Breast MRI: An Update on Guidelines and BI-RADS®

  • Lale UmutluEmail author


Within the past 15 years, breast MR imaging has been well established as a noninvasive diagnostic tool for diagnosis and staging of breast cancer, therapy monitoring, and posttherapeutic surveillance as well as screening for high-risk females [1–4]. While breast MRI is currently considered one of the most sensitive imaging methods to diagnose breast cancer, having proven its potential to outperform both mammography and ultrasound [2], it is important to retain the overview and complementary diagnostic capacity of all breast cancer diagnosis tools, including mammography, ultrasound, and image-guided needle biopsy.


  1. 1.
    Kuhl CK (2007) Current status of breast MR imaging. Part 2. Clinical applications. Radiology 244(3):672–691CrossRefPubMedGoogle Scholar
  2. 2.
    Mann RM, Balleyguier C, Baltzer PA et al (2015) Breast MRI: EUSOBI recommendations for women’s information. Eur Radiol 25(12):3669–3678CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Pinker K, Grabner G, Bogner W et al (2009) A combined high temporal and high spatial resolution 3 Tesla MR imaging protocol for the assessment of breast lesions: initial results. Invest Radiol 44(9):553–558CrossRefPubMedGoogle Scholar
  4. 4.
    Pinker-Domenig K, Bogner W, Gruber S et al (2012) High resolution MRI of the breast at 3 T: which BI-RADS® descriptors are most strongly associated with the diagnosis of breast cancer? Eur Radiol 22(2):322–330CrossRefPubMedGoogle Scholar
  5. 5.
    American College of Radiology (ACR) (2015) ACR BI-RADS—mammography; ultrasound; magnetic resonance imaging. In: ACR breast imaging reporting and data system, breast imaging atlas, 2nd edn. American College of Radiology, RestonGoogle Scholar
  6. 6.
    Mann RM, Kuhl CK, Kinkel K, Boetes C (2008) Breast MRI: guidelines from the European Society of Breast Imaging. Eur Radiol 18(7):1307–1318CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Sardanelli F, Boetes C, Borisch B et al (2010) Magnetic resonance imaging of the breast: recommendations from the EUSOMA working group. Eur J Cancer 46(8):1296–1316CrossRefPubMedGoogle Scholar
  8. 8.
    Hegenscheid K, Schmidt CO, Seipel R et al (2012) Contrast enhancement kinetics of normal breast parenchyma in dynamic MR mammography: effects of menopausal status, oral contraceptives, and postmenopausal hormone therapy. Eur Radiol 22(12):2633–2640CrossRefPubMedGoogle Scholar
  9. 9.
    Baltzer PA, Dietzel M, Vag T et al (2011) Clinical MR mammography: impact of hormonal status on background enhancement and diagnostic accuracy. Rofo 183(5):441–447CrossRefPubMedGoogle Scholar
  10. 10.
    Kuhl C (2007) The current status of breast MR imaging. Part I. Choice of technique, image interpretation, diagnostic accuracy, and transfer to clinical practice. Radiology 244(2):356–378CrossRefPubMedGoogle Scholar
  11. 11.
    Hendrick RE (2008) Breast MRI: fundamentals and technical aspects. Springer, New YorkCrossRefGoogle Scholar
  12. 12.
    Spick C, Pinker-Domenig K, Rudas M, Helbich TH, Baltzer PA (2014) MRI-only lesions: application of diffusion-weighted imaging obviates unnecessary MR-guided breast biopsies. Eur Radiol 24(6):1204–1210CrossRefPubMedGoogle Scholar
  13. 13.
    Kuhl CK (2015) The changing world of breast cancer: a radiologist’s perspective. Invest Radiol 50(9):615–628CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Diagnostic and Interventional Radiology and NeuroradiologyUniversity Hospital EssenEssenGermany

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