| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1 Breast Imaging Section, Department of Radiology, Memorial Sloan-Kettering
Cancer Center, 1275 York Ave., New York, NY 10021.
2 Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York,
NY10021.
OBJECTIVE. The purpose of this study was to review MR imaging findings in the ipsilateral breast in women with percutaneously proven breast cancer.
MATERIALS AND METHODS. Retrospective review was performed of records of 70 consecutive women with percutaneously proven unilateral breast cancer who were considered candidates for breast conservation surgery and who had preoperative MR imaging of the ipsilateral breast. MR images and medical records were reviewed.
RESULTS. MR imaging identified mammographically and clinically occult cancer other than the index lesion in the ipsilateral breast in 19 women (27%), including infiltrating cancer in 11 women (16%) and ductal carcinoma in situ in eight women (11%). These additional sites of cancer were in the same quadrant as the index cancer in 14 women (20%), in a different quadrant in three women (4%), and in both the same and different quadrants in two women (3%). Additional sites of cancer were more likely in women with, rather than in those without, a family history of breast cancer (42% vs 14%, p < 0.02) and in women whose index cancer was infiltrating lobular rather than other histologies (55% vs 22%, p < 0.06). In 17 women (24%), MR imaging detected ipsilateral lesions that were benign. Changes due to prior percutaneous biopsy were infrequently observed on MR images and included a clip in 12 women (17%) and a small hematoma in two women (3%).
CONCLUSION. MR imaging identified additional sites of ipsilateral cancer in 27% of women with percutaneously proven breast cancer. The yield was highest in women with a family history of breast cancer or infiltrating lobular histology in the index cancer. Change after biopsy was infrequent and did not interfere with the MR imaging interpretation.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  N. Houssami, S. Ciatto, P. Macaskill, S. J. Lord, R. M. Warren, J. M. Dixon, and L. Irwig Accuracy and Surgical Impact of Magnetic Resonance Imaging in Breast Cancer Staging: Systematic Review and Meta-Analysis in Detection of Multifocal and Multicentric Cancer J. Clin. Oncol., July 1, 2008; 26(19): 3248 - 3258. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Godinez, E. C. Gombos, S. A. Chikarmane, G. K. Griffin, and R. L. Birdwell Breast MRI in the Evaluation of Eligibility for Accelerated Partial Breast Irradiation Am. J. Roentgenol., July 1, 2008; 191(1): 272 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Gorechlad, E. B. McCabe, J. H. Higgins, D. S. Likosky, P. J. Lewis, K. M. Rosenkranz, and R. J. Barth Jr Screening for Recurrences in Patients Treated with Breast-Conserving Surgery: Is there a Role for MRI? Ann. Surg. Oncol., June 1, 2008; 15(6): 1703 - 1709. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. A. Buchholz, C. D. Lehman, J. R. Harris, B. A. Pockaj, N. Khouri, N. F. Hylton, M. J. Miller, T. Whelan, L. J. Pierce, L. J. Esserman, et al. Statement of the Science Concerning Locoregional Treatments After Preoperative Chemotherapy for Breast Cancer: A National Cancer Institute Conference J. Clin. Oncol., February 10, 2008; 26(5): 791 - 797. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. K. Kuhl Current Status of Breast MR Imaging * Part 2. Clinical Applications Radiology, September 1, 2007; 244(3): 672 - 691. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Kuhl The Current Status of Breast MR Imaging * Part I. Choice of Technique, Image Interpretation, Diagnostic Accuracy, and Transfer to Clinical Practice Radiology, August 1, 2007; 244(2): 356 - 378. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. C. Genson, C. E. Blane, M. A. Helvie, S. A. Waits, and T. L. Chenevert Effects on Breast MRI of Artifacts Caused by Metallic Tissue Marker Clips Am. J. Roentgenol., February 1, 2007; 188(2): 372 - 376. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. K. Kuhl, P. Jost, N. Morakkabati, O. Zivanovic, H. H. Schild, and J. Gieseke Contrast-enhanced MR Imaging of the Breast at 3.0 and 1.5 T in the Same Patients: Initial Experience Radiology, June 1, 2006; 239(3): 666 - 676. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Morakkabati-Spitz, H. H. Schild, C. C. Leutner, M. von Falkenhausen, G. Lutterbey, and C. K. Kuhl Dynamic Contrast-enhanced Breast MR Imaging in Men: Preliminary Results Radiology, December 21, 2005; (2005) 2382041312. [Abstract] [Full Text]
|
|
|
|
|
|
C. K. Kuhl, H. H. Schild, and N. Morakkabati Dynamic Bilateral Contrast-enhanced MR Imaging of the Breast: Trade-off between Spatial and Temporal Resolution Radiology, September 1, 2005; 236(3): 789 - 800. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Liberman, N. Bracero, E. Morris, C. Thornton, and D. D. Dershaw MRI-Guided 9-Gauge Vacuum-Assisted Breast Biopsy: Initial Clinical Experience Am. J. Roentgenol., July 1, 2005; 185(1): 183 - 193. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. D. Lehman, E. R. DePeri, S. Peacock, M. D. McDonough, W. B. DeMartini, and J. Shook Clinical Experience with MRI-Guided Vacuum-Assisted Breast Biopsy Am. J. Roentgenol., June 1, 2005; 184(6): 1782 - 1787. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. E. Deurloo, S. H. Muller, J. L. Peterse, A. P. E. Besnard, and K. G. A. Gilhuijs Clinically and Mammographically Occult Breast Lesions on MR Images: Potential Effect of Computerized Assessment on Clinical Reading Radiology, March 1, 2005; 234(3): 693 - 701. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. A. Bluemke, C. A. Gatsonis, M. H. Chen, G. A. DeAngelis, N. DeBruhl, S. Harms, S. H. Heywang-Kobrunner, N. Hylton, C. K. Kuhl, C. Lehman, et al. Magnetic Resonance Imaging of the Breast Prior to Biopsy JAMA, December 8, 2004; 292(22): 2735 - 2742. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. A. Berg, L. Gutierrez, M. S. NessAiver, W. B. Carter, M. Bhargavan, R. S. Lewis, and O. B. Ioffe Diagnostic Accuracy of Mammography, Clinical Examination, US, and MR Imaging in Preoperative Assessment of Breast Cancer Radiology, December 1, 2004; 233(3): 830 - 849. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y.-C. Cheung, Y.-L. Wan, Y.-F. Lo, W.-M. Leung, S.-C. Chen, and S. Hsueh Preoperative Magnetic Resonance Imaging Evaluation for Breast Cancers After Sonographically Guided Core-Needle Biopsy: A Comparison Study Ann. Surg. Oncol., August 1, 2004; 11(8): 756 - 761. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. H. Bagley The Role of Magnetic Resonance Imaging Mammography in the Surgical Management of the Index Breast Cancer Arch Surg, April 1, 2004; 139(4): 380 - 383. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Liberman, E. A. Morris, D. D. Dershaw, C. M. Thornton, K. J. Van Zee, and L. K. Tan Fast MRI-Guided Vacuum-Assisted Breast Biopsy: Initial Experience Am. J. Roentgenol., November 1, 2003; 181(5): 1283 - 1293. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
