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Related Concept Videos

Magnetic Resonance Imaging01:24

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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Does Breast Magnetic Resonance Imaging Combined With Conventional Imaging Modalities Decrease the Rates of Surgical

Hung-Wen Lai1, Chih-Jung Chen, Ying-Jen Lin

  • 1From the Endoscopic & Oncoplastic Breast Surgery Center (H-WL, S-LC, S-TC, D-RC), Comprehensive Breast Cancer Center (H-WL, S-LC, S-JK, S-TC, D-RC), Division of General Surgery, Department of Surgery (H-WL, S-JK, S-TC, D-RC), Department of Surgical Pathology (C-JC), Tumor Center (Y-JL), Department of Radiology, Changhua Christian Hospital, Changhua (H-KW), School of Medicine, National Yang Ming University, Taipei (H-WL), School of Medicine, Chung Shan Medical University, Taichung (C-JC), Department of Medical Technology, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli (C-JC), and Department of Surgery, Ministry of Healthy and Welfare Sinying Hospital, Tainan, Taiwan (Y-TW).

Medicine
|June 4, 2016
PubMed
Summary

Preoperative breast magnetic resonance imaging (MRI) combined with conventional imaging significantly reduces surgical margin involvement and reoperations for breast-conserving surgery (BCS). This approach improves outcomes for patients undergoing BCS by detecting more multifocal/multicentric cancers.

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Area of Science:

  • Oncology
  • Radiology
  • Surgical Oncology

Background:

  • Surgical margin involvement and reoperations are critical challenges in breast cancer surgery.
  • Optimizing preoperative imaging can potentially improve surgical outcomes and reduce patient morbidity.

Purpose of the Study:

  • To evaluate the impact of preoperative breast magnetic resonance imaging (MRI) combined with conventional imaging on margin involvement and reoperation rates in primary operable breast cancer patients.
  • To compare outcomes between patients receiving conventional imaging (mammography and sonography) versus those receiving MRI in addition to conventional imaging.

Main Methods:

  • Retrospective analysis of 1468 patients with primary operable breast cancer from the Changhua Christian Hospital (CCH) breast cancer database.
  • Comparison of surgical margin involvement and reoperation rates between Group A (conventional imaging) and Group B (conventional imaging + MRI).

Main Results:

  • Preoperative MRI detected significantly more multifocal/multicentric breast cancers (14.3% vs 8.6%).
  • Overall surgical margin involvement was lower in the MRI group (5.0% vs 9.0%).
  • Significant reduction in margin positivity (6.6% vs 14.6%) and reoperation rates (3.2% vs 11.7%) was observed specifically in patients undergoing breast-conserving surgery (BCS) with MRI.

Conclusions:

  • Preoperative breast MRI, when combined with conventional imaging, leads to lower rates of surgical margin involvement and reoperations in patients undergoing BCS.
  • The use of MRI is a significant factor in reducing margin involvement for BCS patients, particularly those with multifocal/multicentric disease.