Publications by authors named "Kyung Hee Ko"

Artificial intelligence (AI) improves the accuracy of mammography screening, but prospective evidence, particularly in a single-read setting, remains limited. This study compares the diagnostic accuracy of breast radiologists with and without AI-based computer-aided detection (AI-CAD) for screening mammograms in a real-world, single-read setting. A prospective multicenter cohort study is conducted within South Korea's national breast cancer screening program for women.

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Early prediction of pathologic complete response (pCR) after neoadjuvant chemotherapy (NAC) in breast cancer patients can help forecast prognosis and guide decisions on adjuvant therapy. This study aimed to determine whether the kinetic parameters of dynamic contrast-enhanced MRI (DCE-MRI) with ultrafast imaging can predict pCR following NAC in breast cancer patients and whether these parameters are correlated with histologic microvessel density (MVD). In this retrospective study, 61 breast cancer patients who underwent NAC and surgery between August 2020 and 2022 were analyzed.

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Background: Prediction of histologic prognostic markers is important for determining management strategy and predicting prognosis.

Purpose: To identify important features of ultrafast and conventional dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) that can predict histopathologic prognostic markers in patients with breast cancer.

Material And Methods: Preoperative MRI scans of 158 consecutive women (mean age = 54.

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Purpose: Artificial intelligence (AI)-based computer-aided detection/diagnosis (CADe/x) has helped improve radiologists' performance and provides results equivalent or superior to those of radiologists' alone. This prospective multicenter cohort study aims to generate real-world evidence on the overall benefits and disadvantages of using AI-based CADe/x for breast cancer detection in a population-based breast cancer screening program comprising Korean women aged ≥ 40 years. The purpose of this report is to compare the diagnostic accuracy of radiologists with and without the use of AI-based CADe/x in mammography readings for breast cancer screening of Korean women with average breast cancer risk.

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Background: Successful surgical treatment for localized breast cancer can depend on accurate diagnosis for accompanying non-mass enhancement (NME) on preoperative breast magnetic resonance imaging (MRI).

Purpose: To evaluate the diagnostic value of mammography for accompanying NME adjacent to index cancer on preoperative breast MRI.

Material And Methods: Among 569 consecutive patients who underwent preoperative breast MRI from January 2016 to August 2018 for ultrasound-guided biopsy-proven breast cancer, 471 patients who underwent initial mammography and subsequent surgery were finally included.

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Rationale And Objectives: To compare abbreviated MRI with mammography and US for screening in women with a personal history of breast cancer. In addition, the first and subsequent rounds of abbreviated MRI were compared.

Materials And Methods: The Institutional Review Board approved this retrospective study.

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Article Synopsis
  • - The study aimed to evaluate the effectiveness of ultrafast MRI combined with conventional dynamic contrast-enhanced MRI in predicting whether ductal carcinoma in situ (DCIS) would progress to invasive cancer.
  • - Researchers analyzed data from 53 patients, dividing them into groups based on whether their cancer upgraded to invasive status post-surgery, finding significant differences in lesion size and MRI parameters between the groups.
  • - Key MRI features such as maximum slope and maximum enhancement were identified as strong predictors for histologic upgrade, suggesting that using these imaging techniques can help guide treatment decisions for DCIS patients.
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The aim of this study is to investigate the accuracy of tumor size assessment by shear wave elastography (SWE) in invasive breast cancer and also evaluated histopathologic factors influencing the accuracy.A total of 102 lesions of 102 women with breast cancers of which the size was 3 cm or smaller were included and retrospectively analyzed. Tumor size on B-mode ultrasound (US) and SWE were recorded and compared with the pathologic tumor size.

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Purpose: To investigate whether the additional use of ultrafast MRI can improve the diagnostic performance of conventional dynamic contrast-enhanced MRI (DCE-MRI) in evaluating MRI-detected lesions in breast cancer patients.

Methods: This retrospective study enrolled 101 consecutive breast cancer patients with 202 breast lesions (62 benign and 140 malignant) who underwent preoperative DCE-MRI with ultrafast imaging (9 image sets with 6.5-second temporal resolution).

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Purpose: To evaluate magnetic resonance imaging (MRI) features including tumor-nipple enhancement for predicting nipple-areolar-complex (NAC) involvement in breast cancer.

Methods: A total of 249 breast cancer cases with available preoperative MRI data were studied. On MRI, tumor-nipple enhancement was evaluated 2 min (early) and 6 min (delayed) after contrast injection.

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Article Synopsis
  • The study aimed to determine if preoperative ultrasonographic vascular and shear-wave elastographic evaluations can predict how aggressive a tumor is in terms of histology.
  • It analyzed preoperative data from 147 invasive ductal carcinomas, focusing on vascular features and elasticity measurements while correlating these with various histologic parameters like tumor size and hormone receptor status.
  • Results indicated a strong association between higher vascularity and elasticity scores with larger tumor sizes and specific HER2 positivity, suggesting these imaging techniques might be useful in predicting tumor aggressiveness before surgery.
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Article Synopsis
  • - The study analyzed preoperative MRI findings from 313 breast cancer patients to determine how enhancement types (mass, nonmass, combined) relate to prognostic factors and surgical outcomes in invasive breast cancer.
  • - Results indicated that nonmass lesions had the smallest tumor size and high HER2 receptor positivity, while combined type lesions were linked to more aggressive features like lymphovascular invasion and positive lymph nodes.
  • - The findings suggest that MRI enhancement types may help predict the behavior of invasive breast cancer, indicating different surgical outcomes based on the lesion type.
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Objective: To determine which preoperative breast magnetic resonance imaging (MRI) findings and clinicopathologic features are associated with positive resection margins at the time of breast-conserving surgery (BCS) in patients with breast cancer.

Materials And Methods: We reviewed preoperative breast MRI and clinicopathologic features of 120 patients (mean age, 53.3 years; age range, 27-79 years) with breast cancer who had undergone BCS in 2015.

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Article Synopsis
  • Microvessel density (MVD) in breast tumors is crucial for understanding tumor grade and prognosis, but traditional imaging techniques like color Doppler flow (CDF) may not accurately reflect MVD.
  • This study investigates a new Doppler imaging method, AngioPLUS, to see if it can better represent MVD by comparing vascular flow patterns in both benign and malignant breast tumors.
  • Results indicated that AngioPLUS showed significant differences in vascular flow between tumors with low and high MVD, suggesting it could be a more effective tool for assessing MVD in breast cancer diagnosis.
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Objectives: To assess the impact of the background parenchymal echotexture on the accuracy of tumor size estimation using breast ultrasound (US).

Methods: A total of 140 women with newly diagnosed invasive breast cancer from January 2014 to December 2015 were enrolled in this study. Two radiologists retrospectively reviewed US images in consensus for background parenchymal echotexture interpretation.

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Article Synopsis
  • This study compared the effectiveness of two ultrasound techniques, power Doppler ultrasound and a new method called AngioPLUS, in distinguishing between benign and malignant breast masses.
  • The research involved 124 breast masses, with 80 being benign and 44 malignant, and analyzed the diagnostic performance of both methods using statistical measures.
  • Ultimately, while AngioPLUS showed better performance than power Doppler ultrasound in differentiating the masses, the improvement was not statistically significant.
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Many attempts have been made to augment breasts using injectable materials; however, various complications are associated with these materials. Aquafilling gel (Aquafilling, Poděbrady, Czech Republic) is a new soft tissue filler that has been used as an implant material for the face and lip and recently for breast augmentation. This article describes 3 cases of augmentation mammoplasty using Aquafilling gel, focusing on their complications and radiologic features.

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Clozapine, a representative atypical antipsychotic, has superior efficacy compared to other antipsychotic agents and is used for the treatment of severe psychotic disorders. Therefore, studies on its mechanisms of action are important for understanding the mechanisms of therapeutic approaches to psychosis. Adenosine monophosphate-activated protein kinase (AMPK) is a serine-threonine kinase that plays a major role in maintaining metabolic homeostasis.

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Article Synopsis
  • The study aimed to analyze the background parenchymal echotexture (BP echo) of breast tissue via ultrasound and its relationship with menopausal status, breast density on mammograms, and background parenchymal enhancement on MRI.
  • It included 138 women aged 26 to 79, with a notable finding that premenopausal women were more likely to have heterogeneous BP echo compared to postmenopausal women.
  • The results indicate that BP echo is significantly correlated with breast enhancement patterns on MRI, and it appears to be influenced by hormonal changes related to menopause, making it a potential predictor for breast enhancement.
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Article Synopsis
  • The study aimed to assess how effective shear wave elastography (SWE) is in distinguishing between benign and malignant breast papillary lesions using 56 surgically confirmed cases.
  • Results showed that while B-mode ultrasound had a low specificity (0%) and high false-positive results, SWE significantly improved diagnostic performance with higher accuracy (A value of 0.721) and reduced false-positive rates.
  • Combining SWE with B-mode ultrasound further enhanced sensitivity (87.5%) and specificity (68.8%), indicating SWE's potential as a useful tool in breast cancer diagnosis.
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Purpose To investigate the value of the combined use of elastography and color Doppler ultrasonography (US) with B-mode US for evaluation of screening US-detected breast masses in women with dense breasts. Materials and Methods This prospective, multicenter study included asymptomatic women with dense breasts who were referred for screening US between November 2013 and December 2014. Eligible women had a newly detected breast mass at conventional B-mode US screening, for which elastography and color Doppler US were performed.

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Purpose: To investigate the significance of accompanying NME in invasive ductal carcinoma (IDC) on preoperative MR imaging and assess the factors affecting the significance.

Methods: Between January 2015 and February 2016, 163 consecutive patients with IDC who underwent preoperative MR imaging and subsequent surgery were enrolled and reviewed. Index cancer mass size and total extent with accompanying NME on MR images was measured and compared with pathologic size.

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