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Background parenchymal enhancement on breast MRI: Influence of menstrual cycle and breast composition

Purpose To evaluate the menstrual cycle and breast composition influence on background parenchymal enhancement of breast magnetic resonance imaging (MRI) and to investigate the optimal time for breast MR examinations. Materials and Methods We evaluated the dynamic contrast‐enhanced breast MR images...

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Published in:Journal of magnetic resonance imaging 2014-03, Vol.39 (3), p.526-534
Main Authors: Kang, Seok Seon, Ko, Eun Young, Han, Boo-Kyung, Shin, Jung Hee, Hahn, Soo Yeon, Ko, Eun Sook
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Language:English
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cited_by cdi_FETCH-LOGICAL-c4615-46ccc03ecbbd095f10db97b0c37095e6c09521bf23d0da3ba94f84e139ac2dd63
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container_title Journal of magnetic resonance imaging
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creator Kang, Seok Seon
Ko, Eun Young
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description Purpose To evaluate the menstrual cycle and breast composition influence on background parenchymal enhancement of breast magnetic resonance imaging (MRI) and to investigate the optimal time for breast MR examinations. Materials and Methods We evaluated the dynamic contrast‐enhanced breast MR images of 238 women who had completed a questionnaire survey about menstrual status. On MRI, the degree of enhancement (DE) of normal parenchyma was measured in the images 2 minutes and 6 minutes after contrast injection. A comparison between premenopausal and postmenopausal women and a separate comparison between dense breasts and fatty breasts were analyzed according to the premenopausal women's menstrual cycle. Results Premenopausal women showed significantly higher DE than the postmenopausal women (P 
doi_str_mv 10.1002/jmri.24185
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Materials and Methods We evaluated the dynamic contrast‐enhanced breast MR images of 238 women who had completed a questionnaire survey about menstrual status. On MRI, the degree of enhancement (DE) of normal parenchyma was measured in the images 2 minutes and 6 minutes after contrast injection. A comparison between premenopausal and postmenopausal women and a separate comparison between dense breasts and fatty breasts were analyzed according to the premenopausal women's menstrual cycle. Results Premenopausal women showed significantly higher DE than the postmenopausal women (P &lt; 0.001). In premenopausal women, overall DE of fatty breasts and dense breasts was not different. However, fatty breasts showed the highest DE in the 4th week and lowest DE in the 2nd week, while dense breasts showed the highest DE in the 3rd week and the lowest DE in the 4th week of menstrual cycle. Conclusion The influence of menstrual cycle on the enhancement of breast parenchyma is different according to the breast composition. The optimal time for breast MRI could be different for dense and fatty breasts.J. Magn. Reson. Imaging 2014;39:526–534. © 2013 Wiley Periodicals, Inc.</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.24185</identifier><identifier>PMID: 23633296</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Age Factors ; breast ; Breast - anatomy &amp; histology ; Breast - physiology ; Cohort Studies ; Contrast Media ; Female ; Humans ; Image Interpretation, Computer-Assisted ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; menstrual cycle ; Menstrual Cycle - physiology ; Middle Aged ; parenchymal enhancement ; Postmenopause ; Premenopause ; Prospective Studies ; Sensitivity and Specificity ; Statistics, Nonparametric ; Young Adult</subject><ispartof>Journal of magnetic resonance imaging, 2014-03, Vol.39 (3), p.526-534</ispartof><rights>Copyright © 2013 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4615-46ccc03ecbbd095f10db97b0c37095e6c09521bf23d0da3ba94f84e139ac2dd63</citedby><cites>FETCH-LOGICAL-c4615-46ccc03ecbbd095f10db97b0c37095e6c09521bf23d0da3ba94f84e139ac2dd63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23633296$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kang, Seok Seon</creatorcontrib><creatorcontrib>Ko, Eun Young</creatorcontrib><creatorcontrib>Han, Boo-Kyung</creatorcontrib><creatorcontrib>Shin, Jung Hee</creatorcontrib><creatorcontrib>Hahn, Soo Yeon</creatorcontrib><creatorcontrib>Ko, Eun Sook</creatorcontrib><title>Background parenchymal enhancement on breast MRI: Influence of menstrual cycle and breast composition</title><title>Journal of magnetic resonance imaging</title><addtitle>J. Magn. Reson. Imaging</addtitle><description>Purpose To evaluate the menstrual cycle and breast composition influence on background parenchymal enhancement of breast magnetic resonance imaging (MRI) and to investigate the optimal time for breast MR examinations. Materials and Methods We evaluated the dynamic contrast‐enhanced breast MR images of 238 women who had completed a questionnaire survey about menstrual status. On MRI, the degree of enhancement (DE) of normal parenchyma was measured in the images 2 minutes and 6 minutes after contrast injection. A comparison between premenopausal and postmenopausal women and a separate comparison between dense breasts and fatty breasts were analyzed according to the premenopausal women's menstrual cycle. Results Premenopausal women showed significantly higher DE than the postmenopausal women (P &lt; 0.001). In premenopausal women, overall DE of fatty breasts and dense breasts was not different. However, fatty breasts showed the highest DE in the 4th week and lowest DE in the 2nd week, while dense breasts showed the highest DE in the 3rd week and the lowest DE in the 4th week of menstrual cycle. Conclusion The influence of menstrual cycle on the enhancement of breast parenchyma is different according to the breast composition. The optimal time for breast MRI could be different for dense and fatty breasts.J. Magn. Reson. Imaging 2014;39:526–534. © 2013 Wiley Periodicals, Inc.</description><subject>Adult</subject><subject>Age Factors</subject><subject>breast</subject><subject>Breast - anatomy &amp; histology</subject><subject>Breast - physiology</subject><subject>Cohort Studies</subject><subject>Contrast Media</subject><subject>Female</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>menstrual cycle</subject><subject>Menstrual Cycle - physiology</subject><subject>Middle Aged</subject><subject>parenchymal enhancement</subject><subject>Postmenopause</subject><subject>Premenopause</subject><subject>Prospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Statistics, Nonparametric</subject><subject>Young Adult</subject><issn>1053-1807</issn><issn>1522-2586</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp90ElP3DAYBmCrKirrpT-gstQLQgp4iZ24N0Asg1gEourRcpwvJUNiD3YimH-Phxk4cODgTXq-V9aL0E9K9ikh7GDah3af5bQU39AGFYxlTJTye7oTwTNakmIdbcY4JYQolYsfaJ1xyTlTcgPBkbGP_4MfXY1nJoCzD_PedBjcg3EWenAD9g5XAUwc8NXd5A-euKYbEwTsG5xAHMKYJuzcdoBNyllh6_uZj-3QereN1hrTRdhZnVvo7-nJ_fF5dnlzNjk-vMxsLqnIcmmtJRxsVdVEiYaSulJFRSwv0hOkTTujVcN4TWrDK6PypsyBcmUsq2vJt9DuMncW_NMIcdB9Gy10nXHgx6hprlRaRKhEf3-iUz8Gl363UCUtadqS2lsqG3yMARo9C21vwlxTohfl60X5-q38hH-tIseqh_qDvredAF2C57aD-RdR-iI1_R6aLWfaOMDLx4wJj1oWvBD63_WZvhWSXt3lTJ_yV7_Unsw</recordid><startdate>201403</startdate><enddate>201403</enddate><creator>Kang, Seok Seon</creator><creator>Ko, Eun Young</creator><creator>Han, Boo-Kyung</creator><creator>Shin, Jung Hee</creator><creator>Hahn, Soo Yeon</creator><creator>Ko, Eun Sook</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201403</creationdate><title>Background parenchymal enhancement on breast MRI: Influence of menstrual cycle and breast composition</title><author>Kang, Seok Seon ; Ko, Eun Young ; Han, Boo-Kyung ; Shin, Jung Hee ; Hahn, Soo Yeon ; Ko, Eun Sook</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4615-46ccc03ecbbd095f10db97b0c37095e6c09521bf23d0da3ba94f84e139ac2dd63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>breast</topic><topic>Breast - anatomy &amp; histology</topic><topic>Breast - physiology</topic><topic>Cohort Studies</topic><topic>Contrast Media</topic><topic>Female</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>menstrual cycle</topic><topic>Menstrual Cycle - physiology</topic><topic>Middle Aged</topic><topic>parenchymal enhancement</topic><topic>Postmenopause</topic><topic>Premenopause</topic><topic>Prospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Statistics, Nonparametric</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kang, Seok Seon</creatorcontrib><creatorcontrib>Ko, Eun Young</creatorcontrib><creatorcontrib>Han, Boo-Kyung</creatorcontrib><creatorcontrib>Shin, Jung Hee</creatorcontrib><creatorcontrib>Hahn, Soo Yeon</creatorcontrib><creatorcontrib>Ko, Eun Sook</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kang, Seok Seon</au><au>Ko, Eun Young</au><au>Han, Boo-Kyung</au><au>Shin, Jung Hee</au><au>Hahn, Soo Yeon</au><au>Ko, Eun Sook</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Background parenchymal enhancement on breast MRI: Influence of menstrual cycle and breast composition</atitle><jtitle>Journal of magnetic resonance imaging</jtitle><addtitle>J. Magn. Reson. Imaging</addtitle><date>2014-03</date><risdate>2014</risdate><volume>39</volume><issue>3</issue><spage>526</spage><epage>534</epage><pages>526-534</pages><issn>1053-1807</issn><eissn>1522-2586</eissn><abstract>Purpose To evaluate the menstrual cycle and breast composition influence on background parenchymal enhancement of breast magnetic resonance imaging (MRI) and to investigate the optimal time for breast MR examinations. Materials and Methods We evaluated the dynamic contrast‐enhanced breast MR images of 238 women who had completed a questionnaire survey about menstrual status. On MRI, the degree of enhancement (DE) of normal parenchyma was measured in the images 2 minutes and 6 minutes after contrast injection. A comparison between premenopausal and postmenopausal women and a separate comparison between dense breasts and fatty breasts were analyzed according to the premenopausal women's menstrual cycle. Results Premenopausal women showed significantly higher DE than the postmenopausal women (P &lt; 0.001). In premenopausal women, overall DE of fatty breasts and dense breasts was not different. However, fatty breasts showed the highest DE in the 4th week and lowest DE in the 2nd week, while dense breasts showed the highest DE in the 3rd week and the lowest DE in the 4th week of menstrual cycle. Conclusion The influence of menstrual cycle on the enhancement of breast parenchyma is different according to the breast composition. The optimal time for breast MRI could be different for dense and fatty breasts.J. Magn. Reson. Imaging 2014;39:526–534. © 2013 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23633296</pmid><doi>10.1002/jmri.24185</doi><tpages>9</tpages></addata></record>
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subjects Adult
Age Factors
breast
Breast - anatomy & histology
Breast - physiology
Cohort Studies
Contrast Media
Female
Humans
Image Interpretation, Computer-Assisted
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
menstrual cycle
Menstrual Cycle - physiology
Middle Aged
parenchymal enhancement
Postmenopause
Premenopause
Prospective Studies
Sensitivity and Specificity
Statistics, Nonparametric
Young Adult
title Background parenchymal enhancement on breast MRI: Influence of menstrual cycle and breast composition
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