonance imaging (MRI) detects mammographically and sonographically (US) occult incidental lesions in 10-29% of patients with a malignant primary breast lesion. We evaluated diagnostic performance of the BI-RADS reporting system and utility of T2- and diffusion weighted imaging (DWI) for MRI detected additional lesions. Methods− This prospective study protocol included 3.0T structural breast MRI with T2-weighted imaging and DWI performed according to EUSOMA guidelines in 112 consecutive patients with primary breast lesions (mean age 57.0±12.7 years, range 38-80 years). Breast lesions with one or more suspective feature according to the BI-RADS lexigon were biopsied. T2 signal intensity (SI) and DWI findings were assessed. Results− Altogether 33 (29.5%) patients had 36 primarily MRI detected incidental additional lesions. In addition, 36 sographically or mammographically detected lesions were histopathologically confirmed and a total of 8 lesions were followed up. Of incidental lesions, 16 (44.4%) proved to be malignant. Mean size was 0.82±0.29 cm (range 0.5 cm to 1.5 cm) and 1.5±1.61 cm (range 0.5 cm to 5.0 cm) for 29 mass lesions and 7 NMLE lesions, respectively. In mass lesions, traditional morphological or kinetic features were not correlated to malignancy except for fast initial enhancement (P=0.003). The BI-RADS classification produced 100% sensitivity, 40% specificity, 53.3% PPV, 100% NPV and 51.7% overall accuracy. Both the low T2 SI (P=0.05) and low ADC values (P<0.001) significantly correlated with malignancy yeilding improved 86.7%/90.5% specificity and 65.0%/90.5% negative predictive value, respectively (McNemar's test, P<0.01). Combining low T2 SI, ADC values or morphologic or kinetic features did not improve the results. Conclusion− A single suspective morphologic or kinetic MRI feature is the most sensitive parameter to discover an incidental breast malignancy, as some incidental lesions present with only a few suspicious MRI feature. Specificity of MRI is improved when T2 SI or DWI are addressed. Citation Format: Arponen O, Sudah M, Masarwah A, Sutela A, Vanninen R. Incidentally detected enhancing lesions found on preoperative breast MRI: Analysis of T2 signal intensity and apparent diffusion coefficient significantly improve classification. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P4-02-14. Collapse

Rednam S, Scheurer M, Adesina A, Lau C, Okcu M, Deatrick J, Ogle S, Fisher M, Barakat L, Hardie T, Li Y, Ginsberg J, Ben-Arush M, Krivoy E, Rosenkranz R, Peretz-Nahum M, Brown RJ, Love J, Warburton D, McBride WH, Bluml S, Mueller S, Sear K, Hills N, Chettout N, Afghani S, Lew L, Tolentino E, Haas-Kogan D, Fullerton H, Reddick W, Palmer S, Glass J, Li Y, Ogg R, Gajjar A, Omar A, Perkins S, Shinohara E, Spoljaric D, Isenberg J, Whittington M, Hauff M, King A, Litzelman K, Barker E, Catrine K, Puccetti D, Possin P, Witt W, Mallucci C, Kumar R, Pizer B, Williams D, Pettorini B, Piscione J, Bouffet E, Shams I, Kulkarni A, Remes T, Harila-Saari A, Suo-Palosaari M, Arikoski P, Riikonen P, Sutela A, Koskenkorva P, Ojaniemi M, Rantala H, Campen CJ, Ashby D, Fisher PG, Monje M, Kulkarni AV, Piscione J, Shams I, Bouffet E, Nakamura H, Makino K, Yano S, Kuratsu JI, Jadrijevic-Cvrlje F, Batinica M, Toledano H, Hoffman T, Ezer-Cohen Y, Michowiz S, Yaniv I, Cohen IJ, Adler I, Mindel S, Gopalakrishnamoorthy M, Saunders D, Gaze M, Spoudeas H, Kieffer V, Dellatolas G, Chevignard M, Puget S, Dhermain F, Grill J, Dufour C, Muir R, Hunter A, Latchman A, de Camargo O, Scheinemann K, Dhir N, Zaky W, Zomorodian T, Wong K, Dhall G, Macy M, Lauro C, Zeitler P, Foreman N, Liu A, Chocholous M, Dodier P, Peyrl A, Dieckmann K, Hausler G, Slavc I, Avula S, Kumar R, Mallucci C, Pettorini B, Garlick D, Pizer B, Armstrong G, Kawashima T, Leisenring W, Stovall M, Sklar C, Robison L, Samaan C, Duckworth J, Scheinemann K, Greenberg-Kushnir N, Freedman S, Eshel R, Zverling N, Elhasid R, Dvir R, Yalon M, Kulkarni AV, Constantini S, Wilne S, Liu JF, Trusler J, Lundsell S, Kennedy C, Clough L, Dickson N, Lakhanpaul M, Baker M, Dudley J, Grundy R, Walker D, von Hoff K, Herzog N, Ottensmeier H, Grabow D, Gerber NU, Friedrich C, von Bueren AO, Resch A, Kortmann RD, Kaatsch P, Doerr HG, Rutkowski S, del Bufalo F, Mastronuzzi A, Serra A, de Sio L, Locatelli F, Biassoni V, Leonardi M, Ajovalasit D, Riva D, Vago C, Usilla A, Fidani P, Serra A, Schiavello E, Gariboldi F, Massimino M, Lober R, Perrault S, Partap S, Edwards M, Fisher P, Yeom K, Salgado D, Nunes S, Vinhais S, Salgado D, Nunes S, Vinhais S, Wells EM, Seidel K, Ullrich NJ, Leisenring W, Armstrong G, Diller L, King A, Krull KR, Neglia J, Robison LL, Stovall M, Whelan K, Sklar C, Russell CE, Bouffet E, Brownstone D, Kaise C, Kennedy C, Bull K, Culliford D, Chevignard M, Spoudeas H, Calaminus G, Bertin D, Vallero S, Romano E, Basso ME, Biasin E, Fagioli F, Ziara K, L'Hotta A, Williams A, Thede R, Moore K, James A, King A, Bjorn E, Franzen P, Haag A, Lax AK, Moreno I, Scheinemann K, Obeid J, Timmons BW, Iwata W, Wagner S, Lai JS, Waddell K, VanLeeuwen S, Newmark M, Noonan J, O'Connell K, Urban M, Yount S, Goldman S, Piscione J, Igoe D, Cunningham T, Orfus M, Bouffet E, Mabbott D, Liptak C, Manley P, Recklitis C, Zhang P, Shaikh F, Narang I, Bouffet E, Matsumoto K, Yamasaki K, Okada K, Fujisaki H, Osugi Y, Hara J, Phipps K, Gumley D, Jacques T, Hargrave D, Saunders D, Michalski A, Manley P, Chordas C, Chi S, Robison N, Bandopadhayay P, Marcus K, Zimmerman MA, Goumnerova L, Kieran M, Brand S, Brinkman T, Chordas C, Delaney B, Diver T, Rey C, Manley P, Liptak C, Madden JR, Hemenway MS, Dorneman L, Stiller D, Liu AK, Foreman NK, Vibhakar R, Mitchell M, Hemenway M, Foreman N, Madden J, Reddick W, Glass J, Li Y, Ogg R, Gajjar A, Ryan M, O'Kane R, Picton S, Kenny T, Stiller C, Chumas P, Bendel A, Patterson R, Barrera M, Schulte F, Bartels U, Janzen L, Johnston D, Cataudella D, Chung J, Sung L, Hancock K, Hukin J, Zelcer S, Brandon S, Montour-Proulx I, Strother D, Cooksey R, Bowers D, Gargan L, Gode A, Klesse L, Oden J, Vega G, Sala F, Nuzzi D, Mulino M, Masotto B, Mazza C, Bricolo A, Gerosa M, Tong M, Bouffet E, Laughlin S, Mackie S, Taylor L, Sharpe G, Al-Salihi O, Nicolin G. QUALITY OF LIFE/AFTERCARE. Neuro Oncol 2012;14:i125-i139. [PMCID: PMC3483352 DOI: 10.1093/neuonc/nos106] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2023] Open

Leinonen V, Koivisto AM, Savolainen S, Rummukainen J, Sutela A, Vanninen R, Jääskeläinen JE, Soininen H, Alafuzoff I. Post-mortem findings in 10 patients with presumed normal-pressure hydrocephalus and review of the literature. Neuropathol Appl Neurobiol 2012;38:72-86. [PMID: 21696417 DOI: 10.1111/j.1365-2990.2011.01195.x] [Citation(s) in RCA: 69] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]

Pesonen A, Kauppila T, Tarkkila P, Sutela A, Niinistö L, Rosenberg PH. Evaluation of easily applicable pain measurement tools for the assessment of pain in demented patients. Acta Anaesthesiol Scand 2009;53:657-64. [PMID: 19419361 DOI: 10.1111/j.1399-6576.2009.01942.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]

Kauppila T, Vuorilehto M, Sutela A, Nieminen A. 206 ANXIETY, DEPRESSION AND ALCOHOL ABUSE IN PATIENTS OF GENERAL PRACTITIONERS AND GP-BASED PAIN RESOURCE. Eur J Pain 2007. [DOI: 10.1016/j.ejpain.2007.03.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]