Reliability of Kaiser Score in Assessing Additional Breast Lesions Identified on Staging MRI in Patients with Breast Cancer
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. MRI Protocol
2.3. Data Collection
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Additional Lesion | |||
---|---|---|---|
Kaiser Score | Benign | Cancer | Total |
1 | 9 | 1 | 10 |
2 | 5 | 0 | 5 |
3 | 12 | 1 | 13 |
4 | 8 | 0 | 8 |
5 | 8 | 1 | 9 |
6 | 17 | 4 | 21 |
7 | 6 | 6 | 12 |
8 | 4 | 2 | 6 |
9 | 4 | 4 | 8 |
10 | 0 | 0 | 0 |
11 | 0 | 0 | 0 |
Total | 73 | 19 | 92 |
Lesion 1 | Lesion 2 | |
---|---|---|
Kaiser score | 1 | 3 |
Pathology | DCIS | Invasive Tubular Carcinoma and DCIS |
MRI type | Non-mass | Non-mass |
MR shape | Linear | Clumped |
Location with respect to the index cancer | Ipsilateral different quadrant | Ipsilateral different quadrant |
Main suspicious feature | Additional unique enhancing lesion | Faint but asymmetrical enhancement compared to the contralateral side |
Benign Lesion n (Percentage) | Cancer n (Percentage) | p Value * | OR | 95% C.I. for EXP(B) | |
---|---|---|---|---|---|
Kaiser score 1–4 | 34 (94.4%) | 2 (5.6%) | 0.004 | 7.410 | 1.5963–34.415 |
Kaiser score 5 and above | 39 (69.6%) | 17 (30.4%) |
Kaiser Score | |||
---|---|---|---|
Score 1–4 | Score 5 and above | p Value | |
Index cancer | |||
Pathology | 0.221 | ||
DCIS | 13 (52%) | 12 (48%) | |
IDC | 16 (34%) | 31 (66%) | |
ILC | 1 (20%) | 4 (80%) | |
Additional lesion | |||
Size (mean in mm) | 12.6 | 16.8 | 0.167 |
Location | |||
Ipsilateral same quadrant | 0.957 | ||
no | 31 (39.2%) | 48 (60.8%) | |
yes | 5 (38.5%) | 8 (61.5%) | |
Ipsilateral different quadrant | 0.081 | ||
no | 27 (45.8%) | 32 (54.2%) | |
yes | 9 (27.3%) | 24 (72.7%) | |
Contralateral | 0.087 | ||
no | 14 (30.4%) | 32 (69.6%) | |
yes | 22 (47.8%) | 24 (52.2%) | |
Imaging appearance | |||
Type | 0.764 | ||
NME | 24 (38.1%) | 39 (61.9%) | |
Mass | 12 (41.4%) | 17 (58.6%) | |
Enhancement type | 0.207 | ||
clumped | 18 (42.9%) | 24 (57.1%) | |
heterogeneous | 0 (0%) | 4 (100%) | |
homogeneous | 11 (50%) | 11 (50%) | |
rim | 0 (0%) | 1 (100%) | |
linear | 5 (25%) | 15 (75%) | |
Initial enhancement | 0.877 | ||
Slow | 9 (36%) | 16 (64%) | |
Medium | 4 (36.4%) | 7 (63.6%) | |
Rapid | 22 (41.5%) | 31 (58.5%) | |
Delayed enhancement | 0.601 | ||
Persistent | 18 (45%) | 22 (55%) | |
Plateau | 8 (33.3%) | 16 (66.7%) | |
Washout | 9 (36%) | 16 (64%) |
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Hijazi, M.; Chahine, R.; Berjawi, G.; Jabbour, Y.; El Annan, T.; Ibrahim, R.; Nassar, L. Reliability of Kaiser Score in Assessing Additional Breast Lesions Identified on Staging MRI in Patients with Breast Cancer. Diagnostics 2024, 14, 1726. https://doi.org/10.3390/diagnostics14161726
Hijazi M, Chahine R, Berjawi G, Jabbour Y, El Annan T, Ibrahim R, Nassar L. Reliability of Kaiser Score in Assessing Additional Breast Lesions Identified on Staging MRI in Patients with Breast Cancer. Diagnostics. 2024; 14(16):1726. https://doi.org/10.3390/diagnostics14161726
Chicago/Turabian StyleHijazi, Madiha, Reve Chahine, Ghina Berjawi, Yara Jabbour, Tamara El Annan, Roy Ibrahim, and Lara Nassar. 2024. "Reliability of Kaiser Score in Assessing Additional Breast Lesions Identified on Staging MRI in Patients with Breast Cancer" Diagnostics 14, no. 16: 1726. https://doi.org/10.3390/diagnostics14161726