Abbreviated Breast MRI Shows No Performance Gap vs Full Protocols in Dense Breasts

Abbreviated breast MRI shows no significant sensitivity/specificity difference vs full MRI for screening extremely dense breasts, reducing scan and reading times. Best as an indication-specific strategy; limitations for lobular cancer, small lesions, and non-mass enhancement.

• Limitations persist for invasive lobular carcinoma, small lesions, non-mass enhancement, and disease extent assessment.
• Emerging strategies include ultrafast MRI, AI-based adaptive imaging, and diffusion-weighted imaging optimization.
• Prospective multicenter validation and protocol standardization are still required.

Automated summary

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