Abstract

Background & Method: The aim of this study is to compare the sensitivity and specificity of the traditional triple assessment of symptomatic breast lesions with contrast-enhanced dynamic magnetic resonance imaging. patients with palpable breast lesions were recruited from the symptomatic breast clinics. All underwent clinical examination by consultant breast surgeons, FNAC was performed according to our standard protocol for symptomatic patients, which does not include image guidance.
 
Result: MRI proved to most sensitive and specific modality. Triple assessment MRI and FNAC all have specificity of 100%. MRI proved to be most sensitive modality with 96 % sensitivity, (physical examination 91%, USG 91%, FNAC 84% and Triple assessment 84 %.)
 
Conclusion: With the aim of improving the accuracy of triple assessment, MRI can provide valuable information and with improvements in technology can further enhance specificity. Contrast-enhanced dynamic magnetic resonance imaging of the breast is as sensitive and more specific than the combined traditional triple assessment for the diagnosis of malignant breast lesions.