Breast lumps MRI: Difference between revisions
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{{Breast lumps}} | {{Breast lumps}} | ||
{{CMG}} {{AE}} {{S.M}} | {{CMG}}; {{AE}}{{S.M}} | ||
==Overview== | ==Overview== | ||
MRI is | MRI is considered as the primary imaging modality in selected patients and may be used when results of other imaging modalities are indeterminate. Breast MRI has some indications and does not use regularly. Breast MRI is not the primary modality for diagnosis of [[breast lumps]] and does not provide any additional findings to ultrasound and mammographic results and has both [[false-positive]] and false-negetive results. | ||
==MRI== | ==MRI== | ||
MRI is | MRI is considered as the primary imaging modality in selected patients. Furthermore, may be used when results of other imaging modalities are indeterminate.<ref name="pmid25114845">{{cite journal| author=Shah R, Rosso K, Nathanson SD| title=Pathogenesis, prevention, diagnosis and treatment of breast cancer. | journal=World J Clin Oncol | year= 2014 | volume= 5 | issue= 3 | pages= 283-98 | pmid=25114845 | doi=10.5306/wjco.v5.i3.283 | pmc=4127601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25114845 }} </ref><ref name="pmid25341156">{{cite journal| author=Lehman CD, Lee AY, Lee CI| title=Imaging management of palpable breast abnormalities. | journal=AJR Am J Roentgenol | year= 2014 | volume= 203 | issue= 5 | pages= 1142-53 | pmid=25341156 | doi=10.2214/AJR.14.12725 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25341156 }} </ref> | ||
'''Indications of breast MRI:''' | '''Indications of breast MRI:''' | ||
*Restricted mammographic findings due to breast augmentation resulting from silicon, saline implants and silicone injection. | *Restricted mammographic findings due to breast augmentation resulting from silicon, saline implants, and silicone injection. | ||
* | *Determination of [[breast cancer]] invasion to [[pectoralis major]], [[Serratus anterior muscle|serratus anterior]], and [[intercostal muscles]]. | ||
*Further evaluation for [[breast lumps]] beside examination, mammographic and | *Further evaluation for [[breast lumps]] beside examination, mammographic, and ultrasonographic findings. | ||
*Evaluation of [[contralateral]] breast in patients with [[breast carcinoma]]. | *Evaluation of [[contralateral]] breast in patients with [[breast carcinoma]]. | ||
*Screening method for asymptomatic and high risk patients. | *Screening method for asymptomatic and high risk patients. | ||
*Determining | *Determining patient's response to [[neoadjuvant chemotherapy]] in comparison to previous, during, and after imaging findings. | ||
* | *Determining residual disease after [[lumpectomy]] in individuals with positive margin. | ||
Breast MRI is not | Breast MRI is not the primary imaging modality for the diagnosis of [[breast lumps]] and does not provide any additional findings to ultrasound and mammographic results. Also [[false-positive]] findings of breast MRI may lead to unnecessary biopsies. False-negative findings of breast MRI are present and require follow-up evaluation regarding [[ultrasound]] and mammographic features.<ref name="pmid23046046">{{cite journal| author=Olsen ML, Morton MJ, Stan DL, Pruthi S| title=Is there a role for magnetic resonance imaging in diagnosing palpable breast masses when mammogram and ultrasound are negative? | journal=J Womens Health (Larchmt) | year= 2012 | volume= 21 | issue= 11 | pages= 1149-54 | pmid=23046046 | doi=10.1089/jwh.2012.3735 | pmc=3698622 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23046046 }} </ref> | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Gynecology]] | |||
[[Category:Surgery]] | |||
[[Category:Radiology]] | |||
Latest revision as of 20:42, 29 July 2020
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American Roentgen Ray Society Images of Breast lumps MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]
Overview
MRI is considered as the primary imaging modality in selected patients and may be used when results of other imaging modalities are indeterminate. Breast MRI has some indications and does not use regularly. Breast MRI is not the primary modality for diagnosis of breast lumps and does not provide any additional findings to ultrasound and mammographic results and has both false-positive and false-negetive results.
MRI
MRI is considered as the primary imaging modality in selected patients. Furthermore, may be used when results of other imaging modalities are indeterminate.[1][2]
Indications of breast MRI:
- Restricted mammographic findings due to breast augmentation resulting from silicon, saline implants, and silicone injection.
- Determination of breast cancer invasion to pectoralis major, serratus anterior, and intercostal muscles.
- Further evaluation for breast lumps beside examination, mammographic, and ultrasonographic findings.
- Evaluation of contralateral breast in patients with breast carcinoma.
- Screening method for asymptomatic and high risk patients.
- Determining patient's response to neoadjuvant chemotherapy in comparison to previous, during, and after imaging findings.
- Determining residual disease after lumpectomy in individuals with positive margin.
Breast MRI is not the primary imaging modality for the diagnosis of breast lumps and does not provide any additional findings to ultrasound and mammographic results. Also false-positive findings of breast MRI may lead to unnecessary biopsies. False-negative findings of breast MRI are present and require follow-up evaluation regarding ultrasound and mammographic features.[3]
References
- ↑ Shah R, Rosso K, Nathanson SD (2014). "Pathogenesis, prevention, diagnosis and treatment of breast cancer". World J Clin Oncol. 5 (3): 283–98. doi:10.5306/wjco.v5.i3.283. PMC 4127601. PMID 25114845.
- ↑ Lehman CD, Lee AY, Lee CI (2014). "Imaging management of palpable breast abnormalities". AJR Am J Roentgenol. 203 (5): 1142–53. doi:10.2214/AJR.14.12725. PMID 25341156.
- ↑ Olsen ML, Morton MJ, Stan DL, Pruthi S (2012). "Is there a role for magnetic resonance imaging in diagnosing palpable breast masses when mammogram and ultrasound are negative?". J Womens Health (Larchmt). 21 (11): 1149–54. doi:10.1089/jwh.2012.3735. PMC 3698622. PMID 23046046.