Abstract

The aim of the study is to determine the best diagnostic modality for symptomatic breast lesions based on triple assessment. FNAC was performed according to our standard protocol for symptomatic patients, which does not include image guidance. The results of the clinical examination were graded as P1, normal; P2, benign; P3, probably benign; P4, probably malignant; and P5, malignant. A classification of P4/5 was taken as positive for the diagnosis of malignancy. Ultrasound was performed by specialist breast radiologists. DCE-MRI of the breast was then arranged. Results: Mean age of 43 years (range 15 to 78 years) were recruited, Triple assessment MRI and FNAC all have specificity of 100% .specificity of USG and physical examination is 94% and 92.3% respectively. MRI proved to be most sensitive modality with 95 % sensitivity, (physical examination 91%, USG 92%, FNAC 86% and Triple assessment 87%) Conclusion: With the aim of improving the accuracy of triple assessment, MRI can provide valuable information and with improvements in technology (dynamic contrast fast sequence MRI) can further enhance specificity. Contrast-enhanced dynamic magnetic resonance imaging of the breast is as sensitive and more specific than the combined traditional triple assessment for the diagnosis of malignant breast lesions.

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