Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2022 Jul 13;20:eAO0073. doi: 10.31744/einstein_journal/2022AO0073. eCollection 2022.
To develop an abbreviated breast magnetic resonance imaging protocol (FAST) and to compare it with the complete protocol (FULL) to determine its diagnostic accuracy for detecting malignant or suspicious lesions (BI-RADS 4, 5 and 6) and the time required for image interpretation using BI-RADS categorization.
Retrospective study with 100 consecutive women who underwent breast magnetic resonance imaging between January and February 2014. All patients were submitted to a complete breast magnetic resonance imaging protocol, which was then compared with an abbreviated protocol (pre-contrast sequence, second post-contrast sequence and subtraction of pre- from post-contrast images).
Of 100 patients, 4 were classified as BI-RADS 5 or 6 and 16 as BI-RADS 4. In these 20 patients, there was full agreement among readers regarding the final BI-RADS categorization in both (FAST and FULL) protocols.
The FAST protocol reduces interpretation time without compromising the accuracy of the method for detection of malignant or suspicious lesions.
制定简化乳腺磁共振成像方案（FAST），并与完整方案（FULL）进行比较，以确定其检测恶性或可疑病变（BI-RADS 4、5 和 6）的诊断准确性，以及使用 BI-RADS 分类进行图像解读所需的时间。
回顾性研究，纳入 2014 年 1 月至 2 月期间连续 100 名接受乳腺磁共振成像检查的女性患者。所有患者均接受完整的乳腺磁共振成像方案，然后与简化方案（对比前序列、对比后第二个序列以及对比前和对比后图像相减）进行比较。
在 100 名患者中，4 名患者被归类为 BI-RADS 5 或 6，16 名患者被归类为 BI-RADS 4。在这 20 名患者中，读者在 FAST 和 FULL 两种方案的最终 BI-RADS 分类方面均达成完全一致。
FAST 方案减少了解读时间，同时不影响该方法检测恶性或可疑病变的准确性。
