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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2009; 19(02): 161-169
DOI: 10.4103/0971-3026.48431
Special Symposium - Breast

MRI for breast cancer: Current indications

Haydee Ojeda-Fournier
University of California, San Diego, USA
,
Christopher E Comstock
University of California, San Diego, Department of Radiology, Moores Cancer Center, La Jolla, California, USA
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Abstract

Mammography is the only imaging study that has been proven in multiple large randomized trials to decrease breast cancer mortality. Mammography, however, has its limitations and, as such, other modalities that can complement it are being studied. One of these is dynamic contrast-enhanced breast MRI, which has emerged as an important adjunctive modality and is at present the most sensitive modality that we have to evaluate the breast. The American College of Radiology, in its 2004 practice guidelines, has outlined the 12 current indications for breast MRI. This manuscript reviews and provides examples of each of these.

Keywords

Breast cancer - breast imaging - breast screening - mammography - magnetic resonance imaging - MRI - indications


Publication History

Article published online:
31 July 2021

© 2009. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 American College of Radiology Practice Guidelines for the Performance of Magnetic Resonance Imaging of the Breasst. Available from: http://www.acr.org. [cited in 2004].
  • 2 Kuhl CK. Current status of breast MR imaging FNx01 Part 2, Clinical applications. Radiology 2007;244:672-91.
  • 3 Bluemke DA, Gatsonis CA, Chen MH, DeAngelis GA, DeBruhl N, Harms S, et al . Magnetic resonance imaging of the breast prior to biopsy. JAMA 2004;292:2735-42.
  • 4 Partridge SC, Gibbs JE, Lu Y, Esserman LJ, Sudilovsky D, Hylton NM. Accuracy of MR imaging for revealing residual breast cancer in patients who have undergone neoadjuvant chemotherapy. AJR Am J Roentgenol 2002;179:1193-9.
  • 5 Rosen EL, Blackwell KL, Baker JA, Soo MS, Bentley RC, Yu D, et al . Accuracy of MRI in the detection of residual breast cancer after neoadjuvant chemotherapy. AJR Am J Roentgenol 2003;181:1275-82.
  • 6 Krecke KN, Gisvold JJ. Gisvold, Invasive lobular carcinoma of the breast: Mammographic findings and extent of disease at diagnosis in 184 patients. AJR Am J Roentgenol 1993;161:957-60.
  • 7 Qayyum A, Birdwell RL, Daniel BL, Nowels KW, Jeffrey SS, Agoston TA, et al . MR imaging features of infiltrating lobular carcinoma of the breast: Histopathologic correlation. AJR Am J Roentgenol 2002;178:1227-32.
  • 8 Weinstein SP, Orel SG, Heller R, Reynolds C, Czerniecki B, Solin LJ, et al . MR imaging of the breast in patients with invasive lobular carcinoma. AJR Am J Roentgenol 2001;176:399-406.
  • 9 Liberman L, Morris EA, Dershaw DD, Abramson AF, Tan LK. MR imaging of the ipsilateral breast in women with percutaneously proven breast cancer. Am J Roentgenol 2003;180:901-10.
  • 10 Boetes C, Mus RD, Holland R, Barentsz JO, Strijk SP, Wobbes T, et al . Breast tumors: Comparative accuracy of MR imaging relative to mammography and US for demonstrating extent. Radiology 1995;197:743-7.
  • 11 Sardanelli F, Giuseppetti GM, Panizza P, Bazzocchi M, Fausto A, Simonetti G, et al . Sensitivity of MRI versus mammography for detecting foci of multifocal, multicentric breast cancer in fatty and dense breasts using the whole-breast pathologic examination as a gold standard. AJR Am J Roentgenol 2004;183:1149-57.
  • 12 Orel SG, Weinstein SP, Schnall MD, Reynolds CA, Schuchter LM, Fraker DL, et al . Breast MR imaging in patients with axillary node metastases and unknown primary malignancy. Radiology 1999;212:543-9.
  • 13 Morris EA, Liberman L, Ballon DJ, Robson M, Abramson AF, Heerdt A, et al . MRI of occult breast carcinoma in a high-risk population. AJR Am J Roentgenol 2003;181:619-26.
  • 14 Helvie MA, Bailey JE, Roubidoux MA, Pass HA, Chang AE, Pierce LJ, et al . Mammographic screening of TRAM flap breast reconstructions for detection of nonpalpable recurrent cancer. Radiology 2002;224:211-6.
  • 15 Devon RK, Rosen MA, Mies C, Orel SG. Breast reconstruction with a transverse rectus abdominis myocutaneous flap: Spectrum of normal and abnormal mr imaging findings. Radiographics 2004;24:1287-99.
  • 16 Middleton MS, McNamara MP Jr. Breast implant classification with MR imaging correlation. Radiographics 2000;20:E1.
  • 17 Morris EA, Schwartz LH, Drotman MB, Kim SJ, Tan LK, Liberman L, et al . Evaluation of pectoralis major muscle in patients with posterior breast tumors on breast MR images: Early experience. Radiology 2000;214:67-72.
  • 18 Lee SG, Orel SG, Woo IJ, Cruz-Jove E, Putt ME, Solin LJ, et al . MR imaging screening of the contralateral breast in patients with newly diagnosed breast cancer: Preliminary results. Radiology 2003;226:773-8.
  • 19 Liberman L, Morris EA, Kim CM, Kaplan JB, Abramson AF, Menell JH, et al . MR imaging findings in the contralateral breast of women with recently diagnosed breast cancer. AJR Am J Roentgenol 2003;180:333-41.
  • 20 Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, et al . Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med 2002;347:1233-41.
  • 21 Lee JM, Orel SG, Czerniecki BJ, Solin LJ, Schnall MD. MRI before re excision surgery in patients with breast cancer. AJR Am J Roentgenol 2004;182:473-80.
  • 22 Frei KA, Kinkel K, Bonel HM, Lu Y, Esserman LJ, Hylton NM. MR imaging of the breast in patients with positive margins after lumpectomy: Influence of the time interval between lumpectomy and MR imaging. AJR Am J Roentgenol 2000;175:1577-84.
  • 23 Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, et al . American Cancer Society Guidelines for Breast Screening with MRI as an adjunct to mammography. CA Cancer J Clin 2007;57:75-89.