Women Rock2008

Luther MidelfortBreast Imaging

Breast MRI

 

 

 

New England Journal of MedicineA Cancer Journal for Clinicians

Recommended annual screening as an adjunct to mammography beginning at age 30 for women in the following categories

1. BRCA1 and BRCA2 mutation2. First-degree relative of BRCA carrier even if

untested3. Life time risk of breast cancer scored at 20% to

25% by accepted risk assessment tools other family dependent models

4. Radiation to chest between ages 0f 1-305. Li-Fraumeni, Cowden and Bannayan-Riley-

Ruvalcaba syndromes and first degree relatives

http://www.cancer.gov/bcrisktool/.

Screening Guidelines

 

 

 

New England Journal of MedicineA Cancer Journal for Clinicians

Not enough information to rule for or against

1. Dense tissue on mammography2. Previous breast cancer 3. Carcinoma in situ4. Atypical hyperplasia

http://www.cancer.gov/bcrisktool/.

Screening Guidelines

 

 

 

ACS imaging guidelines

1. “High field” magnet (field strength not specified – but 1.5T strongly recommended)

2. Dedicated breast coil3. Bilateral imaging4. Resolution 1mm3

5. Scan time 60-120 seconds per phase

ACR accreditation guides to follow1. Biopsy capability2. Experience 3. Fat saturation

Imaging Guidelines

MR Magnet and Patient Table

High Definition MR Coil

Patient In Imaging Position

Biopsy Grids

Patient In Imaging Position

Biopsy Grids

Biopsy Process

Biopsy Guidance

Women Rock2008