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[MR imaging for breast cancer]

T Seki¹, J Hachiya, T Nitatori

¹Department of Radiology, Kyorin University School of Medicine, Tokyo, Japan.

Nihon Geka Gakkai Zasshi

|May 1, 1996

Summary

Magnetic resonance (MR) imaging shows high sensitivity for detecting breast cancer, but specificity varies. Combining MR imaging with biopsy techniques can improve diagnostic accuracy for breast masses.

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Area of Science:

Radiology
Oncology

Background:

Magnetic resonance (MR) imaging has been explored for breast disease diagnosis since the 1970s.
Conventional MR imaging lacks reliability for diagnosing breast masses.

Observation:

Contrast-enhanced MRI using Gd-DTPA, particularly dynamic MRI with gradient echo (GRE) technique, enhances detection and characterization of breast masses.
Recent studies report up to 100% sensitivity for breast MR imaging in detecting breast cancer.

Findings:

Breast MR imaging exhibits variable specificity (37%-98%) due to benign lesions enhancing similarly to malignant ones.
MR-guided localization and fine-needle aspiration biopsy are crucial for improving MR imaging specificity.

Implications:

Dynamic MRI is valuable for detecting multifocal or multicentric breast cancer, supporting breast-conserving therapy.
Integrating advanced MR techniques with biopsy methods can enhance diagnostic precision in breast cancer management.

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