MRI-guided breast interventions. Review uri icon

Overview

abstract

  • UNLABELLED: Magnetic resonance imaging (MRI)-guided interventions, including biopsies and wire localizations, are fundamental to any breast imaging practice due to the high sensitivity but limited specificity of breast MRI. The basic steps of MRI-guided biopsies are similar regardless of the vendor or platform, and technical considerations include approach planning, patient preparation and positioning, lesion targeting, and directional sampling using a vacuum-assisted biopsy technique. Unique challenges related to MRI-guided biopsies include vanishing lesions due to contrast washout, obscuration of the biopsy site due to susceptibility artifacts, and limited access to posteromedial lesions. A careful approach to planning, patient positioning, and lesion targeting will maximize the chances for a successful biopsy. Due to overlapping imaging features between benign and malignant lesions, radiologic-pathologic concordance is difficult and essential for further patient management. LEVEL OF EVIDENCE: 5 Technical Efficacy: Stage 3 J. MAGN. RESON. IMAGING 2017;46:631-645.

publication date

  • May 4, 2017

Research

keywords

  • Breast Neoplasms
  • Magnetic Resonance Imaging, Interventional

Identity

Scopus Document Identifier

  • 85018795458

Digital Object Identifier (DOI)

  • 10.1002/jmri.25738

PubMed ID

  • 28470744

Additional Document Info

volume

  • 46

issue

  • 3