By Samantha L. Heller, Linda Moy
This e-book provides modern debates and concerns on the earth of breast MRI with a truly sensible concentrate on find out how to contain present figuring out of breast MRI into medical perform. The e-book is split into 3 key sections, all of that have severe impression for the breast imager: recommendations introduces the reader to the parameters of breast MRI from ordinary sequences to up to date leading edge options. symptoms offers a cautious overview of the permitted symptoms for breast MRI from excessive hazard Screening to exploit of breast MRI, within the context of neoadjuvant chemotherapy with a close research of the evidence-based aid for those symptoms and a cautious examine controversies and debates in the box. MRI Findings, Interpretation, and administration takes at the subject matters of ways to interpret and deal with particular MRI findings from benign to malignant sickness with a spotlight on radiologic-pathologic correlation. The part additionally includes a specialise in key administration dilemmas, together with applicable follow-up periods for benign findings on MRI and administration of doubtless benign lesions assessed as a Breast Imaging Reporting and Dictating approach (BI-RADS)-3 class on MRI.
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Additional resources for Breast Oncology: Techniques, Indications, and Interpretation
Radiol Clin North Am. 2014;52(3):591–608. Dynamic bilateral contrast-enhanced MR imaging of the breast: trade-off between spatial and temporal resolution. Radiology. 2005;236(3):789– 800. Gutierrez RL, Strigel RM, Partridge SC, DeMartini WB, Eby PR, Stone KM, et al. Dynamic breast MRI: does lower temporal resolution negatively affect clinical kinetic analysis? AJR Am J Roentgenol. 2012;199(3):703–8. PubMed PMID: 22915415 16. SENSE imaging of the breast. AJR Am J Roentgenol. 2005;184(2):448–51.
J Magn Reson Imaging. 2013;38(5):1033–42. DIfferential Subsampling with Cartesian Ordering (DISCO): a high spatio-temporal resolution Dixon imaging sequence for multiphasic contrast enhanced abdominal imaging. J Magn Reson Imaging. 2012;35(6):1484–92. PubMed PMID: 22334505. J Magn Reson Imaging. 2013;40(6):1392–9. Tudorica LA, Oh KY, Roy N, Kettler MD, Chen Y, Hemmingson SL, et al. A feasible high spatiotemporal resolution breast DCE-MRI protocol for clinical settings. Magn Reson 1 Breast MRI Technique 23 Imaging.
Of the 559 women screened, 40 cancers (invasive n = 26, DCIS n = 14) were identified. The sensitivity of MRI (90 %) was significantly higher than that of mammography (38 %) and ultrasound (38 %). Of the 40 cancers, 45 % were detected by MRI alone, 5 % by mammography alone and no cancers were detected by ultrasound alone. The two cases detected by mammography alone were areas of microcalcification representing ductal carcinoma in situ (DCIS) with microinvasion and DCIS with <10 mm invasive component.