This book presents up to date debates and issues in the world of breast MRI with a very practical focus on how to incorporate current understanding of breast MRI into clinical practice. The book is divided into three key sections, all of which have critical impact for the breast imager: Techniques introduces the reader to the parameters of breast MRI from standard sequences to up-to-date cutting edge techniques. Indications provides a careful review of the accepted indications for breast MRI from High Risk Screening to use of breast MRI, in the context of neoadjuvant chemotherapy with a detailed analysis of the evidence-based support for these indications and a careful look at controversies and debates within the field. MRI Findings, Interpretation, and Management takes on the topics of how to interpret and manage specific MRI findings from benign to malignant disease with a focus on radiologic-pathologic correlation. The section also incorporates a focus on key management dilemmas, including appropriate follow-up intervals for benign findings on MRI and management of probably benign lesions assessed as a Breast Imaging Reporting and Dictating System (BI-RADS)-3 category on MRI.
Section 1. Techniques.- 1. Breast MRI Technique.- 2. Breast MRI: Standing Terminologies and Reporting.- Section 2. Indications.- 3. MRI and Screening.- 4. MRI and Preoperative Staging in Women Newly Diagnosed with Breast Cancer.- 5. Magnetic Resonance Imaging and Noeadjuvent Chemotherapy.- 6. Breast MRI and Implants.- 7. Problem Solving Breast MRI for Mammographic, Sonographic, or Clinical Findings.- 8. Post-Operative findings/recurrent disease.- Section 3. MRI Findings, Interpretation and Management.- 9. In Situ Disease on Breast MRI.- 10. MRI appearance of Invasive Breast Cancer.- 11. Targeted Ultrasound after MRI.- 12. Breast Biopsy and Breast MRI Wire Localization.- 13. Breast MRI and the Benign Breast Biopsy.- 14. BI-RADS 3 Lesions on MRI.- 15. Multiparametric Imaging: Cutting-Edge Sequences and Techniques including Diffusion-Weighted Imaging, Magnetic Resonance Spectroscopy, and PET/CT or PET/MRI.- 16. Abbreviated Breast MRI.- 17. Personalized Medicine, Biomarkers of Risk and Breast MRI.