Breast MRI: EUSOBI recommendations for women's information

Area of Science:

• Radiology
• Oncology
• Medical Imaging

Background:

• Breast MRI is a sensitive imaging technique with significant roles in screening, diagnosis, and staging of breast cancer.
• It is particularly valuable for screening high-risk women but is not infallible, carrying risks of false positives and negatives.

Purpose of the Study:

• To provide comprehensive information on breast MRI for women and referring physicians.
• To detail contraindications, procedural aspects, reporting standards (BI-RADS®), and post-examination actions.
• To present basic information on key breast MRI indications and address potential patient concerns.

Main Methods:

• A review and summary of current information regarding breast MRI procedures and applications.
• Inclusion of structured reporting guidelines (BI-RADS® categories).
• Development of patient-facing communication materials, including frequently asked questions, reviewed by Europa Donna.

Main Results:

• Breast MRI significantly improves screening in high-risk populations and impacts patient management in diagnosis and staging.
• The modality has limitations, including the possibility of missed cancers (false negatives) and detection of benign lesions (false positives).
• Optimal scheduling (pre-menopause: days 7-14), patient immobility during the exam, and availability of prior imaging are crucial for accuracy.

Conclusions:

• Breast MRI information should cover advantages, disadvantages, and preparation, including checks for claustrophobia, implants, allergies, and renal function.
• Proper scheduling and patient cooperation (remaining still) are vital during the examination.
• Integrating clinical context and prior imaging enhances the diagnostic accuracy of breast MRI.