Magnetic Resonance Imaging–Guided Breast Interventions : Role in Biopsy Targeting and Lumpectomies - 21/10/15

Doi : 10.1016/j.mric.2015.05.004

Eva C. Gombos, MD ^a,^⁎ , Jayender Jagadeesan, PhD ^b, Danielle M. Richman, MD, MS ^c, Daniel F. Kacher, MS ^b
^a Division of Breast Imaging, Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA
^b Surgical Planning Laboratory, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA
^c Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA

^∗Corresponding author.

Résumé

Contrast-enhanced breast MR imaging is increasingly being used to diagnose breast cancer and to perform biopsy procedures. The American Cancer Society has advised women at high risk for breast cancer to have breast MR imaging screening as an adjunct to screening mammography. This article places special emphasis on biopsy and operative planning involving MR imaging and reviews use of breast MR imaging in monitoring response to neoadjuvant chemotherapy. Described are peer-reviewed data on currently accepted MR imaging–guided procedures for addressing benign and malignant breast diseases, including intraoperative imaging.

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Keywords : Breast cancer, Needle biopsy, MR imaging guidance, Lumpectomy, Extent of disease, Tumor ablation, Neoadjuvant chemotherapy

Plan

Key points

Problem and clinical presentations

Use of Contrast-Enhanced Breast MR Imaging

MR Imaging–Guided Tissue Sampling

Margin Status at Breast-Conserving Therapy

Need for MR imaging–guided procedures

Breast MR imaging and techniques

Challenges in MR imaging–guided breast biopsy targeting

MR imaging–guided breast core needle biopsy

MR imaging–guided wire localization

Pathology correlation of MR imaging–guided biopsies

Surgical planning with preoperative MR imaging following neoadjuvant chemotherapy

MR imaging–guided breast ablation

MR Imaging–Guided Cryoablation

MR Imaging Temperature Mapping in the Breast

MR Imaging–Guided Radiofrequency Ablation

MR Imaging–Guided Laser Interstitial Thermal Therapies

MR Imaging–Guided High Intensity Focused Ultrasound

MR imaging: role in surgical planning

Evaluation of Extent of Disease

Selection of Patients and Surgical Planning for Breast-Conserving Surgery

Intraoperative MR Imaging for Lumpectomy

The Advanced Multimodal Image-Guided Operating Suite

Summary

Disclosures: Dr E.C. Gombos discloses that she is receiving royalties for a book published by Amirsys, Inc. Dr J. Jagadeesan discloses that this project was supported by the National Center for Research Resources and the National Institute of Biomedical Imaging and Bioengineering of the National Institutes of Health through Grant Numbers P41EB015898 and P41RR019703. Dr D.M. Richman and Dr D.F. Kacher have nothing to disclose.

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Vol 23 - N° 4

P. 547-561 - novembre 2015 Retour au numéro

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Magnetic Resonance Imaging–Guided Breast Interventions : Role in Biopsy Targeting and Lumpectomies - 21/10/15

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