Computer-Aided Detection in Breast Magnetic Resonance Imaging: a Review

The aim of this study is to give an overview on the accuracy of the discrimination between benign and malignant breast lesions on MRI with and without the use of a computer-aided detection (CAD) system. One investigator selected relevant articles based on title and abstract. Ten articles were selected for this review. The CAD systems used in these articles were commercially available (CAD stream and 3T) or institution-specific computer analysis system. The articles showed that CAD has the potential to improve the discrimination of benign from malignant breast lesions at MRI imaging, but there is insufficient evidence to assess whether the use of CAD systems would maintain or increase the sensitivity and specificity.