Role of Preoperative MRI in The Management of Newly-Diagnosed Breast Cancer Patients

Breast Magnetic Resonance Imaging (MRI) is a well-established, valuable adjunct to screening mammography in women that have documented high-risk for developing breast cancer; it is also used to evaluate implants for silicone rupture and as part of the baseline work-up for patients presenting with axillary metastatic disease but a mammographically/sonographically occult primary breast cancer. The role of breast MRI in the preoperative evaluation of other women with an established breast cancer diagnosis is controversial.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Collective Review Source Type: research

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AbstractPurpose of ReviewWe review the management for unaffectedBRCA1/2 mutation carriers and the local management of early-stage breast cancer.Recent FindingsFor unaffectedBRCA1/2 mutation carriers, surveillance includes annual magnetic resonance imaging (MRI) and mammogram (MG). Novel imaging modalities, including abbreviated protocol MRI, ultrafast/accelerated MRI, and contrast-enhanced digital mammography are being investigated. Risk-reducing mastectomy (RRM) should be considered, and nipple-areolar sparing mastectomy (NSM) is now an option. Additionally, risk-reducing salpingo-oophorectomy (RRSO) is strongly recommend...
Source: Current Breast Cancer Reports - Category: Cancer & Oncology Source Type: research
CONCLUSION: Metaplastic breast carcinoma is one of the rarest poorly differentiated invasive breast carcinomas. Interestingly, these aggressive tumors demonstrate benign or moderately malign features on imaging methods. This appearance of MPBC can cause it to be misdiagnosed as a benign breast lesion especially in young women. MPBC should be kept in mind in the differential diagnosis of large palpable breast masses. Therefore, follow-up at short intervals and/or multimodality imaging studies which include breast MRI are important for the diagnosis of MPBC. PMID: 31989886 [PubMed - in process]
Source: Current Medical Imaging Reviews - Category: Radiology Tags: Curr Med Imaging Rev Source Type: research
Publication date: Available online 7 January 2020Source: European Journal of RadiologyAuthor(s): Eralda Mema, Freya Schnabel, Jennifer Chun, Elianna Kaplowitz, Alison Price, Jenny Goodgal, Linda MoyAbstractPurposeTo evaluate the relationship between mammographic density, background parenchymal enhancement and fibroglandular tissue on MRI in women with triple negative breast cancer (TNBC) compared to women with non-triple negative breast cancer (non-TNBC).MethodsThe institutional Breast Cancer Database was queried to identify the clinicopathologic and imaging characteristics among women who underwent mammography and breast ...
Source: European Journal of Radiology - Category: Radiology Source Type: research
To assess the feasibility of using contrast-enhanced spectral mammography (CESM) for operative planning of patients with breast cancers who were initially diagnosed by sonographic guided biopsy. With the approval of the Institutional Review Board of our hospital, we retrospectively reviewed the data on patients with breast cancers who underwent CESM and contrast-enhanced magnetic resonance imaging (CE-MRI) prior to operation and were followed up for at least 5 years postoperatively. The patients with breast cancer diagnosed by sonographic guided biopsy without mammography were included for analysis. The size and number of...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Diagnostic Accuracy Study Source Type: research
Dense breast tissue not only increases a woman ’s risk of developing cancer, it also makes it more difficult for physicians to identify possible tumors. However, emerging research from University Medical Center Utrecht in the Netherlands has found that implementing magnetic resonance imaging (MRI) screening in addition to mammography can be a more effective cancer diagnosis method in patients with dense breast tissue than mammography alone. Over the course of two years, the group of researchers led by Carla van Gils evaluated 40,000 women with immense dense breast tissue with mammography and 4,783 were designate...
Source: radRounds - Category: Radiology Authors: Source Type: blogs
This article was originally published on Undark. Read the original article.
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized medicine onetime Research syndication Source Type: news
Publication date: Available online 18 November 2019Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): Elaine F. Harkness, Susan M. Astley, D.Gareth EvansAbstractThe incidence of breast cancer continues to increase worldwide. Population-based screening is available in many countries but may not be the most efficient use of resources, thus interest in risk-based/stratified screening has grown significantly in recent years. An important part of risk-based screening is the incorporation of mammographic density (MD) and single nucleotide polymorphisms (SNPs) into risk prediction models to be comb...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
Parmelli E, Gräwingholt A, Saz-Parkinson Z, European Commission Initiative on Breast Cancer (ECIBC) Contributor Group Abstract Description: The European Commission Initiative for Breast Cancer Screening and Diagnosis guidelines (European Breast Guidelines) are coordinated by the European Commission's Joint Research Centre. The target audience for the guidelines includes women, health professionals, and policymakers. Methods: An international guideline panel of 28 multidisciplinary members, including patients, developed questions and corresponding recommendations that were informed by systematic reviews ...
Source: Annals of Internal Medicine - Category: Internal Medicine Authors: Tags: Ann Intern Med Source Type: research
Publication date: Available online 18 November 2019Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): Elaine F. Harkness, Susan M. Astley, D Gareth EvansAbstractThe incidence of breast cancer continues to increase worldwide. Population-based screening is available in many countries but may not be the most efficient use of resources, thus interest in risk-based/stratified screening has grown significantly in recent years. An important part of risk-based screening is the incorporation of mammographic density and single nucleotide polymorphisms (SNPs) into risk prediction models to be combined ...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
This retrospective study aimed to improve the diagnostic accuracy of breast lymphoma (BL) by analyzing the findings of BL on mammography and magnetic resonance imaging (MRI). Fifteen patients with breast lymphoma (BL, Primary/Secondary: 13/2) were confirmed by pathology. The imaging findings of those patients were analyzed by 2 senior radiologists. BL commonly showed significant enhancement with penetrating vessels and septation in masses on dynamic contrast-enhanced MRI (DCE-MRI). Diffusion limitation of BL is more pronounced than breast cancer on diffusion weighted imaging. The study suggests that the penetrating vess...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
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