CAR Practice Guidelines on Breast Imaging and Interventions: Breast Magnetic Resonance Imaging

Area of Science:

• Radiology
• Medical Imaging
• Oncology

Background:

• Breast magnetic resonance imaging (MRI) is a highly sensitive imaging modality.
• MRI has an established and growing role in breast cancer detection, staging, problem-solving, and treatment monitoring.
• This guideline is Part IV of the Canadian Association of Radiologists (CAR) Practice Guidelines on Breast Imaging and Intervention.

Purpose of the Study:

• To provide updated recommendations for breast MRI practice in Canada.
• To outline best practices for MRI indications, technical requirements, contrast administration, and reporting.
• To ensure quality assurance, patient safety, and facility readiness for MRI-guided interventions.

Main Methods:

• Development of updated practice guidelines based on current evidence.
• Emphasis on bilateral imaging protocols and multimodality correlation.
• Integration of MRI within multidisciplinary breast care settings.

Main Results:

• Provides comprehensive recommendations for breast MRI, including indications and technical standards.
• Addresses quality assurance, patient safety, and facility readiness for MRI-guided interventions.
• Highlights the importance of integrating MRI into multidisciplinary breast care.

Conclusions:

• Updated guidelines support the optimal use of breast MRI in clinical practice.
• The guideline emphasizes flexibility based on patient factors and resources.
• Clinical judgment by the supervising radiologist remains paramount.