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Intraductal papilloma: features on MR ductography using a microscopic coil
Nitya Bhattarai1, Yoshihide Kanemaki, Yasuyuki Kurihara
1Department of Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511 Japan.
AJR. American Journal of Roentgenology
|December 17, 2005
Summary
MR ductography with a microscopic coil helps identify intraductal papilloma features. This imaging technique reveals well-circumscribed masses with specific enhancement patterns and signal characteristics within dilated ducts.
Area of Science:
- Medical Imaging
- Radiology
- Oncology
Background:
- Intraductal papilloma is a common cause of nipple discharge.
- Accurate diagnosis is crucial for appropriate management.
- Magnetic resonance (MR) imaging offers detailed visualization of breast structures.
Purpose of the Study:
- To characterize the MR imaging features of intraductal papilloma.
- To evaluate the utility of MR ductography with a microscopic coil for diagnosing intraductal papilloma.
Main Methods:
- MR ductography was performed using a high-resolution microscopic coil.
- Image analysis focused on lesion morphology, enhancement patterns, and signal intensity.
- Correlation with histopathological findings was performed.
Main Results:
- Intraductal papillomas typically presented as well-circumscribed masses.
- Early enhancement and delayed washout were common findings.
- Lesions predominantly showed signal hyperintensity on T1- and T2-weighted images within dilated ducts.
Conclusions:
- MR ductography with a microscopic coil is effective in depicting intraductal papilloma features.
- Characteristic imaging findings include well-defined masses, specific enhancement kinetics, and signal intensity patterns.
- This technique aids in the preoperative diagnosis of intraductal papilloma.

