title: [Evaluation of suspicious nipple discharge with MRI: review of 50 cases].
abstract: OBJECTIVE
  To determine the role of MRI in the evaluation and management of patients with suspicious nipple discharge and normal mammographic and US evaluation.
  
  
  METHODS
  A total of 50 patients with suspicious nipple discharge and normal mammographic and US evaluation prospectively underwent MRI. The first 16 patients underwent routine breast MRI, while MR-ductography with image fusion at the console was added for the last 34 patients.
  
  
  RESULTS
  In 22 of 25 high-risk and malignant lesions, MRI showed enhancement whereas it was normal in three cases. In 25 benign cases (resolution of discharge/benign non-proliferative breast disease), MRI was negative in 22 cases and falsely positive in three cases.
  
  
  CONCLUSIONS
  In this clinical setting, MRI shows excellent sensitivity, PPV and NPV. A negative result on MRI would support clinical follow-up as opposed to surgery.
authors.affiliation: Institut Bergonié, 229 cours de l'Argonne, Bordeaux, France.
authors.forename: M
authors.initials: M
authors.lastname: Boisserie-Lacroix
authors.forename: C
authors.initials: C
authors.lastname: Adenet
authors.forename: H
authors.initials: H
authors.lastname: Trillaud
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D001826:Body Fluids; D001941:Breast Diseases / Q000175:diagnosis; D003663:Decision Trees; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009558:Nipples; D011446:Prospective Studies; D055815:Young Adult