TABLE 2

Results of Reviewed MRI Parameters

Measured resultDiagnostic odds ratio for metastasis detection*
Parameter123 tumor-negative SLNs13 tumor-positive SLNsOdds ratio95% CIP
Median SLN size (mm)
 Short-axis diameter4.0 (range, 1.0–8.9)5.6 (range, 2.0–6.7)1.421.01–1.990.042
 Long-axis diameter7.0 (range, 1.0–14.3)8.2 (range, 3.7–16.0)1.281.03–1.570.023
 Ratio long relative to short axis1.7 (range, 1.0–4.6)1.9 (range, 1.0–3.0)0.750.32–1.730.497
SLN (%) categorized by shape
 Bean47 (38.2%)3 (23.1%)0.450.12–1.750.250
 Disk33 (26.8%)6 (46.2%)1.980.60–6.500.262
 Spheric/ball38 (30.9%)3 (23.1%)0.830.21–3.300.795
 Lobulated5 (4.1%)1 (7.7%)2.600.27–25.460.412
SLN (%) with
 Absence of sharp demarcation4 (3.3%)2 (15.4%)7.551.09–52.280.040
 Heterogeneous gadolinium enhancement17 (13.8%)4 (30.8%)3.060.79–11.890.107
 Fat hilum visible17 (13.8%)1 (7.7%)0.600.07–5.060.637
 Central necrosis0 (0.0%)0 (0.0%)Not applicableNot applicableNot applicable
 Cystic component0 (0.0%)0 (0.0%)Not applicableNot applicableNot applicable
SLN (%) categorized by cortex
 Cortex cannot be discerned90 (73.2%)9 (69.2%)0.591.56–2.240.438
 Cortex < 3 mm29 (23.6%)3 (23.1%)1.270.31–5.290.738
 Cortex ≥ 3 mm4 (3.3%)1 (7.7%)3.790.33–43.090.282
Median nearest non-SLN size (mm)
 Short-axis diameter3.0 (range, 1.0–9.0)3.5 (range, 1.0–5.2)1.350.95–1.920.092
 Long-axis diameter4.9 (range, 1.0–15.0)7.9 (range, 3.5–12.0)1.191.00–1.420.055
 Ratio short axis relative to short-axis SLN1.4 (range, 0.4–5.5)1.3 (range, 0.6–6.0)1.090.63–1.880.755
 Ratio long axis relative to long-axis SLN1.2 (range, 0.1–9.7)1.1 (range, 0.8–2.1)0.580.25–1.370.216
  • * Values are multivariable adjusted for quality of MRI datasets.

  • Calculated variable based on scored parameters.

  • Depending on either tumor-negative or tumor-positive SLN status, percentages in measured result columns are fractions of 123 or 13 SLNs, respectively.

  • LN = lymph node.