Controversies in Breast MRI

When used for appropriate indications, breast magnetic resonance imaging (MRI) is a powerful diagnostic tool. However, breast MRI has its share of controversies. These controversies can be a source of confusion for the radiologist or referring physician. This paper addresses 4 breast MRI controversi...

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Bibliographic Details
Published in:Current problems in diagnostic radiology 2013-07, Vol.42 (4), p.149-163
Main Authors: Sutcliffe, Joseph B., MD, Otto, Pamela M., MD, FACR
Format: Article
Language:English
Subjects:
Breast Neoplasms - diagnosis
Breast Neoplasms - surgery
Contrast Media
Decision Making
Diagnosis, Differential
Female
Humans
Image Interpretation, Computer-Assisted
Internal Medicine
Magnetic Resonance Imaging - methods
Patient Selection
Preoperative Care
Radiology
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Summary:When used for appropriate indications, breast magnetic resonance imaging (MRI) is a powerful diagnostic tool. However, breast MRI has its share of controversies. These controversies can be a source of confusion for the radiologist or referring physician. This paper addresses 4 breast MRI controversies that we frequently encounter at our university hospital practice: (1) what are the appropriate indications for screening breast MRI? (2) what are the appropriate indications for the use of breast MRI as a problems-solving modality? (3) how does one interpret MRI imaging features that have substantial overlap between benign and malignant conditions? and (4) what are the appropriate indications for preoperative breast MRI? Illustrative case examples are provided.
ISSN:0363-0188
1535-6302
DOI:10.1067/j.cpradiol.2013.03.001