TY - JOUR
T1 - Breast MRI
T2 - EUSOBI recommendations for women's information
AU - Mann, Ritse M.
AU - Balleyguier, Corinne
AU - Baltzer, Pascal A.
AU - Bick, Ulrich
AU - Colin, Catherine
AU - Cornford, Eleanor
AU - Evans, Andrew
AU - Fallenberg, Eva
AU - Forrai, Gabor
AU - Fuchsjaeger, Michael H.
AU - Gilbert, Fiona J.
AU - Helbich, Thomas H.
AU - Heywang-Koebrunner, Sylvia H.
AU - Camps-Herrero, Julia
AU - Kuhl, Christiane K.
AU - Martincich, Laura
AU - Pediconi, Federica
AU - Panizza, Pietro
AU - Pina, Luis J.
AU - Pijnappel, Ruud M.
AU - Pinker-Domenig, Katja
AU - Skaane, Per
AU - Sardanelli, Francesco
PY - 2015/12
Y1 - 2015/12
N2 - This paper summarizes information about breast MRI to be provided to women and referring physicians. After listing contraindications, procedure details are described, stressing the need for correct scheduling and not moving during the examination. The structured report including BI-RADSA (R) categories and further actions after a breast MRI examination are discussed. Breast MRI is a very sensitive modality, significantly improving screening in high-risk women. It also has a role in clinical diagnosis, problem solving, and staging, impacting on patient management. However, it is not a perfect test, and occasionally breast cancers can be missed. Therefore, clinical and other imaging findings (from mammography/ultrasound) should also be considered. Conversely, MRI may detect lesions not visible on other imaging modalities turning out to be benign (false positives). These risks should be discussed with women before a breast MRI is requested/performed. Because breast MRI drawbacks depend upon the indication for the examination, basic information for the most important breast MRI indications is presented. Seventeen notes and five frequently asked questions formulated for use as direct communication to women are provided. The text was reviewed by Europa Donna-The European Breast Cancer Coalition to ensure that it can be easily understood by women undergoing MRI.aEuro cent Information on breast MRI concerns advantages/disadvantages and preparation to the examinationaEuro cent Claustrophobia, implantable devices, allergic predisposition, and renal function should be checkedaEuro cent Before menopause, scheduling on day 7-14 of the cycle is preferredaEuro cent During the examination, it is highly important that the patient keeps stillaEuro cent Availability of prior examinations improves accuracy of breast MRI interpretation.
AB - This paper summarizes information about breast MRI to be provided to women and referring physicians. After listing contraindications, procedure details are described, stressing the need for correct scheduling and not moving during the examination. The structured report including BI-RADSA (R) categories and further actions after a breast MRI examination are discussed. Breast MRI is a very sensitive modality, significantly improving screening in high-risk women. It also has a role in clinical diagnosis, problem solving, and staging, impacting on patient management. However, it is not a perfect test, and occasionally breast cancers can be missed. Therefore, clinical and other imaging findings (from mammography/ultrasound) should also be considered. Conversely, MRI may detect lesions not visible on other imaging modalities turning out to be benign (false positives). These risks should be discussed with women before a breast MRI is requested/performed. Because breast MRI drawbacks depend upon the indication for the examination, basic information for the most important breast MRI indications is presented. Seventeen notes and five frequently asked questions formulated for use as direct communication to women are provided. The text was reviewed by Europa Donna-The European Breast Cancer Coalition to ensure that it can be easily understood by women undergoing MRI.aEuro cent Information on breast MRI concerns advantages/disadvantages and preparation to the examinationaEuro cent Claustrophobia, implantable devices, allergic predisposition, and renal function should be checkedaEuro cent Before menopause, scheduling on day 7-14 of the cycle is preferredaEuro cent During the examination, it is highly important that the patient keeps stillaEuro cent Availability of prior examinations improves accuracy of breast MRI interpretation.
KW - Breast
KW - Breast cancer
KW - Magnetic resonance imaging
KW - Access to information
KW - Patient advocacy
KW - CARCINOMA IN-SITU
KW - BACKGROUND PARENCHYMAL ENHANCEMENT
KW - RANDOMIZED CONTROLLED-TRIAL
KW - BI-RADS 3
KW - HIGH-RISK
KW - MENSTRUAL-CYCLE
KW - NEOADJUVANT THERAPY
KW - DIAGNOSTIC-ACCURACY
KW - CONSERVING SURGERY
KW - PREOPERATIVE MRI
U2 - 10.1007/s00330-015-3807-z
DO - 10.1007/s00330-015-3807-z
M3 - Article
C2 - 26002130
SN - 0938-7994
VL - 25
SP - 3669
EP - 3678
JO - European Radiology
JF - European Radiology
IS - 12
ER -