Role of magnetic resonance imaging in managing selected women with newly diagnosed breast cancer

The Breast : Official Journal of the European Society of Mastology
S ScomersiM Bortul

Abstract

The purpose of this study is evaluation of therapeutic impact of magnetic resonance imaging (MRI) in breast cancer patients that cannot be imaged adequately with traditional radiology: dense breasts, microcalcifications suspicious for carcinoma in situ or discordance between mammography and ultrasound. A review was performed of 493 patients' records: determination of breast MRI effect on clinical management was made for the selected 70 cases by analysing pre-MRI and post-MRI therapeutic plans. Analysis of final pathology was useful to determine if the change in surgical plan prompted by MRI was appropriate. Breast MRI added clinical information in 52.9% of patients that resulted in 44.3% of management changes that were judged as appropriate in 83.9% of cases. Breast MRI provides additional useful information, but causes more extensive surgery (40%) with no proven prognostic benefit. MRI should be considered optional in the clinical staging of breast cancer and performed in selected cases.

References

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Citations

Mar 13, 2013·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Grant E LattinLeonard M Glassman
Sep 29, 2012·The Breast Journal·Chaya S MoskowitzMaxine Jochelson
Feb 9, 2012·International Journal of Surgical Oncology·Thomas J PainterEli Avisar

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