Publications by authors named "Max A A Ragusi"

Article Synopsis
  • Multiple studies have indicated that high contralateral parenchymal enhancement (CPE) in breast MRI may improve long-term survival rates for patients with ER-positive, HER2-negative breast cancer, but more research is needed due to inconsistent findings.
  • This study aimed to validate the connection between CPE and long-term survival using a large group of women with specific breast cancer characteristics, examining overall survival (OS), recurrence-free survival (RFS), and distant RFS (DRFS).
  • Results showed that higher CPE was linked to better OS rates after 10 years, but it didn't significantly impact RFS or DRFS; additionally, the effect of endocrine therapy in relation to CPE couldn't be determined accurately.
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Purpose: To assess whether contralateral parenchymal enhancement (CPE) on MRI is associated with gene expression pathways in ER+/HER2-breast cancer, and if so, whether such pathways are related to survival.

Methods: Preoperative breast MRIs were analyzed of early ER+/HER2-breast cancer patients eligible for breast-conserving surgery included in a prospective observational cohort study (MARGINS). The contralateral parenchyma was segmented and CPE was calculated as the average of the top-10% delayed enhancement.

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Objectives: Incidental MR-detected breast lesions (ie, additional lesions to the index cancer) pose challenges in the preoperative workup of patients with early breast cancer. We pursue computer-assisted triaging of magnetic resonance imaging (MRI)-guided breast biopsy of additional lesions at high specificity.

Materials And Methods: We investigated 316 consecutive female patients (aged 26 to 76 years; mean, 54 years) with early breast cancer who received preoperative multiparametric breast MRI between 2013 and 2016.

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To purpose of this paper was to assess the feasibility of volumetric breast density estimations on MRI without segmentations accompanied with an explainability step. A total of 615 patients with breast cancer were included for volumetric breast density estimation. A 3-dimensional regression convolutional neural network (CNN) was used to estimate the volumetric breast density.

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Objectives: To investigate whether contralateral parenchymal enhancement (CPE) on MRI during neoadjuvant endocrine therapy (NET) is associated with the preoperative endocrine prognostic index (PEPI) of ER+/HER2- breast cancer.

Methods: This retrospective observational cohort study included 40 unilateral ER+/HER2- breast cancer patients treated with NET. Patients received NET for 6 to 9 months with MRI response monitoring after 3 and/or 6 months.

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Background: Differences in imaging parameters influence computer-extracted parenchymal enhancement measures from breast MRI.

Purpose: To investigate the effect of differences in dynamic contrast-enhanced MRI acquisition parameter settings on quantitative parenchymal enhancement of the breast, and to evaluate harmonization of contrast-enhancement values with respect to flip angle and repetition time.

Study Type: Retrospective.

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