Veronica Wright, William Hirschfeld, Erika Walker, Ezra Klein, Kevin White, Jessica Bunin
Implementation of a "Health Equity Rounds" Curriculum in a Military Internal Medicine Residency Program: A Pilot Study
Military medicine
breast ultrasound us useful tool diagnosing breast masses entail falsepositive biopsy results overlapping features benign malignant breast masses subjective interpretation evaluate performance conductivity imaging reducing falsepositive biopsy results related breast us compared diffusionweighted imaging dwi abbreviated mri consisting one pre one postcontrast t1weighted imaging prospective seventynine women median age 44 years 86 breast imaging reporting data system birads category 4 masses detected breast us 3t t2weighted turbo spin echo sequence dwi abbreviated contrastenhanced mri t1weighted gradient echo sequence usguided biopsy reference standard obtained day mri maximum mean conductivity parameters whole single regions interest rois measured apparent diffusion coefficient adc values obtained area lowest signal within lesion adc map performance conductivity adc abbreviated mri reducing falsepositive biopsies evaluated using following criteria lowest conductivity highest adc values among malignant breast lesions birads categories 2 3 abbreviated mri one conductivity parameter maximum area curve auc receiver operating characteristics selected pvalue 005 considered statistically significant usguided biopsy revealed 65 benign lesions 21 malignant lesions mean conductivity parameter single roi method selected auc 074 considering conductivity 010 sm adc 160 103 mm2 sec birads categories 2 3 reduced falsepositive biopsies 23 15 65 38 25 65 43 28 65 respectively without missing malignant lesions conductivity imaging may show lower performance dwi abbreviated mri reducing unnecessary biopsies 2 technical efficacy stage 2