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Breast MRI, An Issue of Magnetic Resonance Imaging Clinics - E-Book

Breast MRI, An Issue of Magnetic Resonance Imaging Clinics - E-Book

Linda Moy | Cecilia L. Mercado

(2010)

Additional Information

Abstract

This publication presents topics on Current Clinical Indications for Breast MRI; How to set up breast MRI practice; MR-BIRADS Lexicon; Optimization of breast MRI at 1.5 Tesla(T) and at 3 Tesla; Role of MRI in evaluating extent of disease; Update on Screening breast MRI in high risk women; MRI of DCIS; Role of breast MRI in the assessment of Invasive lobular carcinoma; Breast MRI Interventions: Indications, Technique, and Histologic Correlation; Role of Breast MRI in problem-solving; Benign lesions detected on breast MRI; Clinical Oncologic Perspective of Breast MRI; Role of breast MRI in neo-adjuvant chemotherapy.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors v
Contents vii
Preface xiii
Chapter 1. Breast Magnetic\r\nResonance Imaging:\r\nCurrent Clinical\r\nIndications 155
SCREENING FOR THE HIGH-RISK PATIENT 156
SCREENING FOR THE CONTRALATERAL BREAST 159
IMPLANTS AND BREAST AUGMENTATION 159
EXTENT OF DISEASE 160
FOLLOWING NEOADJUVANT CHEMOTHERAPY 162
EVALUATION FOR RECURRENCE OF BREAST CANCER 163
METASTATIC CANCER OF UNKNOWN PRIMARY AND AXILLARY ADENOPATHY 164
PROBLEM SOLVING 166
MR PROCEDURE GUIDANCE 167
SUMMARY 167
REFERENCES 167
Chapter 2. The BI-RADS Breast Magnetic Resonance Imaging Lexicon 171
KINETIC EVALUATION 171
BACKGROUND ENHANCEMENT 172
MORPHOLOGIC EVALUATION 174
PROBABLY BENIGN LESIONS 183
ASSOCIATED FINDINGS 184
SUMMARY 184
REFERENCES 184
Chapter 3. Implementing a Breast MR Imaging Program: All Things Considered 187
AMERICAN COLLEGE OF RADIOLOGY BI-RADS LEXICON 187
INDICATIONS FOR BREAST MR IMAGING 187
MAGNET SELECTION 188
SELECTING MAGNET STRENGTH 189
INSTALLATION AND IMAGING READINESS 191
REFERRAL BASE 192
HANDLING BREAST MR IMAGING REQUESTS 193
SCHEDULING BREAST MR IMAGING 193
EXAMINATION PERFORMANCE 193
BREAST MR IMAGING INTERPRETATION 194
BACKGROUND PATIENT DATA 194
CORRELATIVE BREAST IMAGING 195
REPORTING 195
REPORT TEMPLATES 195
COMMUNICATION OF RESULTS 196
SUMMARY 196
ACKNOWLEDGMENTS 196
REFERENCES 196
Chapter 4. Role of Magnetic Resonance Imaging in Evaluating the Extent of Disease 199
PITFALLS OF MRI STAGING OF BREAST CANCER 200
IMPACT OF PREOPERATIVE BREAST MRI ON CLINICAL MANAGEMENT 202
PREOPERATIVE STAGING WITH BREAST MRI—CURRENT CONTROVERSIES 202
CONTRALATERAL BREAST CANCER SCREENING—CURRENT DISCUSSION 203
WHAT OF IMPACT ON LOCAL RECURRENCE AND OVERALL SURVIVAL? 203
MRI DETECTION AND STAGING OF BREAST CANCER: WHAT QUESTIONS REMAIN? 204
SUMMARY 204
REFERENCES 204
Chapter 5. Optimizing 1.5-Tesla and 3-Tesla Dynamic Contrast-Enhanced Magnetic Resonance Imaging of the Breasts 207
PATIENT FACTORS 208
EQUIPMENT: MAGNET AND COIL 208
PITFALLS AND TECHNICAL ARTIFACTS 210
IMAGING PROTOCOL 211
CONTRAST MEDIUM 213
SPATIAL VERSUS TEMPORAL RESOLUTION 214
IMAGING PLANE 215
WHY MOVE TO BREAST MR IMAGING AT 3T? 215
TECHNICAL CONSIDERATIONS FOR OPTIMIZING IMAGE QUALITY AT 3T 216
RF HOMOGENEITY 216
MR IMAGING ARTIFACTS 217
FUTURE MR IMAGING PROTOCOLS AT 3T 217
CHALLENGES AT 3T 217
SPECIFIC ABSORPTION RATE 218
MEDICAL DEVICES 219
ADDITIONAL APPLICATIONS OF THE 3T MAGNETS 219
SUMMARY 221
REFERENCES 222
Chapter 6. MR Imaging of Ductal Carcinoma In Situ 225
BIOLOGY OF DCIS 226
MR IMAGING CHARACTERISTICS OF DCIS 227
MR IMAGING TECHNIQUE 228
MR IMAGING APPEARANCE OF DCIS 229
DISTRIBUTION OF NMLE 229
INTERNAL ENHANCEMENT PATTERNS OF NMLE 230
KINETIC PATTERNS 234
INTERPRETATION CHALLENGES 234
COMPUTER-AIDED DIAGNOSIS 234
IMPACT ON PATIENT MANAGEMENT 235
FUTURE RESEARCH: HIGH TEMPORAL RESOLUTION IMAGING 235
FUTURE RESEARCH: MOUSE MODELS OF DCIS 236
SUMMARY 237
REFERENCES 237
Chapter 7. Update on Screening Breast MRI in High-Risk Women 241
GENETIC COUNSELING 241
INDICATIONS FOR PERFORMING MRI SCREENING 242
BRCA1 AND -2 MUTATION CARRIERS 242
SPORADIC HEREDITARY BREAST CANCER SYNDROMES 242
INDIVIDUAL INCREASED RISK 243
TREATMENT OPTIONS 244
RESULTS OF SCREENING 244
SUMMARY 246
REFERENCES 246
Chapter 8. Role of Breast MR Imaging in Neoadjuvant Chemotherapy 249
MR IMAGING 250
MR IMAGING ASSESSMENT OF TUMOR SIZE 250
MR IMAGING ASSESSMENT OF TUMOR ENHANCEMENT 253
FUNCTIONAL MR IMAGING ASSESSMENT 253
FUNCTIONAL MR IMAGING ASSESSMENT: SPECTROSCOPY 254
FUNCTIONAL MR IMAGING ASSESSMENT: DIFFUSION-WEIGHTED MR IMAGING 256
SUMMARY 256
REFERENCES 256
Chapter 9. The Effectiveness of MR Imaging in the Assessment of Invasive Lobular Carcinoma of the Breast 259
CONVENTIONAL IMAGING METHODS IN ILC 261
FEATURES OF ILC ON BREAST MR IMAGING 263
AGREEMENT OF MR IMAGING FINDINGS WITH PATHOLOGIC ASSESSMENT OF ILC 265
CONSEQUENCES FOR THE THERAPEUTIC APPROACH OF ILC 267
EFFECT OF PREOPERATIVE BREAST MR IMAGING ON OUTCOME IN PATIENTS WITH ILC 269
EVALUATION OF THE CONTRALATERAL BREAST WITH MR IMAGING IN PATIENTS WITH ILC 271
CURRENT EVIDENCE FOR THE PERFORMANCE OF BREAST MR IMAGING IN ILC, SHORTCOMINGS, AND FUTURE PERSPECTIVES 272
REFERENCES 272
Chapter 10. A Clinical Oncologic Perspective on Breast Magnetic Resonance Imaging 277
MR IMAGING FOR TREATMENT SELECTION 278
THE EFFECT OF MR IMAGING ON SHORT-TERM SURGICAL OUTCOMES 279
EFFECT OF MR IMAGING ON LONG-TERM CANCER OUTCOMES 282
MR IMAGING FOR OCCULT BREAST CANCER 284
MR IMAGING TO SELECT PATIENTS FOR ACCELERATED PARTIAL BREAST IRRADIATION 285
MR IMAGING–NEOADJUVANT CHEMOTHERAPY 286
MR IMAGING FOR DETECTION OF LOCAL RECURRENCE 288
SUMMARY 290
REFERENCES 290
Chapter 11. MR Imaging in the Evaluation of Equivocal Clinical and Imaging Findings of the Breast 295
CLINICAL SYMPTOMS 296
LIMITATIONS 305
SUMMARY 305
REFERENCES 305
Chatper 12. Probably Benign Lesions Detected on Breast MR Imaging 309
INCIDENCE OF MR IMAGING BI-RADS 3 310
CANCER YIELD OF BI-RADS 3 311
LESION FEATURES 313
TIMING OF SHORT-INTERVAL FOLLOW-UP 318
FOLLOW-UP COMPLIANCE 318
SUMMARY 318
REFERENCES 320
Chapter 13. MR Intervention: Indications, Technique, Correlation and Histologic 323
INDICATIONS FOR INTERVENTIONAL MR 323
MR-GUIDED BIOPSY TECHNIQUE 326
HISTOLOGY CORRELATION 329
REFERENCES 331
Index 333