Evolving Trends in Breast MRI

Evolving Trends in Breast MRI Harriet B. Borofsky, M.D. Director of Breast Imaging Mills-Peninsula Women’s Center

“ Conventional” Breast Imaging: 2011 and Beyond ,[object Object],[object Object],[object Object]

Mammography ,[object Object],[object Object],[object Object],[object Object]

Digital Mammography ,[object Object],[object Object],[object Object],[object Object],[object Object]

Mammography – Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Breast Ultrasound ,[object Object],[object Object],[object Object],[object Object],[object Object]

Breast Ultrasound ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Breast Ultrasound: Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Magnetic Resonance Imaging (MRI) of the Breast ,[object Object],[object Object]

MRI - Strengths ,[object Object],[object Object],[object Object]

Strengths (cont.) ,[object Object],[object Object]

MRI - Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Limitations ,[object Object],[object Object]

Recent Technical Advances Making MRI Feasible in Clinical Practice: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Sentinelle Table/Coil for Breast MRI

Breast MRI: Literature Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Breast MRI: Current Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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42 year old presenting with a large, palpable mass in the upper outer left breast: Pre and post neoadjuvant chemotherapy

Breast MRI: Preoperative Assessment of Newly Diagnosed Breast Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Gutierrez et al. High Cancer Yield and Positive Predictive Value: Outcomes at a Center Routinely Using Preoperative Breast MRI for Staging. AJR, 2011 ,[object Object],[object Object],[object Object],[object Object]

Houssami et al. Accuracy and Surgical Impact of MRI in Breast Cancer Staging. J Clin Oncol 2008 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Ongoing Questions/Controversies ,[object Object],[object Object],[object Object],[object Object]

Consider Preoperative MRI: ,[object Object],[object Object],[object Object]

Breast MRI – High-Risk Screening Setting ,[object Object],[object Object]

American Cancer Society: Screening Breast MRI Recommendations; 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Brennan et al. Breast MRI Screening of Women with A Personal History of Breast Cancer. AJR 2010. ,[object Object],[object Object],[object Object],[object Object]

Future Advances in Breast MRI ,[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object]

Evolving Trends in Breast MRI

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Evolving Trends in Breast MRI