Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-8kt4b Total loading time: 0 Render date: 2024-06-19T23:55:13.775Z Has data issue: false hasContentIssue false

Chapter 3 - Breast MR imaging

Published online by Cambridge University Press:  05 August 2011

Ihab R. Kamel
Affiliation:
The Johns Hopkins University School of Medicine
Elmar M. Merkle
Affiliation:
Duke University School of Medicine, North Carolina
Get access

Summary

Introduction

The move to higher magnetic field strength holds promise for advancing magnetic resonance (MR) imaging of the breast. Potential benefits include higher signal-to-noise ratio (SNR), contrast, and spectral resolution, which could translate into higher spatial and temporal resolution than previously possible. However, technical, physical, and safety considerations present challenges for fully realizing these benefits for breast MR imaging.

Background on clinical utility of breast MR imaging

MR imaging has proven to be a valuable imaging tool in detecting, characterizing, and assessing the extent of breast cancer. However, due to the relatively higher costs ofMR imaging when compared to mammography and ultrasound, judicious use for specific clinically proven applications is essential. Current evidence-based clinical applications of breast MR imaging include screening high-risk patients (including patients with a known geneticmutation such as BRCA or with a greater than 20% lifetime risk based on family history), evaluating patients with a new diagnosis of breast cancer, monitoring response to neoadjuvant chemotherapy, evaluation of patients with metastatic axillary adenocarcinoma of unknown primary, and evaluation of silicone implants suspected of rupture.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Rakow-Penner, RDaniel, BYu, HSawyer-Glover, AGlover, GHRelaxation times of breast tissue at 1.5T and 3T measured using IDEALJ Magn Reson Imaging 2006 23 87CrossRefGoogle ScholarPubMed
Rohrer, MBauer, HMintorovitch, JRequardt, MWeinmann, HJComparison of magnetic properties of MRI contrast media solutions at different magnetic field strengthsInvest Radiol 2005 40 715CrossRefGoogle ScholarPubMed
Barth, MMSmith, MPPedrosa, ILenkinski, RERofsky, NMBody MR imaging at 3.0 T: understanding the opportunities and challengesRadiographics 2007 27 1445CrossRefGoogle Scholar
Kuhl, CKKooijman, HGieseke, JSchild, HHEffect of B1 inhomogeneity on breast MR imaging at 3.0 TRadiology 2007 244 929CrossRefGoogle ScholarPubMed
Azlan, CADi Giovanni, PAhearn, TSB1 transmission-field inhomogeneity and enhancement ratio errors in dynamic contrast-enhanced MRI (DCE-MRI) of the breast at 3TJ Magn Reson Imaging 2010 31 234CrossRefGoogle ScholarPubMed
Kuhl, CKJost, PMorakkabati, NContrast-enhanced MR imaging of the breast at 3.0 and 1.5 T in the same patients: initial experienceRadiology 2006 239 666CrossRefGoogle Scholar
Pinker, KGrabner, GBogner, WA combined high temporal and high spatial resolution 3Tesla MR imaging protocol for the assessment of breast lesions: initial resultsInvest Radiol 2009 44 553CrossRefGoogle Scholar
Wiesinger, FVan de Moortele, PFAdriany, GPotential and feasibility of parallel MRI at high fieldNMR Biomed 2006 19 368CrossRefGoogle ScholarPubMed
Ladd, MEHigh-field-strength magnetic resonance: potential and limitsTop Magn Reson Imaging 2007 18 139CrossRefGoogle ScholarPubMed
Rakow-Penner, RHargreaves, BGlover, GHDaniel, BBreast MRI at 3TAppl Radiol 2009 38 6Google Scholar
Guo, YCai, YQCai, ZLDifferentiation of clinically benign and malignant breast lesions using diffusion-weighted imagingJ Magn Reson Imaging 2002 16 172CrossRefGoogle ScholarPubMed
Woodhams, RMatsunaga, KKan, SADC mapping of benign and malignant breast tumorsMagn Reson Med Sci 2005 4 35CrossRefGoogle ScholarPubMed
Partridge, SCDeMartini, WBKurland, BFQuantitative diffusion-weighted imaging as an adjunct to conventional breast MRI for improved positive predictive valueAJR Am J Roentgenol 2009 193 1716CrossRefGoogle ScholarPubMed
Matsuoka, AMinato, MHarada, MComparison of 3.0- and 1.5-tesla diffusion-weighted imaging in the visibility of breast cancerRadiat Med 2008 26 15CrossRefGoogle ScholarPubMed
Lo, GGAi, VChan, JKDiffusion-weighted magnetic resonance imaging of breast lesions: first experiences at 3TComput Assist Tomogr 2009 33 63CrossRefGoogle Scholar
Bolan, PJNelson, MTYee, DGarwood, MImaging in breast cancer: magnetic resonance spectroscopyBreast Cancer Res 2005 7 149CrossRefGoogle ScholarPubMed
Sinha, SSinha, URecent advances in breast MRI and MRSNMR Biomed 2009 22 3CrossRefGoogle ScholarPubMed
Haddadin, ISMcIntosh, AMeisamy, SMetabolite quantification and high-field MRS in breast cancerNMR Biomed 2009 22 65CrossRefGoogle ScholarPubMed
Meisamy, SBolan, PJBaker, EHNeoadjuvant chemotherapy of locally advanced breast cancer: predicting response with in vivo (1)H MR spectroscopy – a pilot study at 4 TRadiology 2004 233 424CrossRefGoogle ScholarPubMed
Peters, NHMeeuwis, CBakker, CJFeasibility of MRI-guided large-core-needle biopsy of suspiscious breast lesions at 3 TEur Radiol 2009 19 1639CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×