MR-Guided Breast Interventions

Part of the Medical Radiology book series (MEDRAD)


With the use of diagnostic magnetic resonance (MR) imaging of the breast, MR-guided minimally invasive interventions are increasingly needed to obtain histologic proof of lesions that are occult on mammography and ultrasonography. MR-guided interventions are time-consuming and expensive; therefore, it is necessary to ensure that diagnostic MR examination of the referring institution establishing the indication for biopsy is of high quality. Assuming accurate patient selection, percutaneous MR-guided vacuum-assisted biopsy is a safe and accurate method for the evaluation of even small enhancing breast lesions. Up to now, imaging of the biopsy procedure itself has not been possible owing to lack of compatibility of the biopsy needle. Careful review of imaging and pathologic findings is therefore recommended. Several newly developed MR-compatible devices will allow more precise placement and imaging of the biopsy needle. Procedure times will be reduced. For localization of additional enhanced lesions in patients with breast carcinoma referred for operation, preoperative wire localization remains a widespread safe and simple method. Compared to percutaneous biopsy, minimally invasive therapeutic procedures are in the preclinical stage of development. MR-guided focused ultrasound surgery—because it is completely noninvasive—seems to be the most promising technique and may have the potential to become an alternative modality for the local treatment of breast tumors. However, the data are preliminary and further research with large-scale long-term clinical trials is necessary.


Breast Magnetic Resonance Imaging Atypical Ductal Hyperplasia Radial Scar Lobular Neoplasia Background Parenchymal Enhancement 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Department of Clinical RadiologyUniversity of Munich, Campus GrosshadernMunichGermany

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