MRI-guided interventions of the breast.
MRI has proven to be a very reliable diagnostic tool in the detection and differential diagnosis of breast lesions. Some lesions are, even in retrospect, not detectable in x-ray or ultrasound images but MRI is able to detect lesions at a much smaller size than the average size of lesions depicted by x-ray and ultrasound. The aim in the future is to develop combined procedures where imaging, biopsy, and interventional therapies are combined in a single outpatient procedure. As a step toward this goal different interventional procedures are useful that include interstitial laser therapy (ILT), radiofrequency ablation (RFA), high-intensity focused ultrasound (HIFU), microwave ablation therapy, and cryotherapy. In this overview the main features and initial results of these procedures are described and discussed.
Kaiser
Werner A
WA
Institute for Diagnostic and Interventional Radiology, Friedrich-Schiller-University Jena, Jena, Germany. Werner.Kaiser@med.uni-jena.de
Pfleiderer
Stefan O R
SO
Baltzer
Pascal A T
PA
D001940:Breast / Q000473:pathology* / Q000601:surgery; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000601:surgery / Q000628:therapy*; D017115:Catheter Ablation / Q000379:methods; D017679:Cryotherapy / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D053783:Magnetic Resonance Imaging, Interventional / Q000379:methods*; D008872:Microwaves / Q000627:therapeutic use; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D014464:Ultrasonic Therapy / Q000379:methods