title: Contrast-enhanced breast MRI for cancer detection using a commercially available system--a perspective.
abstract: The diagnosis and treatment of breast cancer are dependent upon early detection of the disease by physical examination and mammography. Although mammography is a relatively good and cost-effective method of early breast cancer detection, there are some inherent weaknesses associated with this imaging modality that limit its sensitivity and specificity. Contrast-enhanced MRI of the breasts provides the additional capability to answer questions raised or unanswered with conventional imaging methods. This paper reviews contrast-enhanced breast MRI interpretation guidelines and patient preselection criteria for diagnostic problem cases. Technical aspects using a commercially available three-dimensional (3D) spoiled gradient-echo technique are discussed.
authors.affiliation: Nassau Radiologic Group, Lakeville Magnetic Imaging Office, Manhasset, NY 11030, USA.
authors.forename: J
authors.initials: J
authors.lastname: Safir
authors.forename: J L
authors.initials: JL
authors.lastname: Zito
authors.forename: M E
authors.initials: ME
authors.lastname: Gershwind
authors.forename: D
authors.initials: D
authors.lastname: Faegenburg
authors.forename: C E
authors.initials: CE
authors.lastname: Tobin
authors.forename: P D
authors.initials: PD
authors.lastname: Cayea
authors.forename: W J
authors.initials: WJ
authors.lastname: Wortman
authors.forename: L M
authors.initials: LM
authors.lastname: Sclafani
authors.forename: V E
authors.initials: VE
authors.lastname: Maurer
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis*; D003287:Contrast Media; D005260:Female; D019786:Gadolinium DTPA / Q000008:administration & dosage; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007275:Injections, Intravenous; D008279:Magnetic Resonance Imaging / Q000295:instrumentation; D008327:Mammography; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis; D012680:Sensitivity and Specificity
chemical_list: D003287:Contrast Media; C064925:gadodiamide; D019786:Gadolinium DTPA