title: Impact of preoperative breast MRI on surgical decision making and clinical outcomes: a systematic review.
abstract: BACKGROUND
  Preoperative magnetic resonance imaging (MRI) is increasingly used in the workup of breast cancer patients and could lead to changes in surgical management. It is unclear how the information gained from MRI studies affects surgical decision making and influences clinical outcomes. These issues are addressed in this review.
  
  
  METHODS
  PubMed database searches were performed to retrieve and analyze respective original research and review articles on preoperative MRI in the evaluation of breast cancer patients.
  
  
  RESULTS
  Preoperative MRI is a highly sensitive but nonspecific method that leads to changes in surgical management with increased numbers of more extended surgical interventions. It appears that a relatively large proportion of MRI-driven changes in surgical management result in overtreatment without conclusively proven beneficial effects on such clinical outcomes as decrease in reoperation rates or improved patient survival.
  
  
  CONCLUSIONS
  Thus, routine use of supplementary preoperative breast MRI should be discouraged until compelling evidence of its effectiveness is available.
authors: Department of Surgery, McGill University and McGill University Health Centre, Montreal, QC H3A 1A1, Canada. armen.parsyan@mail.mcgill.ca
authors: Armen
authors: A
authors: Parsyan
authors: Awadh
authors: A
authors: Alqahtani
authors: Benoit
authors: B
authors: Mesurolle
authors: Sarkis
authors: S
authors: Meterissian
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D003657:Decision Making; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D018579:Patient Selection; D011300:Preoperative Care; D012680:Sensitivity and Specificity; D016896:Treatment Outcome
references: Breast J. 2010 Mar-Apr;16(2):118-26
references: 20136645
references: Eur J Gynaecol Oncol. 2012;33(2):193-9
references: 22611962
references: Ann Surg Oncol. 2011 Aug;18(8):2143-9
references: 21290193
references: Breast Cancer Res Treat. 2010 Jan;119(2):415-22
references: 19885731
references: J Clin Oncol. 2008 Jan 20;26(3):386-91
references: 18202414
references: Ann Surg Oncol. 2012 Feb;19(2):536-40
references: 21751044
references: Am J Surg. 2009 Aug;198(2):262-9
references: 19375068
references: Lancet. 2010 Feb 13;375(9714):563-71
references: 20159292
references: Breast J. 2012 May-Jun;18(3):214-8
references: 22487017
references: Eur Radiol. 2012 Jan;22(1):26-38
references: 21847541
references: Arch Surg. 2012 Sep;147(9):834-9
references: 22987175
references: Lancet. 2010 Jun 26;375(9733):2213
references: 20609965
references: Am J Clin Oncol. 1999 Aug;22(4):414-8
references: 10440203
references: Eur Radiol. 2004 Jul;14(7):1209-16
references: 15024602
references: J Clin Oncol. 2009 Sep 1;27(25):4082-8
references: 19636020
references: J Clin Oncol. 1999 Jan;17(1):110-9
references: 10458224
references: Am J Surg. 2008 Sep;196(3):389-97
references: 18436185
references: J Okla State Med Assoc. 2006 Oct;99(10):505-15
references: 17125104
references: Acta Radiol. 2012 May 1;53(4):367-75
references: 22553225
references: Ann Surg Oncol. 2009 Nov;16(11):3000-9
references: 19603233
references: AJR Am J Roentgenol. 2011 Jan;196(1):W93-9
references: 21178040
references: Clin Breast Cancer. 2011 Mar;11(1):33-8
references: 21421520
references: Ann Surg Oncol. 2007 Mar;14(3):1051-7
references: 17206485
references: Eur J Cancer. 2008 Dec;44(18):2742-52
references: 18977653
references: Ann Surg Oncol. 2011 Jun;18(6):1678-83
references: 21207171
references: Arch Surg. 2004 Apr;139(4):380-3; discussion 383
references: 15078704
references: Ann Surg Oncol. 2012 Oct;19(10):3270-4
references: 22911365
references: J Natl Cancer Inst Monogr. 2010;2010(41):150-1
references: 20956821
references: Lancet. 2010 Feb 13;375(9714):528-30
references: 20159274
references: Ann Surg Oncol. 2012 Aug;19(8):2572-9
references: 22446897
references: Breast Cancer Res Treat. 2011 Jul;128(1):1-5
references: 21499687
references: Breast Cancer Res Treat. 2010 Dec;124(3):707-15
references: 20652399
references: Breast J. 2012 Mar-Apr;18(2):151-6
references: 22211816
references: Diagn Interv Radiol. 2012 Sep-Oct;18(5):460-7
references: 22581712
references: Breast Cancer. 2002;9(3):231-9
references: 12185335
references: Lancet. 2010 Jun 26;375(9733):2213-4
references: 20609964
references: Radiology. 1999 Dec;213(3):881-8
references: 10580970
references: Cancer. 2003 Aug 1;98(3):468-73
references: 12879462
references: Ann Oncol. 2012 Jan;23(1):98-104
references: 21460377
references: Health Technol Assess. 2010 Jan;14(1):1-182
references: 20025837
references: CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89
references: 17392385
references: Radiol Med. 2011 Dec;116(8):1226-38
references: 21744256
references: Eur Radiol. 2004 May;14(5):809-16
references: 14615904
references: J Clin Oncol. 2008 Jul 1;26(19):3248-58
references: 18474876
references: Ann Surg Oncol. 2010 Sep;17(9):2395-400
references: 20217259
references: Radiology. 2004 Dec;233(3):830-49
references: 15486214
references: Eur J Surg Oncol. 2004 Jun;30(5):501-7
references: 15135477
references: Breast. 2012 Jun;21(3):406-8
references: 22709871
references: J Surg Oncol. 2011 Dec;104(7):741-5
references: 21618242
references: J Am Coll Radiol. 2010 Jan;7(1):18-27
references: 20129267
references: J Am Coll Surg. 2009 Aug;209(2):180-7; quiz 294-5
references: 19632594
references: Eur J Radiol. 2007 May;62(2):273-82
references: 17223002
references: Cancer. 2009 Apr 15;115(8):1621-30
references: 19224552
references: Br J Cancer. 2006 Oct 9;95(7):801-10
references: 17016484