title: 3-5 BI-RADs Microcalcifications: Correlation between MRI and Histological Findings.
abstract: Purpose. To evaluate the correlation between MRI and histopathological findings in patients with mammographically detected 3-5 BI-RAD (Breast Imaging Reporting And Data Systems) microcalcifications and to allow a better surgical planning.  Materials and Method. 62 female Patients (age 50 ± 12) with screening detected 3-5 BI-RAD microcalcifications underwent dynamic 3 T contrast-enhanced breast MRI. After 30-day (range 24-36 days) period, 55 Patients underwent biopsy using stereotactic vacuum-assisted biopsy (VAB), 5 Patients underwent stereotactic mammographically guided biopsy, and 2 Patients underwent MRI-guided VAB. Results. Microhistology examination demonstrated 36 malignant lesions and 26 benign lesions. The analysis of MRI findings identified 8 cases of MRI BI-RADS 5, 23 cases of MRI BI-RADS 4, 11 cases of MRI BI-RADS 3, 4 cases type A and 7 cases type B, and 20 cases of MRI BI-RADS 1-2. MRI sensitivity, specificity, positive predictive value, and negative predictive value were 88.8%, 76.9%, 84.2%, and 83.3%, respectively.
authors.affiliation: Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, University of Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Fiaschetti
authors.forename: Chiara Adriana
authors.initials: CA
authors.lastname: Pistolese
authors.forename: Tommaso
authors.initials: T
authors.lastname: Perretta
authors.forename: Elsa
authors.initials: E
authors.lastname: Cossu
authors.forename: Chiara
authors.initials: C
authors.lastname: Arganini
authors.forename: Claudia
authors.initials: C
authors.lastname: Salimbeni
authors.forename: Angela Lia
authors.initials: AL
authors.lastname: Scarano
authors.forename: Silvia
authors.initials: S
authors.lastname: Arduini
authors.forename: Giovanni
authors.initials: G
authors.lastname: Simonetti
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