Mastitis MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

MRI is the most specific in the diagnosis of mastitis.[1] On contrast-enhanced MRI, most non-puerperal mastitis are characterized by non-mass-like lesion with heterogeneous signal intensity. Rim or rim-like enhancement on contrast-enhanced MRI with central hypointensity areas showing as hyperintensity on T2-weighted imaging is suggestive of the possibility of non-puerperal mastitis.[2]

MRI

On contrast-enhanced MRI, most non-puerperal mastitis are characterized by non-mass-like lesion with heterogeneous signal intensity. The observation of rim or rim-like enhancement on contrast-enhanced MRI with central hypointensity areas showing as hyperintensity on T2-weighted imaging is suggestive of the possibility of non-puerperal mastitis.[2]

On MRI, most patients with granulomatous mastitis are characterized by segmental T2 hyperintensity with contrast-enhancement on T1,[3] however, enhancing T2 hypointense mass with irregular margin was present in minority of patients with granulomatous mastitis.[3][4] Among the available radiological modalities, MRI is the most specific in the diagnosis of mastitis.[1]

References

  1. 1.0 1.1 Tan H, Li R, Peng W, Liu H, Gu Y, Shen X (2013). "Radiological and clinical features of adult non-puerperal mastitis". Br J Radiol. 86 (1024): 20120657. doi:10.1259/bjr.20120657. PMC 3635790. PMID 23392197.
  2. 2.0 2.1 Liu H, Peng W (2011). "Morphological manifestations of nonpuerperal mastitis on magnetic resonance imaging". J Magn Reson Imaging. 33 (6): 1369–74. doi:10.1002/jmri.22464. PMID 21591005.
  3. 3.0 3.1 Yildiz S, Aralasmak A, Kadioglu H, Toprak H, Yetis H, Gucin Z; et al. (2015). "Radiologic findings of idiopathic granulomatous mastitis". Med Ultrason. 17 (1): 39–44. doi:10.11152/mu.2013.2066.171.rfm. PMID 25745656.
  4. Gautier N, Lalonde L, Tran-Thanh D, El Khoury M, David J, Labelle M; et al. (2013). "Chronic granulomatous mastitis: Imaging, pathology and management". Eur J Radiol. 82 (4): e165–75. doi:10.1016/j.ejrad.2012.11.010. PMID 23200627.

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