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Evolving Trends in Breast MRI

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Mills-Peninsula Health Services
Mills-Peninsula Health Services

Presentation on Evolving Trends in Breast MRI by Dr. Harriett B. Borofsky, Director of Breast Imaging, Mills-Peninsula Women's Center.

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Evolving Trends in Breast MRI Harriet B. Borofsky, M.D. Director of Breast Imaging Mills-Peninsula Women’s Center
“ Conventional” Breast Imaging: 2011 and Beyond ,[object Object],[object Object],[object Object]
Mammography ,[object Object],[object Object],[object Object],[object Object]
Digital Mammography ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mammography – Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breast Ultrasound ,[object Object],[object Object],[object Object],[object Object],[object Object]
Breast Ultrasound ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breast Ultrasound: Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Magnetic Resonance Imaging (MRI) of the Breast ,[object Object],[object Object]
MRI - Strengths ,[object Object],[object Object],[object Object]
Strengths (cont.) ,[object Object],[object Object]
MRI - Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Limitations ,[object Object],[object Object]
Recent Technical Advances Making MRI Feasible in Clinical Practice: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sentinelle Table/Coil for Breast MRI
Breast MRI: Literature Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breast MRI: Current Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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42 year old presenting with a large, palpable mass in the upper outer left breast: Pre and post neoadjuvant chemotherapy
 
 
 
Silicone Injections
 
Breast MRI: Preoperative Assessment of Newly Diagnosed Breast Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gutierrez et al. High Cancer Yield and Positive Predictive Value: Outcomes at a Center Routinely Using Preoperative Breast MRI for Staging. AJR, 2011 ,[object Object],[object Object],[object Object],[object Object]
Houssami et al. Accuracy and Surgical Impact of MRI in Breast Cancer Staging. J Clin Oncol 2008 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ongoing Questions/Controversies ,[object Object],[object Object],[object Object],[object Object]
Consider Preoperative MRI: ,[object Object],[object Object],[object Object]
 
 
 
 
 
 
MRI-guided Breast Biopsy
 
 
 
 
 
 
 
Breast MRI – High-Risk Screening Setting ,[object Object],[object Object]
American Cancer Society: Screening Breast MRI Recommendations; 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object]
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Brennan et al. Breast MRI Screening of Women with A Personal History of Breast Cancer. AJR 2010. ,[object Object],[object Object],[object Object],[object Object]
 
Future Advances in Breast MRI ,[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]
 

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Evolving Trends in Breast MRI