Breast Oncology: Techniques, Indications, and Interpretation by Samantha L. Heller, Linda Moy

By Samantha L. Heller, Linda Moy

This booklet provides brand new debates and matters on the planet of breast MRI with a truly useful concentrate on tips on how to contain present figuring out of breast MRI into scientific perform. The publication is split into 3 key sections, all of that have severe influence for the breast imager: concepts introduces the reader to the parameters of breast MRI from common sequences to updated leading edge suggestions. symptoms offers a cautious evaluate of the accredited symptoms for breast MRI from excessive hazard Screening to take advantage of of breast MRI, within the context of neoadjuvant chemotherapy with a close research of the evidence-based help 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 illness with a spotlight on radiologic-pathologic correlation. The part additionally contains a specialise in key administration dilemmas, together with applicable follow-up durations for benign findings on MRI and administration of potentially benign lesions assessed as a Breast Imaging Reporting and Dictating method (BI-RADS)-3 classification on MRI.

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PubMed PMID: 26135017 34.  Clinical and technical considerations for high quality breast MRI at 3 Tesla. J Magn Reson Imaging. 2013;37(4):778–90. 5 T in the same patients: initial experience. Radiology. 2006;239(3):666–76.  Eur J Radiol. 2015;84(4):611–6. PubMed PMID: 25604909. Nelles M, Konig RS, Gieseke J, Guerand-van Battum MM, Kukuk GM, Schild HH, et al. 0 T: intraindividual comparison with conventional single-source transmission. Radiology. 2010;257(3):743– 53. PubMed PMID: 20858848. Epub 2010/09/23.

American College of Radiology Practice Parameter for the Performance of Contrast-Enhanced MRI of the Breast [updated 10/01/2014, cited 12/14/2015]. acr. pdf.  Simple proton spectroscopic imaging. Radiology 1984;153(1):189–194. PubMed PMID: 6089263. 28. Reeder SB, Pineda AR, Wen Z, Shimakawa A, Yu H, Brittain JH, et al. Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL): application with fast spin-echo imaging. Magn Reson Med. 2005;54(3):636–44.  Three-point Dixon technique for true water/fat decomposition with B0 inhomogeneity correction.

At present, there is no convincing evidence that annual breast MRI surveillance reduces breast-cancer specific mortality, especially in women who are BRCA mutation carriers. The Dutch MRI screening study is a non-randomised multicentre prospective cohort study that included 2,157 women with a cumulative lifetime risk of breast cancer of ≥15 %, who were screened every 6 months with a clinical breast examination and annually with mammography and MRI [26]. Within the group, there were 599 carriers of a pathogenic gene mutation in BRCA1 (n = 422), BRCA2 (n = 172) and PTEN/TP53 (n = 5).

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