MRI-detected breast lesions: clinical implications and evaluation based on MRI/ultrasonography fusion technology

Abstract

Magnetic resonance imaging (MRI) is a highly sensitive imaging modality that frequently reveals additional breast lesions that are occult on mammography and ultrasonography (US) and are thus difficult to diagnose. It is important to investigate these MRI-detected suspicious lesions, which are associated with a fairly high rate of malignancy. In this review, we have discussed MRI/US fusion technology, a magnetic position tracking system that synchronizes real-time US and MRI to improve lesion detection and enables comparisons of MRI and US findings of the detected lesions. This combination increases the precision of second-look US. We hope that our review underscores the importance of understanding the US findings and histopathology of MRI-detected breast lesions, as this will enable radiologists to perform appropriate assessments.

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Acknowledgements

This paper was presented at the 104th annual meeting of the Radiological Society of North America in Chicago, 2018, where it received a Cum Laude award as an education exhibit. We thank Enago (https://www.enago.jp) for the English language review.

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Correspondence to Kazuaki Nakashima.

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Nakashima, K., Uematsu, T., Harada, T.L. et al. MRI-detected breast lesions: clinical implications and evaluation based on MRI/ultrasonography fusion technology. Jpn J Radiol 37, 685–693 (2019). https://doi.org/10.1007/s11604-019-00866-8

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Keywords

  • Breast cancer
  • MRI-detected lesion
  • Second-look ultrasonography
  • Fusion
  • Real-time virtual sonography