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. 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.Access the full text and images online at Expert Consult.
A practical guide to breast MRI providing core knowledge and clinical guidelines essential for any clinician involved in breast imaging.
With a focus on the basic imaging principles of breast MRI rather than on mathematical equations, this book takes a practical approach to imaging protocols, which helps radiologists increase their diagnostic effectiveness. It walks the reader through the basics of MRI, making it especially accessible to beginners. From a detailed outline of equipment prerequisites for obtaining high quality breast MRI to instructions on how to optimize image quality, expanded discussions on how to obtain optimized dynamic information, and explanations of good and bad imaging techniques, the book covers the topics that are most relevant to performing breast MRI.
Drs. Elizabeth Morris and Laura Liberman, two rising stars in breast MRI from the Memorial Sloan-Kettering Cancer Center, edited this superbly illustrated practical guide. Introductory chapters are devoted to diagnosis and cover the basics of performing breast MRI exams, setting up a breast MR program, and understanding clinical indications. Additional chapters discuss breast interventional procedures. A diagnostic atlas completes the volume. Radiologists, residents, and fellows will benefit from this guide's thorough examination of image interpretation, which highlights pitfalls that specialists must recognize.
Drs. Elizabeth Morris and Laura Liberman, two rising stars in breast MRI from the Memorial Sloan-Kettering Cancer Center, edited this complete, superbly illustrated practical guide. The comprehensive text is written by contributors from the top cancer centers in the world. Introductory chapters are devoted to diagnosis and cover the basics of performing breast MRI exams, setting up a breast MR program, and understanding clinical indications. Additional chapters discuss breast interventional procedures, including the surgeon's use of MR and MR-guided needle interventions. A comprehensive diagnostic atlas completes the volume and addresses the spectrum of clinical situations, such as various carcinomas, special tumor types, and benign histologies. Radiologists, residents, and fellows will benefit from this guide's thorough examination of image interpretation, which highlights pitfalls that specialists must recognize.
MRI is increasingly being used by radiologists to confirm diagnoses and perform operative procedures of the breast. MRI's contrast between soft tissues in the breast is many times greater than that obtained by plain-film mammography. As opposed to x-rays, which are known to cause damage to cellular DNA, the magnetic fields and radiowaves used with MRI are not known to have any long-term biologic effect. MRI of the breast requires intravenous injection of a contrast agent, which helps highlight breast abnormalities. The American Cancer Society has advised women at high risk for breast cancer to have an MRI. This book, a collaboration between an experienced breast imager and a breast surgeon, contains 100 cases and covers high risk screening, extent of disease evaluation, as well as the full range of benign and malignant tumors found in the breast: DCIS, invasive ductal cancers, and invasive lobule cancers. Rare lesions such as phyllodes, mucinous, liposarcomas, and myotiboblastomas are also covered. Pathologic correlations are included where appropriate. This book has a special emphasis on preoperative planning involving MRI and thus may also appeal to surgical oncologists specializing in breast cancer.
|Author||: Linda Moy,Cecilia L. Mercado|
|Publisher||: Elsevier Health Sciences|
|Release Date||: 2010-06-21|
|ISBN 10||: 145570041X|
|Pages||: 194 pages|
This publication presents topics on Current Clinical Indications for Breast MRI; How to set up breast MRI practice; MR-BIRADS Lexicon; Optimization of breast MRI at 1.5 Tesla(T) and at 3 Tesla; Role of MRI in evaluating extent of disease; Update on Screening breast MRI in high risk women; MRI of DCIS; Role of breast MRI in the assessment of Invasive lobular carcinoma; Breast MRI Interventions: Indications, Technique, and Histologic Correlation; Role of Breast MRI in problem-solving; Benign lesions detected on breast MRI; Clinical Oncologic Perspective of Breast MRI; Role of breast MRI in neo-adjuvant chemotherapy.
Breast MRI is no longer the domain of specialised centres; it is now a mainstream diagnostic technique, and an understanding of its applications is essential for any clinician involved with breast imaging. The Handbook of Breast MRI provides core knowledge and clinical guidelines for performing breast MRI in everyday practice. Introductory chapters on breast MRI basics, anatomy and pathology are followed by detailed chapters on the use of MRI in screening, staging, problem-solving and MRI-guided interventions, each containing diagnostic algorithms, tables and lists for quick access to key diagnostic information. Each chapter also contains a selection of self testing questions, and numerous Appendices concisely summarise tumour classification and current breast cancer treatment options. The Handbook of Breast MRI is an invaluable practical diagnostic resource for radiologists, surgeons, oncologists and all clinicians involved in breast cancer management.
Acclaim for the first edition: "A handy reference of MRI findings for practicing radiologists in their daily work. Indications for breast MRI are excellently presented. Strongly recommended." Acta Radiologica "Interesting and instructive book [...] the author successfully presents, evaluates and discusses the use of MR in the imaging of the breast [...]. Each chapter is enriched by numerous, clear and demonstrative illustrations [...] should be in the hands of all radiologists who practice mammography [...] and those who should know when and why MR mammography should be performed." Journal of Clinical Imaging High-resolution MR mammography is superior to all other breast imaging modalities for the detection of invasive and intraductal breast cancer forms. It plays an important role in the early detection of breast cancer and in the more effective evaluation of breast disease, and has proven to be a reliable method for staging and follow-up after a breast cancer diagnosis. Since there are now dedicated materials available for the performance of percutaneous MRI-guided needle biopsies, it is also possible to obtain a histologic diagnosis of findings that are only detected on MRI. The completely revised and expanded second edition of Practical MR Mammography sets out to cover these thematic and technical developments. Key Features: Goal-oriented didactic structure throughout: When should breast MRI be performed? How does one proceed during the examination? How does one arrive at a diagnosis precisely and reliably? How can mistakes be avoided? Now over 1300 completely new, high-quality images produced with the latest equipment Summarized characteristics of distinct diseases: incidence, etiology, malignant potential, clinical and imaging findings Inclusion and application of MRI-BIRADS In-depth and updated coverage of DCIS This book shows readers how to acquire excellent images and helps improve their image analysis and evaluation skills. It provides clear answers to all questions pertaining to MR mammography and support for special problems.
This atlas serves as a basic introduction to breast MRI. Organized by case, it emphasizes pertinent breast MRI findings and common indications for breast MRI. Topics include breast MRI basics, benign findings, breast malignancy, high-risk conditions, interesting cases, and breast implants. Brief teaching points accompany each case and highlight the importance of the findings. Breast MRI Teaching Atlas is an ideal resource for diagnostic radiologists, residents, fellows, and clinicians involved in the care of breast cancer patients, including surgeons, oncologists, and obstetricians/gynecologists.
State-of-the-art resource details effective breast MRI techniques for improved screening and diagnosis Magnetic resonance imaging (MRI) of the breast has evolved into an important breast cancer screening tool and major advance in women's health. Breast MRI is currently the most sensitive detection technique for both non-invasive and invasive cancers and follow-up in women with a new breast cancer diagnosis. It is increasingly becoming the go-to imaging method for screening women at high and intermediate risk of breast cancer and those with dense breast tissue on mammography. Yet despite its reliability and growing use, many radiologists lack the expertise to accurately perform breast MR image interpretation. Breast MRI Interpretation: Text and Online Case Analysis for Screening and Diagnosis by Gillian M. Newstead reflects insights and expertise from one of the leading authorities on breast imaging. The book is a highly practical reference on evaluation and interpretation of breast MR imaging, with discussion of the modality as a screening and diagnostic tool. Topics include image acquisition and interpretation, clinical implementation, managing findings, and overcoming problems. Key Highlights About 3,000 illustrations from the University of Chicago including single selected images, side-by-side images at different time points and acquisition parameters, and 3-D images enhance understanding of breast imaging Select online case studies enable readers to review and interpret entire MRI datasets Discussion of advanced acquisition techniques and future potential applications including non-contrast imaging, quantitative dynamic imaging, and artificial intelligence using advanced computer analytic methods This remarkable resource streamlines the breast MRI process, enabling radiologists to incorporate this imaging modality into practice, conduct screening and diagnostic exams more efficaciously, and interpret findings accurately. Note: The online case studies are only accessible via the online version of this book on MedOne. Access to MedOne is available inside this eBook.
Although mammography is the primary method used for breast cancer screening, screening mammography is limited especially in women with dense breasts, which includes nearly 50% of all women in the United States. Despite improvements such as digital mammography, computed aided detection, and digital breast tomosynthesis, breast cancer continues to be a leading cause of cancer-related death in women. The recent proliferation of screening breast ultrasound has led to increased health care costs and false positives, with only a slight improvement in breast cancer detection. It is time for a better test. This is the first textbook dedicated to the subject of abbreviated breast MRI (AB-MR). The editors are principal investigators in the first multicenter trial evaluating AB-MR. Each chapter is authored by a leading expert in the field of breast MRI. AB-MR only takes 10 minutes or less to perform, has a comparable cost to screening breast ultrasound, and detects twice as many cancers compared to combined screening with mammography and ultrasound. The improved performance of AB-MR is irrespective of breast density, family history, overall breast cancer risk, and cancer characteristics (e.g. type, staging, invasive or intraductal, primary or recurrent). As such, it will likely become a routine screening tool in women with dense breasts. Key Features A background on breast MR imaging including a review of current research data Fundamental guidelines for implementing, performing, and interpreting AB-MR Technical approaches with proven efficacy, including biopsy methods Accurate interpretation presented in an easy-to-read flow chart format More than 250 high quality color illustrations AB-MR has the potential to help radiologists overcome breast cancer screening limitations and change current standards of practice. This book provides radiologists with the necessary tools to quickly incorporate AB-MR into clinical practice, with an ultimate goal of improved breast cancer detection rates and patient outcomes.
Background Information/Purpose: Magnetic resonance imaging (MRI) of the breast is an adjunct technique to standard imaging modalities in the breast. MRI has increased sensitivity over mammography and has unique advantages over standard images, however the specificity greatly varies. Although very small lesions are detectable by MRI, it can be challenging differentiating benign from malignant lesions as both can enhance. Currently MRI is used for evaluation of extent of breast cancer, response to therapy and evaluation of recurrence, it can additionally be used in evaluation for breast implant rupture and screening in high risk patient with dense breasts. The main contraindication to breast MRI is low GFR, however with new guidelines on group II gadolinium substances, MRI will become available to more patients. This educational exhibit aims to introduce the learner to breast MRI basics, teaching residents how interpret images focusing on morphology of the breast, internal enhancement patterns, common artifacts as well as interpretation of breast pathology on MR, both benign and malignant. Education Goals/Teaching Points: After participating in this educational presentation, the learner will be familiar with: 1) Clinical indications for breast MR 2) How Breast MR works including MR sequences, interpretation and kinetic analysis 3) Evaluation of pathology by breast MR 4) Pearls and Pitfalls of MR Conclusion: MRI has had a large impact in breast imaging, more specifically the role it plays in breast cancer diagnosis and response to treatment. It is important for the radiologist to know how to interpret MRI of the breast and be able to navigate through artifacts and breast cancer mimics. This education exhibit aims to teach the beginner radiologist about MRI, its indications and interpretation.
|Author||: Jessica W. T. Leung|
|Publisher||: Elsevier Health Sciences|
|Release Date||: 2018-04-16|
|ISBN 10||: 0323583652|
|Pages||: 314 pages|
This issue of MRI Clinics of North America focuses on Current MR Imaging of Breast Cancer, and is edited by Dr. Jessica Leung. Articles will include: Breast MRI: Atlas of anatomy, physiology, pathophysiology, and BI-RADS lexicon; Neoadjuvant therapy monitoring, including inflammatory breast cancer; Breast MRI biopsy considerations: Technique, histologic upgrading, and radiologic-pathologic concordance; Breast MRI techniques and developments: 1.5 vs 3T, diffusion, fast MRI, PET-MRI, and other developing techniques; ACR Accreditation, Performance Metrics, Reimbursement, and Economic Considerations in Breast MRI; Screening: high-risk and dense breasts, especially compared with tomosynthesis and ultrasound; Extent of breast disease, especially compared with tomosynthesis and ultrasound, with special focus on nodal assessment; Problem-solving tool for imaging finding and clinical symptoms of breast cancer; MRI compared with contrast-enhanced mammography; MRI compared with molecular breast imaging; MRI compared with positron emission mammography; How does MRI help care for my breast cancer patient? Perspective of a surgical oncologist; How does MRI help care for my breast cancer patient? Perspective of a medical oncologist; How does MRI help care for my breast cancer patient? Perspective of a radiation oncologist; and more!
This book offers a comprehensive overview of the use of breast MRI for screening high-risk women, including those with familial-genetic hereditary predisposition and previous chest radiation therapy, typically lymphoma survivors. It discusses the historical background of studies and research that provided the body of evidence in favor of MRI screening of these women. Technical and clinical topics are treated in dedicated chapters, including models for individualized risk estimation, radiogenomics of breast cancer in high-risk women, computer-aided detection/diagnosis and machine learning systems applied to breast MRI, and psycho-oncology issues. Alternatives to breast MRI screening such as pharmaco-prevention and prophylactic mastectomy are also discussed, taking into account the public debate on the “Angelina Jolie” effect. The high breast cancer risk model is proposed as a paradigm for personalized medicine. This book will be of interest to radiologists, surgeons, oncologists and to all professionals devoted to female healthcare.
Written by internationally renowned experts, this volume deals with imaging of diseases of heart, chest and breast. The different topics are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. This book presents a comprehensive review of current knowledge in imaging of the heart and chest , as well as thoracic interventions and a selection of "hot topics" of breast imaging. It will be particularly relevant for residents in radiology, but also very useful for experienced radiologists and clinicians specializing in thoracic disease and wishing to update their knowledge of this rapidly developing field.
|Author||: Christopher E. Comstock,Cecilia L. Mercado|
|Publisher||: Elsevier Health Sciences|
|Release Date||: 2014-06-16|
|ISBN 10||: 0323261272|
|Pages||: 185 pages|
Guest edited by Christopher Comstock of Memorial Sloan-Kettering, this issue of Radiologic Clinics will provide all of the latest guidelines and techniques for breast imaging. Modalities include MRI, MR-CAD, digital tomosynthesis, and ultrasound.
|Author||: Samantha L. Heller,Linda Moy|
|Release Date||: 2017-02-26|
|ISBN 10||: 3319425633|
|Pages||: 358 pages|
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.
It showcases over 1,000 high-quality images relevant to a wide range of breast health issues, making this the ultimate breast imaging reference. Each of the most important diagnoses is thoroughly illustrated, cataloging not only classic but also variant appearances found in the breast. Concise captions and carefully placed labels help make each image informative for both the expert and novice radiologist. Succinct, bulleted text provides essential information on terminology, anatomy-based imaging issues, MR features, differential diagnosis, and clinical considerations.