Breast MRI E-Book


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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.



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Published 28 November 2013
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EAN13 9780323186469
Language English
Document size 20 MB

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Breast MRI Virginia M. Molleran Mary C. Mahoney
Table of Contents
Cover image
Title page
Chapter 1: Setting Up and Optimizing a Breast MRI Practice Existing Practice Needs Community Research
Patient Referral Base
Initial Investigation
Implementing Breast Magnetic Resonance Imaging
Patient Selection
Breast Magnetic Resonance Imaging Interpretation, Imaging Correlation, and Comparison
Outcomes of Magnetic Resonance Imaging–Guided Breast Biopsy
American College of Radiology Breast Magnetic Resonance Imaging Accreditation Requirements Conclusion
Chapter 2: Optimizing the Breast MRI Protocol Fundamentals of Magnetic Resonance Imaging Fundamental Trade-offs
Pulse Sequences
Acquisition Techniques
Protocol Optimization
Chapter 3: Computer-Aided Detection for Breast MRI Principles of Breast Magnetic Resonance Imaging Interpretation Computer-Aided Detection for Registration Correction
Enhancement Curves
Computer-Aided Detection for Quantitative Kinetic Analysis
Pitfalls of Computer-Aided Detection Conclusion
Chapter 4: Screening for Breast Cancer with MRI Search Criteria Mortality Conclusion
Chapter 5: MRI Features of Ductal Carcinoma in Situ Pathology and Natural History of Ductal Carcinoma in Situ MRI Morphologic Features
Why Does Ductal Carcinoma in Situ Enhance?
MRI Appearance and Ductal Carcinoma in Situ Grade
MRI Sensitivity
Diffusion-Weighted MRI Conclusion
Chapter 6: MRI Features of Invasive Disease MRI of Invasive Lobular Carcinoma Mucinous Carcinoma
Medullary Carcinoma
Papillary Carcinoma
Triple-Negative Breast Cancers
Inflammatory Breast Cancer
Chapter 7: Benign Findings in Breast MRI Benign Cystic Lesions Benign Proliferative Lesions
Fibroepithelial Tumors
Papillary Lesions
Mesenchymal Lesions
Inflammatory Lesions
Trauma- and Therapy-Related Conditions
Normal and Physiologic Findings
Skin Lesions
Chapter 8: MRI of High-Risk Breast Lesions Atypical Ductal Hyperplasia Flat Epithelial Atypia (Columnar Cell Changes/Hyperplasia with Atypia)
Lobular Neoplasia
Papillary Lesions
Radial Scar and Complex Sclerosing Lesion
Phyllodes Tumor
Mucocele-like Lesions
Breast MRI and Management of High-Risk Lesions
Chapter 9: MRI Evaluation of the Patient with Breast Cancer Evaluation of the Ipsilateral Breast Special Cases
Chapter 10: MRI of the Postoperative Breast Our Experience Image-Guided Interventions
Surgical Interventions Radiation Tissue Expansion and Implantation
Other Surgical Interventions Male Breast Regional Surgical Procedures Conclusion
Chapter 11: MRI for Breast Implant Evaluation History of Breast Implantation Implant Basics
Magnetic Resonance Imaging of the Implanted Breast
Implant Complications
Mammographic and Sonographic Evaluation of Implants Conclusion
Chapter 12: MRI-Guided Breast Biopsy Patient and Lesion Selection Equipment Selection
Biopsy Technique
Challenges, Pitfalls, and Technical Tips
Post-Biopsy Management Conclusion
1600 John F. Kennedy Blvd. Ste. 800 Philadelphia, PA 19103-2899 BREAST MRI ISBN: 978-1-4557-4061-1 Copyright © 2014 by Saunders, an imprint of Elsevier Inc. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
ISBN: 978-1-4557-4061-1 Senior Content Strategist:Don Scholz Content Development Specialist:Julia Roberts Publishing Services Manager:Julie Eddy Senior Project Manager:Andrea Campbell Design Direction:Steven Stave Printed in China Last digit is theprint number: 9 8 7 6 5 4 3 2 1
This book is dedicated to Kevin, Ellie, and Sam. Thanks for your incredible patience and support! Virginia M. Molleran
For my children—Jane, Sarah, Will, and Jack. You are the center of everything I do.
Mary C. Mahoney
A my A rgus, M Dssistant Professor of Radiology, University of Cincinnati, A Medical Center, Cincinnati, Ohio Christopher E. Comstock, M Dmagingirector of Breast I ending Radiologist, D , A Education, Memorial Sloan-Kettering Cancer Center, New York, New York Stamatia D estounis, M D , FA C,R Elizabeth Wende Breast Care, LLC, Clinical A ssociate Professor, University of Rochester S chool of Medicine & D entistry, Rochester, New York Samantha L. H eller, M D , PhDGeorge’s Hospital, London, United, Consultant, S t. Kingdom Anne E. Kleimeyer, MD, Kettering Network Radiologists, Inc., Kettering, Ohio Carol H . Lee, M D , FA C,R A ending Radiologist, Memorial S loan-Keering Cancer Center, Professor, D epartment of Radiology, Weill M edical College, Cornell University, Cornell, New York Su-J u Lee, M D , FA C,R A ssistant Professor of Radiology, Barre Breast Center, University of Cincinnati Medical Center, Cincinnati, Ohio M ary C. M ahoneyof Radiology and Vice Chair of Research, Eugene L., Professor and S ue R. S aenger Chair of Radiological S ciences, University of Cincinnati Medical Center, Director of Breast Imaging, Barrett Cancer Center, Cincinnati, Ohio Virginia M . M olleran, M D, A ssistant Professor of Radiology, UC Health/U niversity Hospital, Breast Imaging Department, Cincinnati, Ohio Linda M oy, M Dew York University Langonessistant Professor of Radiology, N , A Medical Center, New York University Cancer Institute, New York, New York H aydee O jeda-Fournier, M D, A ssistant Professor of Clinical Radiology, Medical D irector, Breast I maging S ection, Moores Cancer Center, University of California S an Diego, San Diego, California Robert A . Pooley, PhDepartment ofin Radiologic Physics, D , Consultant D iagnostic Radiology, Mayo Clinic, J acksonville, Florida, A ssistant Professor of Radiologic Physics, Mayo Medical School, College of Medicine, Rochester, Minnesota J anice S. Sung, M Dssistant A , A loan-Keeringending Radiologist, Memorial S Cancer Center, New York, New York Patricia Poole, M D, Resident–D epartment of Radiology, UC S an D iego Health System, San Diego, California