At the end of this educational exhibit the learner will: 1.
Become familiar with dynamic contrast enhanced breast MRI indications,
contraindications and protocol 2.
Recognize common artifacts and limitations caused by them 3.
Understand common pitfalls in breast MRI and how to recognize them 4. Discuss techniques and strategies for reducing or eliminating breast MR artifacts
Breast MRI is an invaluable adjunct tool in breast imaging and the most sensitive imaging modality to detect breast cancer Dynamic Contrast Enhanced Breast MRI is widely used withstandardized appropriate indications including: Preoperative planning in patients with new diagnosis of breast cancer; High risk screening; and additional evaluation when mammography and ultrasound results are inconclusive MR images are susceptible to different types of artifacts It is important to recognize these...
Findings and procedure details
(Figure 1) Brief description of MRI indications and contraindications Indications: High risk screening – Begin at age 25 years old Greater than or equal to 20% lifetime risk of breast cancer BRCA 1,
p53 mutations  Other genes and syndromes (Li-Fraumeni,
etc.) Strong family history of breast and ovarian cancer (more than one first degree relative with breast or ovarian cancer) Chest mantle radiation in childhood Intermediate risk screening Moderately elevated...
Dynamic contrast enhanced breast MR is the most sensitive breast imaging modality and widely accepted for high risk screening,
evaluation of patients with new diagnosis of breast cancer,
and for additional evaluation Understanding of the imaging protocols,
and potential limitations is imperative to maximize its utility.
MRI artifacts and correction strategies.
(2010) 2(4): 445-457 Kriege M,
Efficacy of MRI and mammography for breast cancer screening in women with a familial or genetic predisposition.
N Engl J Med (2004) 351:427–437 Mann RM,
Kinkel K et al.
Breast MRI: guidelines from the European society of breast imaging.
Eur Radiol (2008)18: 1307-1318 Liberman L,
MR imaging of the...