Breast MRI

Drs. Elizabeth Morris and Laura Liberman, two rising stars in breast MRI from the Memorial Sloan-Kettering Cancer Center, edited this complete, superbly illustrated practical guide. The comprehensive text is written by contributors from the top cancer centers in the world. Introductory chapters are devoted to diagnosis and cover the basics of performing breast MRI exams, setting up a breast MR program, and understanding clinical indications. Additional chapters discuss breast interventional procedures, including the surgeon's use of MR and MR-guided needle interventions. A comprehensive diagnostic atlas completes the volume and addresses the spectrum of clinical situations, such as various carcinomas, special tumor types, and benign histologies. Radiologists, residents, and fellows will benefit from this guide's thorough examination of image interpretation, which highlights pitfalls that specialists must recognize.

With a focus on the basic imaging principles of breast MRI rather than on mathematical equations, this book takes a practical approach to imaging protocols, which helps radiologists increase their diagnostic effectiveness. It walks the reader through the basics of MRI, making it especially accessible to beginners. From a detailed outline of equipment prerequisites for obtaining high quality breast MRI to instructions on how to optimize image quality, expanded discussions on how to obtain optimized dynamic information, and explanations of good and bad imaging techniques, the book covers the topics that are most relevant to performing breast MRI.

MRI is increasingly being used by radiologists to confirm diagnoses and perform operative procedures of the breast. MRI's contrast between soft tissues in the breast is many times greater than that obtained by plain-film mammography. As opposed to x-rays, which are known to cause damage to cellular DNA, the magnetic fields and radiowaves used with MRI are not known to have any long-term biologic effect. MRI of the breast requires intravenous injection of a contrast agent, which helps highlight breast abnormalities. The American Cancer Society has advised women at high risk for breast cancer to have an MRI. This book, a collaboration between an experienced breast imager and a breast surgeon, contains 100 cases and covers high risk screening, extent of disease evaluation, as well as the full range of benign and malignant tumors found in the breast: DCIS, invasive ductal cancers, and invasive lobule cancers. Rare lesions such as phyllodes, mucinous, liposarcomas, and myotiboblastomas are also covered. Pathologic correlations are included where appropriate. This book has a special emphasis on preoperative planning involving MRI and thus may also appeal to surgical oncologists specializing in breast cancer.

Breast MRI is a comprehensive, practical resource entirely devoted to this state-of-the-art technique, which has emerged as a valuable adjunct to the conventional imaging modalities in the detection of primary and recurrent breast cancer. This brand-new medical reference book utilizes an atlas-type format that showcases numerous examples of each aspect of breast MRI, equipping you with the latest knowledge on effective breast image interpretation. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compare your breast imaging findings to a wealth of breast MRI examples that capture the characteristic clinical presentation of both normal and diseased patients. Apply the most up-to-date information available on all aspects of breast MRI, including MRI-guided biopsy, breast cancer screening with MRI, MRI features of benign and malignant lesions, and MRI in the evaluation of newly diagnosed breast cancer. Take advantage of an image-rich, atlas-type format that offers the visual clarity you need for accurate interpretation.

This book offers a comprehensive overview of the use of breast MRI for screening high-risk women, including those with familial-genetic hereditary predisposition and previous chest radiation therapy, typically lymphoma survivors. It discusses the historical background of studies and research that provided the body of evidence in favor of MRI screening of these women. Technical and clinical topics are treated in dedicated chapters, including models for individualized risk estimation, radiogenomics of breast cancer in high-risk women, computer-aided detection/diagnosis and machine learning systems applied to breast MRI, and psycho-oncology issues. Alternatives to breast MRI screening such as pharmaco-prevention and prophylactic mastectomy are also discussed, taking into account the public debate on the “Angelina Jolie” effect. The high breast cancer risk model is proposed as a paradigm for personalized medicine. This book will be of interest to radiologists, surgeons, oncologists and to all professionals devoted to female healthcare.

Although mammography is the primary method used for breast cancer screening, screening mammography is limited especially in women with dense breasts, which includes nearly 50% of all women in the United States. Despite improvements such as digital mammography, computed aided detection, and digital breast tomosynthesis, breast cancer continues to be a leading cause of cancer-related death in women. The recent proliferation of screening breast ultrasound has led to increased health care costs and false positives, with only a slight improvement in breast cancer detection. It is time for a better test. This is the first textbook dedicated to the subject of abbreviated breast MRI (AB-MR). The editors are principal investigators in the first multicenter trial evaluating AB-MR. Each chapter is authored by a leading expert in the field of breast MRI. AB-MR only takes 10 minutes or less to perform, has a comparable cost to screening breast ultrasound, and detects twice as many cancers compared to combined screening with mammography and ultrasound. The improved performance of AB-MR is irrespective of breast density, family history, overall breast cancer risk, and cancer characteristics (e.g. type, staging, invasive or intraductal, primary or recurrent). As such, it will likely become a routine screening tool in women with dense breasts. Key Features A background on breast MR imaging including a review of current research data Fundamental guidelines for implementing, performing, and interpreting AB-MR Technical approaches with proven efficacy, including biopsy methods Accurate interpretation presented in an easy-to-read flow chart format More than 250 high quality color illustrations AB-MR has the potential to help radiologists overcome breast cancer screening limitations and change current standards of practice. This book provides radiologists with the necessary tools to quickly incorporate AB-MR into clinical practice, with an ultimate goal of improved breast cancer detection rates and patient outcomes.

Breast MRI is a comprehensive, practical resource entirely devoted to this state-of-the-art technique, which has emerged as a valuable adjunct to the conventional imaging modalities in the detection of primary and recurrent breast cancer. This brand-new medical reference book utilizes an atlas-type format that showcases numerous examples of each aspect of breast MRI, equipping you with the latest knowledge on effective breast image interpretation. Compare your breast imaging findings to a wealth of breast MRI examples that capture the characteristic clinical presentation of both normal and diseased patients. Apply the most up-to-date information available on all aspects of breast MRI, including MRI-guided biopsy, breast cancer screening with MRI, MRI features of benign and malignant lesions, and MRI in the evaluation of newly diagnosed breast cancer.Take advantage of an image-rich, atlas-type format that offers the visual clarity you need for accurate interpretation.Access the full text and images online at Expert Consult.

This publication presents topics on Current Clinical Indications for Breast MRI; How to set up breast MRI practice; MR-BIRADS Lexicon; Optimization of breast MRI at 1.5 Tesla(T) and at 3 Tesla; Role of MRI in evaluating extent of disease; Update on Screening breast MRI in high risk women; MRI of DCIS; Role of breast MRI in the assessment of Invasive lobular carcinoma; Breast MRI Interventions: Indications, Technique, and Histologic Correlation; Role of Breast MRI in problem-solving; Benign lesions detected on breast MRI; Clinical Oncologic Perspective of Breast MRI; Role of breast MRI in neo-adjuvant chemotherapy.

Breast MRI is no longer the domain of specialised centres; it is now a mainstream diagnostic technique, and an understanding of its applications is essential for any clinician involved with breast imaging. The Handbook of Breast MRI provides core knowledge and clinical guidelines for performing breast MRI in everyday practice. Introductory chapters on breast MRI basics, anatomy and pathology are followed by detailed chapters on the use of MRI in screening, staging, problem-solving and MRI-guided interventions, each containing diagnostic algorithms, tables and lists for quick access to key diagnostic information. Each chapter also contains a selection of self testing questions, and numerous Appendices concisely summarise tumour classification and current breast cancer treatment options. The Handbook of Breast MRI is an invaluable practical diagnostic resource for radiologists, surgeons, oncologists and all clinicians involved in breast cancer management.

This atlas serves as a basic introduction to breast MRI. Organized by case, it emphasizes pertinent breast MRI findings and common indications for breast MRI. Topics include breast MRI basics, benign findings, breast malignancy, high-risk conditions, interesting cases, and breast implants. Brief teaching points accompany each case and highlight the importance of the findings. Breast MRI Teaching Atlas is an ideal resource for diagnostic radiologists, residents, fellows, and clinicians involved in the care of breast cancer patients, including surgeons, oncologists, and obstetricians/gynecologists.

Breast cancer is one of the leading causes of death among women with early detection being the key to improved prognosis and survival. Magnetic resonance imaging (MRI) of the breast is undisputedly the most sensitive imaging method to detect cancer, with a higher detection rate than mammography, digital breast tomosynthesis, and ultrasound Breast MRI: State of the Art and Future Directions provides a comprehensive overview of the current applications of breast MRI, including abbreviated MRI, as well as presenting technical recommendations, practical implementation and associated challenges in clinical routine. In addition, it introduces novel MRI techniques, multimodality imaging, advanced image prost processing coupled with AI, reviewing their potential for impeding and future clinical implementation. This book is a complete reference on state of the arts breast MRI methods suitable for MRI researchers, radiographers, and clinicians Spans the whole spectrum of breast MRI: basic imaging techniques, indications and interpretation, and the latest cutting-edge techniques Reviews multiparametric MRI and abbreviated protocols, providing an outlook on the future of this technique Discusses the predictive and prognostic value of MRI as well as the evolving field of radiomics/genomics and AI

Acclaim for the first edition: "A handy reference of MRI findings for practicing radiologists in their daily work. Indications for breast MRI are excellently presented. Strongly recommended." Acta Radiologica "Interesting and instructive book [...] the author successfully presents, evaluates and discusses the use of MR in the imaging of the breast [...]. Each chapter is enriched by numerous, clear and demonstrative illustrations [...] should be in the hands of all radiologists who practice mammography [...] and those who should know when and why MR mammography should be performed." Journal of Clinical Imaging High-resolution MR mammography is superior to all other breast imaging modalities for the detection of invasive and intraductal breast cancer forms. It plays an important role in the early detection of breast cancer and in the more effective evaluation of breast disease, and has proven to be a reliable method for staging and follow-up after a breast cancer diagnosis. Since there are now dedicated materials available for the performance of percutaneous MRI-guided needle biopsies, it is also possible to obtain a histologic diagnosis of findings that are only detected on MRI. The completely revised and expanded second edition of Practical MR Mammography sets out to cover these thematic and technical developments. Key Features: Goal-oriented didactic structure throughout: When should breast MRI be performed? How does one proceed during the examination? How does one arrive at a diagnosis precisely and reliably? How can mistakes be avoided? Now over 1300 completely new, high-quality images produced with the latest equipment Summarized characteristics of distinct diseases: incidence, etiology, malignant potential, clinical and imaging findings Inclusion and application of MRI-BIRADS In-depth and updated coverage of DCIS This book shows readers how to acquire excellent images and helps improve their image analysis and evaluation skills. It provides clear answers to all questions pertaining to MR mammography and support for special problems.

This highly illustrated book provides practical and pragmatic guidance in breast MRI for all professionals involved in breast imaging or the care of patients with breast diseases.

Written by internationally renowned experts, this volume deals with imaging of diseases of heart, chest and breast. The different topics are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. This book presents a comprehensive review of current knowledge in imaging of the heart and chest , as well as thoracic interventions and a selection of "hot topics" of breast imaging. It will be particularly relevant for residents in radiology, but also very useful for experienced radiologists and clinicians specializing in thoracic disease and wishing to update their knowledge of this rapidly developing field.

Guest edited by Christopher Comstock of Memorial Sloan-Kettering, this issue of Radiologic Clinics will provide all of the latest guidelines and techniques for breast imaging. Modalities include MRI, MR-CAD, digital tomosynthesis, and ultrasound.

Imaging of the Breast, by Drs. Lawrence Bassett, Mary Mahoney, Sophia Apple, and Carl D'Orsi, enables you to more accurately interpret the imaging findings for even your most challenging cases. A comprehensive look at breast imaging, it correlates radiologic images with pathology slides to strengthen the accuracy of your diagnosis. This entry in the Expert Radiology Series also addresses topics such as appropriateness criteria for various imaging approaches, the BI-RAD quality assessment and reporting tool, and image-guided interventional procedures. Confidently interpret breast imaging findings by looking at how various radiologic presentations correlate with pathology studies. Make the best imaging decisions with comprehensive coverage of the appropriateness criteria for various imaging modalities. Comply with accepted reporting standards thanks to in-depth information on Breast Imaging-Reporting and Data System. Enhance your interventional radiology skills with detailed guidance of these techniques. View breast pathology clearly with full-color images throughout.

Breast Cancer, Second Editionis intended to provide a comprehensive description of current and evolving aspects of breast cancer including the biologic basis of disease, epidemiology, risk assessment, diagnostic evaluation, treatment strategies, and surveillance measures. The second edition expands considerably on the first edition, containing greater emphasis on issues relevant to medical oncology and the broader oncology community. New to this edition are chapters on the male breast, breast cancer in the augmented breast and breast cancer in multiethnic/multiracial populations. Part of the American Cancer Society’s acclaimedAtlas of Clinical Oncology series, this volume offers an expert overview of breast cancer. Topics range from epidemiology and genetics to diagnosis, management and reconstruction. Post-treatment care, as well as male breast cancer, is also discussed.

Annually, more than 250 000 US women are diagnosed with breast cancer and are recommended for yearly surveillance mammography for second cancers after treatment completion. Many also receive breast magnetic resonance imaging (MRI), without evidence of effectiveness. In this study, the research team looked at how often mammograms and breast MRIs found second breast cancers. To do this, the team looked at health records of breast cancer survivors from a cancer registry. The registry combines data from sites across the country and includes information about women with previous breast cancers who had mammograms and breast MRIs. In the research results, when doctors used a breast MRI with or without a mammogram, they were more likely to find cancer than when they used a mammogram alone. Breast MRIs also led to more biopsies. Biopsies confirm whether a tissue sample is cancer or not. But they may cause scarring, pain, or infection.

Breast Imaging: The Requisites, 2nd Edition, by Debra Ikeda, MD, presents all of today’s core knowledge about diagnostic imaging of the breast. Clinically oriented and easy to use, it shows you how to interpret the full range of imaging studies for the most accurate diagnoses. Updates include all-new digital mammography images throughout...new, full-color chapters on PET-CT imaging for high-risk patients and patients with breast disease...new images and data on MR imaging...and new ultrasound images, with an emphasis on ultrasound of normal structures. Compact yet authoritative, this work is an ideal reference for both board preparation and clinical practice. Focus on the essentials needed to pass the boards and ensure accurate diagnoses in clinical practice. Interpret the findings generated from each high-tech imaging modality used to image the breast, including digital mammography, MRI and MRI-guided procedures, ultrasound, and PET-CT imaging. Get outstanding visual guidance with more than 700 superb illustrations that demonstrate a full range of mammography approaches and findings. Grasp key information quickly with numerous outlines, tables, ''pearls,'' and boxed material for easy reference. Benefit from expert coverage of risk factors, image interpretation and workup, breast masses and calcifications, cancer and its treatment, silicone breast implants, the postoperative breast, clinical problems, invasive procedures, and much more. Stay up to date with all-new digital mammography images throughout...new, full-color chapters on PET-CT imaging for high-risk patients and patients with breast disease...new images and data on MR imaging...and new ultrasound images, with an emphasis on ultrasound of normal structures. Gain new insight into today’s hottest topics, including breast MR imaging for high-risk patients, staging, and treatment planning, and PET-CT imaging for diagnosis, staging, and treatment planning.