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Breast Oncology: Techniques, Indications, and Interpretation pp 221–232Cite as

Targeted Ultrasound After MRI

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Abstract

A magnetic resonance imaging (MRI)-directed ultrasound (US), also known as second-look US or targeted US, is performed to assess for a sonographic correlate for a lesion detected by MRI that was not initially seen at mammography or ultrasound. If a correlate is seen at ultrasound, US-guided biopsy is the preferred method as it can be less expensive, faster, easier, and more comfortable for patients than MRI-guided biopsy. Understanding the differences in breast position between MRI (prone) and ultrasound (supine) in addition to knowledge of the location and morphology of the MRI-detected lesion can aid in identifying a sonographic correlate. Performing imaging-histopathologic concordance and imaging follow-up are important in patient management. In the absence of a sonographic correlate, MRI-guided biopsy is still required of any lesion deemed suspicious at MR imaging.

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References

  1. Abe H, Schmidt R, Shah R, Shimauchi A, Kulkarni K, Sennett C, et al. MR-directed (“second-look”) ultrasound examination for breast lesions detected initially on MRI: MR and sonographic findings. AJR. 2010;194(2):370–7.

    Article  PubMed  Google Scholar 

  2. Bluemke DA, Gatsonis CA, Chen MH, DeAngelis GA, DeBruhl N, Harms S, et al. Magnetic resonance imaging of the breast prior to biopsy. JAMA. 2004;292(22):2735.

    Article  CAS  PubMed  Google Scholar 

  3. Candelaria R, Fornage BD. Second-look US examination of MR-detected breast lesions. J Clin Ultrasound. 2011;39:115–21.

    Article  PubMed  Google Scholar 

  4. Carbonaro L, Tannaphai P, Trimboli R, Verardi N, Fedeli M, Sardanelli F. Contrast enhanced breast MRI: spatial displacement from prone to supine patient’s position. Preliminary results. Eur J Radiol. 2012;81(6):e771–4.

    Article  PubMed  Google Scholar 

  5. DeMartini W, Eby P, Peacock S, Lehman C. Utility of targeted sonography for breast lesions that were suspicious on MRI. AJR. 2009;192(4):1128–34.

    Article  PubMed  Google Scholar 

  6. Destounis S, Arieno A, Somerville PA, Seifert PJ, Murphy P, Morgan R, et al. Community-based practice experience of unsuspected breast magnetic resonance imaging abnormalities evaluated with second-look sonography. J Ultrasound Med. 2009;28:1337–46.

    Article  PubMed  Google Scholar 

  7. Hollowell L, Price E, Arasu V, Wisner D, Hylton N, Joe B. Lesion morphology on breast MRI affects targeted ultrasound correlation rate. Eur Radiol. 2015;25:1279–84.

    Article  PubMed  Google Scholar 

  8. Hong M, Cha J, Kim H, Shin H, Chae E, Shin J, et al. Second-look ultrasonography for MRI-detected suspicious breast lesions in patients with breast cancer. Ultrasonography. 2014;34(2):125–32.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kuhl CK, Schrading S, Leutner CC, Morakkabati-Spitz N, Wardelmann E, Fimmers R, et al. Mammography, breast ultrasound, and magnetic resonance imaging for surveillance of women at high familial risk for breast cancer. J Clin Oncol. 2005;23(33):8469–76.

    Article  PubMed  Google Scholar 

  10. LaTrenta LR, Menell JH, Morris EA, Abramson AF, Dershaw DD, Liberman L. Breast lesions detected with MR imaging: utility and histopathologic importance of identification with US. Radiology. 2003;227:856–61.

    Article  PubMed  Google Scholar 

  11. Lehman C, Isaacs C, Schnall M, Pisano E, Ascher S, Weatherall P, et al. Cancer yield of mammography, MR, and US in high-risk women: prospective multi-institution breast cancer screening study 1. Radiology. 2007;244(2):381–8.

    Article  PubMed  Google Scholar 

  12. Leung J. Utility of second-look ultrasound in the evaluation of MRI-detected breast lesions. Semin Roentgenol. 2011;46(4):260–74.

    Article  PubMed  Google Scholar 

  13. Meissnitzer M, Dershaw D, Lee C, Morris E. Targeted ultrasound of the breast in women with abnormal MRI findings for whom biopsy has been recommended. AJR. 2009;193(4):1025–9.

    Article  PubMed  Google Scholar 

  14. Monticciolo D. Postbiopsy confirmation of MR-detected lesions biopsied using ultrasound. AJR. 2012;198(6):W618–20.

    Article  PubMed  Google Scholar 

  15. Morris E, Liberman L, Ballon D, Robson M, Abramson A, Heerdt A, et al. MRI of occult breast carcinoma in a high-risk population. AJR. 2003;181(3):619–26.

    Article  PubMed  Google Scholar 

  16. Morris EA, Comstock CE, Lee CH, et al. ACR BI-RADS® Magnetic Resonance Imaging. In: ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. Reston: American College of Radiology; 2013.

    Google Scholar 

  17. Nouri-Neuville M, de Rocquancourt A, Cohen-Zarade S, Chapellier-Canaud M, Albiter M, Hamy A, et al. Correlation between MRI and biopsies under second look ultrasound. Diagn Interv Radiol. 2014;95(2):197–211.

    Article  CAS  Google Scholar 

  18. Orel S, Schnall M. MR imaging of the breast for the detection, diagnosis, and staging of breast cancer. Radiology. 2001;220(1):13–30.

    Article  CAS  PubMed  Google Scholar 

  19. Park V, Kim M, Kim E, Moon H. Second-look US: how to find breast lesions with a suspicious MR imaging appearance. Radiographics. 2013;33(5):1361–75.

    Article  PubMed  Google Scholar 

  20. Sardanelli F, Podo F, D’Agnolo G, Verdecchia A, Santaquilani M, Musumeci R, et al. Multicenter comparative multimodality surveillance of women at genetic-familial high risk for breast cancer (HIBCRIT study): interim results 1. Radiology. 2007;242(3):698–715.

    Article  PubMed  Google Scholar 

  21. Sim L, Hendriks J, Bult P, Fook-Chong S. US correlation for MRI-detected breast lesions in women with familial risk of breast cancer. Clin Radiol. 2005;60(7):801–6.

    Article  CAS  PubMed  Google Scholar 

  22. Spick C, Baltzer P. Diagnostic utility of second-look US for breast lesions identified at MR imaging: systematic review and meta-analysis. Radiology. 2014;273(2):401–9.

    Article  PubMed  Google Scholar 

  23. Sung J, Lee C, Morris E, Comstock C, Dershaw D. Patient follow-up after concordant histologically benign imaging-guided biopsy of MRI-detected lesions. AJR. 2012;198(6):1464–9.

    Article  PubMed  Google Scholar 

  24. Trop I, Labelle M, David J, Mayrand M, Lalonde L. Second-look targeted studies after breast magnetic resonance imaging: practical tips to improve lesion identification. Curr Probl Diagn Radiol. 2010;39(5):200–11.

    Article  PubMed  Google Scholar 

  25. Wiratkapun C, Duke D, Nordmann A, Lertsithichai P, Narra V, Barton P, et al. Indeterminate or suspicious breast lesions detected initially with MR imaging. Acad Radiol. 2008;15(5):618–25.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Radiology, NYU School of Medicine, New York, NY, USA

    Chloe Chhor MD

  2. Department of Radiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA

    Adrienne Newburg MD

Authors
  1. Chloe Chhor MD
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  2. Adrienne Newburg MD
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Corresponding author

Correspondence to Chloe Chhor MD .

Editor information

Editors and Affiliations

  1. Department of Radiology, New York University Langone Medical Center New York University School of Medicine, New York, USA

    Samantha L. Heller

  2. Department of Radiology, New York University Langone Medical Center New York University School of Medicine, New York, USA

    Linda Moy

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© 2017 Springer International Publishing Switzerland

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Chhor, C., Newburg, A. (2017). Targeted Ultrasound After MRI. In: Heller, S., Moy, L. (eds) Breast Oncology: Techniques, Indications, and Interpretation. Springer, Cham. https://doi.org/10.1007/978-3-319-42563-4_11

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  • DOI: https://doi.org/10.1007/978-3-319-42563-4_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42561-0

  • Online ISBN: 978-3-319-42563-4

  • eBook Packages: MedicineMedicine (R0)

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