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Table 1 Comparative sensitivity of screening methods in women at increased risk for breast cancer

From: Imaging in breast cancer: Magnetic resonance imaging

Study site and reference

Study design

Follow-up, months

Mean age, years (range)

Cancers detected/screened, (%)

Sensitivity (%)

Cancer yield from MRI alone (%) [95% CI]a

Biopsies recommended as a result of MRI, %

PPV of biopsies performed on basis of MRI, %

     

Mammography

MRI

Ultrasound

   

Germany [19]

P

12

39 (18–65)

4.7 (9/192)

33 (3/9)

100 (9/9)

33 (3/9)

6/192 (3.1) [0.9–6.0]

14/192 (7.3)

64

Canada [20]

P

36

47 (26–65)

9.3 (22/236)

36 (8/22)

77 (17/22)

33 (7/21)

7/236 (3.0)d [1.7–7.1]

37/236 (15.7)

46

Italy [21]

P

24

46 (25–77)

7.6 (8/105)

13 (1/8)

100 (8/8)

13 (1/8)

7/105 (6.7) [2.7–13.3]

9/105 (8.6)

89

Netherlands [22]

P

12

42 (22–68)

2.8 (3/109)

0

100 (3/3)

-

3/109 (2.8) [0.6–7.8]

5/109 (4.6)

60

United States [23]

R

None

50b (23–82)

3.8 (14/367)

0c

100 (14/14)

-

14/367 (3.8) [2.1–6.3]

59/367 (15.8)

24

Netherlands [24]

P

33

40 (19–72)

2.4 (45/1,909)e

40 (18/45)

71 (32/45)

-

22/1,909 (1.2) [1.1–2.4]

56/1,909 (2.9)

57

International [25]

P

None

45 (26–86)

1.1 (4/367)

25(1/4)

100 (4/4)

-

3/367 (0.8) [0.2–2.4]

23/367 (6.3)

17

  1. P, prospective; PPV, positive predictive value; R, retrospective. aExact binomial confidence intervals. bReported median. cTo be included in this study, subjects had to have a negative mammogram. dOne patient who had an MRI-only cancer in this study did not receive ultrasound. eComparable sensitivity reported on 45 of 51 cancers in this study.