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In Vivo Sonography Through an Open MRI Breast Coil to Correlate Sonographic and MRI Findings

Joshua Lilienstein, Bruce L. Daniel and Debra M. Ikeda

Department of Radiology, Stanford University Medical Center, 875 Blake Wilbur Dr., Stanford, CA 94305-5826.



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  		Fig. 1B. —Middle-aged woman with a biopsy-proven invasive lobular carcinoma. Reformatted axial contrast-enhanced 3DSSMT image shows enhancing mass in A near blood vessel and close to pectoralis muscle (solid arrow). Another enhancing focus in mid breast had benign dynamic enhancing characteristics and was thought to be benign (open arrow).

 


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  		Fig. 2A. —Photographs of model showing technique of sonography/MRI correlation in an open MRI coil. Fiducial marker shows expected location of mass.

 


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  		Fig. 1C. —Middle-aged woman with a biopsy-proven invasive lobular carcinoma. Axial T1-weighted noncontrast MR image shows fiducial marker over expected location of mass in A (solid arrow).

 


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  		Fig. 2B. —Photographs of model showing technique of sonography/MRI correlation in an open MRI coil. Fiducial marker is removed, and model's skin is marked with "X" over expected location of mass.

 


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  		Fig. 2C. —Photographs of model showing technique of sonography/MRI correlation in an open MRI coil. Sonography is performed through open MRI coil in axial plane. In this case, transducer is oriented along axial plane, although it is possible to scan along coronal plane.

 


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  		Fig. 1A. —Middle-aged woman with a biopsy-proven invasive lobular carcinoma. Contrast-enhanced image from 3D acquisition spectral-spatial radiofrequency pulse on-resonance magnetization transfer (3DSSMT) shows 8-mm enhancing mass in upper left breast near blood vessel (solid arrow). Invasive lobular carcinoma is seen in lower left breast (open arrow). Upper breast mass showed rapid initial enhancement and late washout (not shown), resulting in differential diagnosis of lymph node or second carcinoma.

 

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