MRI Breast Guided Procedures: Our Experience
DOI:
https://doi.org/10.53903/01212095.94Keywords:
Breast, Magnetic resonance imaging, Biopsy, Breast neoplasmsAbstract
Breast magnetic resonance imaging (MRI) is the most sensitive diagnostic modality for the detection of breast cancer; however, its specificity is limited, ranging from 40% to 80%. This is due to the enhancement characteristics of some benign lesions that overlap those of malignant lesions, for which histology is required for diagnosis. For the histological diagnosis of these lesions, which are only visualized by MRI and not by any other diagnostic method, MR-guided procedures are the choice. MR-guided biopsy is used in patients with negative directed ultrasound. ROLL (Radioguided Occult Injury Localization) is an alternative technique to preoperative wire marking of hidden lesions and has been more widely used in ultrasound than in MRI, with very good results. Retrospectively the data of all patients admitted to our center for Breast MRI biopsy and Breast MRI localizations were retrieved. Pathologies were then collected and the results were tabulated in Excel for analysis.
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References
Leung J. Utility of second look ultrasound in the evaluation of MRI detected breast lesions. Sem Roentgenol. 2011;46(4)260-74.
Arantes Pereira F, Martins G, Gregroio Callas M, et.al. Magnetic resonance imagingradioguided occult lesion localization (ROLL) in breast cancer using Tc-99m macroaggregated albumin and distilled water control. BMC Medical Imaging. 2013;13(33).
Papalouka V, Kilburn-Toppin F, Gaskarth M, et al. MRI-guided breast biopsy: a review of technique, indications, and radiological pathological correlations. Clin Radiol. 2018;908.e17e908.e25.
Niell B, Lee J, Johansen C, et al. Patient outcomes in canceled MRI-guided breast biopsies. AJR. 2014;202:223-8.
Malhaire C, El Khoury C, Thibault F, et al. Vacuum-assisted biopsies under MR guidance: results of 72 procedures. Eur Radiol. 2010;20:1554e62.
Rauch GM, Dogan BE, Smith TB, et al. Outcome analysis of 9-gauge MRIguided vacuum-assisted core needle breast biopsies. AJR Am J Roentgenol. 2012;198:292e9.
American College of Radiology. ACR practice parameter for the performance of magnetic resonance imaging-guided breast interventional procedures [internet].
[citado 2019 may. 30]. Disponible en: https://www.acr.org/-/media/ACR/Files/Practice-Parameters/MR-Guided-Breast.pdf.
Price L. Magnetic resonance imaging–guided biopsy of the breast fundamentals and finer points. Magn Reson Imaging Clin N Am. 2013(21):571-81.
Lee JM, Kaplan JB, Murray MP, et al. Imaging histologic discordance at MRI-guided 9-gauge vacuum assisted breast biopsy. AJR Am J Roentgenol. 2007;189(4):852-9.
Yilmaz M, Kilic F, Icten GE et al. Radio-guided occult lesion localisation for breast lesions under computer-aided MRI guidance: the first experience and initial results. BJR. 2012;(85):395-402.
Kilic F, Kandemirlia SG, Era ME, et al. Primary angiosarcoma of the breast: Diagnosis with computer-assisted MRI-guided radio-guided occult lesion localization (ROLL) technique. Diangn Intervent Imag. 2015(96):1203-6. .
Donker M, Drukker C, Valdés Olmos R, et al. Guiding breast-conserving surgery in patients after neoadjuvant systemic therapy for breast cancer: A comparison of radioactive seed localization with the ROLL Technique. Ann Surg Oncol. 2013;(20):2569-75. .
Hayward J, Ray M, Wisner D. Follow-up outcomes after benign concordant MRIguided breast biopsy. Clin Imag. 2016(40):1034-9. .
Chopier J, Dratwaa C, Antoineb M, Goninb J, Thomassin Naggaraa I. Radiopathological correlations: Masses, non-masslike enhancements and MRI-guided biopsy. Diagn Intervent Imag. 2014;(95):213-25.
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