الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Breast cancer is the tumor with the highest incidence among women in many countries including Egypt, so clinicians aim for early detection as primary prevention is not possible, secondary prevention is made through mammographic screening programs to detect breast lesions at an early stage, which includes clinical examination, mammography, ultrasound and magnetic resonance imaging.
Dynamic MRI is the study of choice in breast imaging against all other new technologies, particularly in terms of sensitivity, the absence of radiation is a major advantage.
Our study included 32 patients their ages ranged from 29 to 78 years with the mean age 56.1 years, 25% was below age of 50 years and 75% was above 50 years old who were diagnosed with intermediate breast lesions (BIRADs 3 & 4) in ultrasound examination.
Our results show that MRI examination has sensitivity in detection of breast lesions by 96.7% and accuracy by 96.9% and ability to detect pathological lymph nodes up to 86.67%.
With associated diagnosis of newly discovered lesions in 18.75% of cases with the higher percentage at the upper outer quadrant.
The 0.0006 P-value which is significant.
Conclusion
DCE-MRI has a higher sensitivity than other imaging modalities and is able to accurately depict multifocal disease not detected in other modalities as well as pathological lymph nodes for better assessment of breast lesions and accurate management.
Recommendations
Validation of dynamic MRI examination for early detection of other breast lesions either in ipsilateral or contralateral breast.
Increase availability of radiologists who have high experience with MRI technique and interpretation, which is happening nowadays.
Continue to increase awareness of breast examination importance and encouragement for regular check ups to help early discovery of breast lesions, especially in high risk patients.