Breast MR imaging in the diagnostic setting

Mitchell Schnall1, Susan Orel

  • 1Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA. schnall@oasis.rad.upenn.edu

Insights

Magnetic resonance (MR) imaging is evolving as a diagnostic tool alongside mammography. Its use is limited for microcalcifications but can help avoid biopsies for mammographic masses or asymmetric densities.

Area of Science:

  • Radiology
  • Medical Imaging

Background:

  • Magnetic resonance (MR) imaging's role in breast cancer diagnostics is expanding.
  • Its application requires careful consideration alongside mammography and clinical breast exams.

Purpose of the Study:

  • To define the current role and limitations of MR imaging in evaluating mammographic findings.
  • To highlight optimal techniques and interpretation guidelines for accurate diagnosis.

Main Methods:

  • Review of current literature and clinical guidelines on MR imaging in breast diagnostics.
  • Correlation of MR imaging findings with mammography, ultrasound, and clinical data.

Main Results:

  • MR imaging is not recommended for all suspicious screening findings or mammographic microcalcifications.
  • It can be valuable for evaluating mammographically detected masses or asymmetric densities to potentially avoid biopsy.

Conclusions:

  • Optimized MR imaging techniques and correlation with other modalities are crucial.
  • Adherence to interpretation guidelines is essential to prevent false-negative diagnoses and ensure appropriate patient management.

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