Breast MRI

Magnetic resonance imaging of the breast (breast MRI), commonly used for dense breasts, is a highly accurate imaging modality for detecting early breast cancer and other abnormalities without using excess radiation. It’s often used alongside digital mammograms and digital breast tomosynthesis to offer detailed visualization of breast lesion margins. 

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Breast MRI audits should calculate performance measures separately

Comprehensive audits of breast MRI exams should include separate performance benchmarks for screening and diagnostic breast MRI exams, according to a study published online April 29 by the Journal of the American College of Radiology. 

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Another challenge to routine preop breast MRI

Those advocating against the routine use of preoperative breast MRI—an issue that has been in debate for years—received some more support in the literature this week, as a meta-analysis found no evidence that preoperative MRI for staging the cancerous breast reduces local or distant recurrence.

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Growth of breast MRI runs afoul of guidelines

Breast MRI use grew quickly in the early 2000s before stabilizing in recent years, but questions remain about whether American Cancer Society criteria for use are being followed, according to a study published online Nov. 18 in JAMA Internal Medicine.

Pre-op breast MRI linked to increasing rates of invasive surgery

Increasing use of preoperative breast MRI has been associated with significant increases in bilateral cancer diagnoses and subsequent invasive surgeries with questionable long-term benefits, according to a study published online Aug. 14 in Breast Cancer Research and Treatment.

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Mixed bag: Breast MRI CAD boosts sensitivity but not accuracy

A multicenter reader study designed to examine the effect of CAD on the diagnostic accuracy of breast MRI indicated improved sensitivity and comparable accuracy among novice and expert readers reviewing images without and with CAD, according to a study published in the June issue of American Journal of Roentgenology. CAD software did not increase interpretation time.

Pre-operative Breast MRI: Pros and Cons

Tuesday, Nov. 27, 7:15-8:15 a.m.| E451B | This session identifies areas of controversy surrounding pre-operative breast MRI and evidence both for and against its use. The presentations compare advantages and disadvantages of pre-operative MRI for women with newly diagnosed breast cancer.

AACR: Breast MRI screening cuts diagnostic costs for high-risk women

The use of breast MRI screenings among targeted, high-risk, underserved women significantly decreased diagnostic cost and increased patient follow-up compliance rates compared to using general-risk mammography screenings, according to a study presented at the Fourth American Association for Cancer Research (AACR) Conference on The Science of Cancer Health Disparities, held in Washington, D.C., from Sept. 18-21.

AJR: Breast MRI protocol opens door to lymph node assessment

Combined local and locoregional staging via whole-body MRI is clinically feasible and can accurately evaluate axillary lymph nodes, providing data that may help physicians optimize management of breast cancer patients, according to a study published in the May issue of American Journal of Roentgenology.

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