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Mammography is the only screening test proven to lower breast cancer morbidity and mortality.
As a result, they may generate different risk estimates for a given patient.
Due to MRI-detected lesions (in women who did not have additional malignancy on histology) conversion from WLE to mastectomy was 1.1 % (95 % CI: 0.3 to 3.6) and from WLE to more extensive surgery was 5.5 % (95 % CI: 3.1 to 9.5).
The authors concluded that MRI staging causes more extensive breast surgery in an important proportion of women by identifying additional cancer, however there is a need to reduce FP MRI detection.
Positive predictive value was 66 % (95 % confidence interval [CI]: 52 % to 77 %) and TP: FP ratio was 1.91 (95 % CI: 1.09 to 3.34).
Conversion from wide local excision (WLE) to mastectomy was 8.1 % (95 % CI: 5.9 to 11.3), from WLE to more extensive surgery was 11.3 % in multi-focal/multi-centric disease (95 % CI: 6.8 to 18.3).
Although ultrasound is sufficient to confirm rupture of breast implants in women with symptoms, MRI may be necessary to detect intra-capsular rupture of silicone gel-filled breast implants in asymptomatic women.