MR imaging-guided interventions in the breast.

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: MR imaging of the breast has high sensitivity for the detection of invasive breast cancer. However, not all enhancing lesions are malignant. A needle localization or biopsy system is necessary to differentiate false positive benign enhancing lesions from the true carcinomas. In this article, the techniques, pitfalls, and potential clinical indications for MR imaging-guided needle localization and percutaneous biopsy are discussed.
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Cited By10
#1Indu DoddamaneH-Index: 1
#2Reni ButlerH-Index: 5
Last. David ChengH-Index: 1
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Breast cancer is one of the most commonly diagnosed malignancies and is the main cause of death in women aged 40–49 years. Metastatic breast cancer is a heterogeneous disease that has a variety of different clinical presentations, ranging from solitary metastatic lesion to diffuse and multiple organ involvement. The biological heterogeneity of metastatic breast cancer has led to its unpredictable clinical behavior. One of the major challenges, therefore, is to identify predictive and prognostic ...
2 CitationsSource
i o u p a r D s t s In addition to mammography and breast ultrasound, magnetic resonance imaging (MRI) of the breast offers an important tool in the detection and diagnosis of breast cancer. A survey conducted by the Society of Breast Imaging (SBI) in 2008 showed that breast MRI was offered by approximately 75% of the respondents.1 The American Cancer Society isued a consensus statement in 2007 endorsing the use of MRI n breast cancer screening of high-risk patients,2 as did the American College...
43 CitationsSource
Abstract Purpose Quality assurance of MR-guided vacuum-assisted breast biopsy (VAB). Method A consensus was achieved based on the existing literature and experience of an interdisciplinary group comprising European specialists in breast imaging and VAB. Results Full imaging work-up must be completed according to existing standards before an indication for MR-guided VAB is established. The procedure should be reserved for lesions demonstrable by MRI alone. Acquisition of >24 cores (11-Gauge) shou...
65 CitationsSource
#1Haytham Elhawary (Imperial College London)H-Index: 14
#2Zion Tsz Ho Tse (Imperial College London)H-Index: 23
Last. Michael Lamperth (Imperial College London)H-Index: 16
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Background The numerous imaging capabilities of magnetic resonance imaging (MRI) coupled with its lack of ionizing radiation has made it a desirable modality for real-time guidance of interventional procedures. The combination of these abilities with the advantages granted by robotic systems to perform accurate and precise positioning of tools has driven the recent development of MR-compatible interventional and assistive devices. Methods The challenges in this field are presented, including the...
73 CitationsSource
Abbreviations: MR, magnetic resonance; MRI, magnetic resonance imaging; MRS, magnetic resonance spectroscopy; 1 H MRS, proton magnetic resonance spectroscopy; 31 P MRS, phosphorus magnetic resonance spectroscopy; CE-MRI, contrast-enhanced magnetic resonance imaging; VOI, volume of interest; CSI, chemical shift imaging; MRSI, magnetic resonance spectroscopic imaging; STEAM, stimulated echo acquisition mode; PRESS, point resolved spectroscopy; CHESS, chemical shift selective; W–F, water-to-fat rat...
#2Gary J. WhitmanH-Index: 39
Last. Lavinia P. Middleton (University of Texas MD Anderson Cancer Center)H-Index: 30
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OBJECTIVE. Confirmation of lesion retrieval after MRI-guided needle localization and surgical excision of breast lesions are difficult because the targeted lesion is not enhanced ex vivo. The aim of this study was to determine the feasibility of using specimen radiography to verify lesion removal after MRI-guided needle localization and surgical excision.CONCLUSION. To our knowledge, our study was the first to examine the use of specimen radiography in the localization and excision of breast les...
27 CitationsSource
#1Paul D. Friedman (SBMC: Saint Barnabas Medical Center)H-Index: 5
#2Linda M. Sanders (SBMC: Saint Barnabas Medical Center)H-Index: 6
Last. Robert Smith (SBMC: Saint Barnabas Medical Center)H-Index: 1
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Rationale and Objectives To evaluate the outcome of diagnostic breast MR imaging followed by MR guided needle localization for mammographically and sonographically occult breast lesions in a community-based hospital. Materials and Methods Records of the initial 50 consecutive patients who underwent MR guided needle localizations at our institution from November 2001 to January 2003 were reviewed. Sixty-two lesions were localized by MR and were mammographically and sonographically occult. Patholo...
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#1Mieke Kriege (EUR: Erasmus University Rotterdam)H-Index: 29
#2Cecile T. M. Brekelmans (EUR: Erasmus University Rotterdam)H-Index: 16
Last. Jan G. M. Klijn (EUR: Erasmus University Rotterdam)H-Index: 80
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Summary Current options for BRCA 1/2 mutation carriers to reduce their risk of breast cancer (death) include prophylactic mastectomy, oophorectomy and surveillance. Screening for breast cancer is also offered to women with a familial predisposition for breast cancer, but without a proven BRCA 1/2 mutation. The effectivity of mammographic screening in this group of women is questionable, especially in BRCA 1/2 mutation carriers, due to a low sensitivity. Magnetic resonance imaging (MRI) appeared ...
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#1Mark A. RosenH-Index: 53
#2Evan S. SiegelmanH-Index: 46
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