title: The role of dynamic contrast-enhanced screening breast MRI in populations at increased risk for breast cancer.
abstract: Breast MRI is more sensitive than mammography in detecting breast cancer. However, MRI as a screening tool is limited to high-risk patients due to cost, low specificity and insufficient evidence for its use in intermediate-risk populations. Nonetheless, in the past decade, there has been a dramatic increase in the use of breast-screening MRI in the community setting. In this review, we set to describe the current literature on the use of screening MRI in high- and intermediate-risk populations. We will also describe novel applications of breast MRI including abbreviated breast MRI protocols, background parenchymal enhancement and diffusion-weighted imaging.
authors.affiliation: New York University School of Medicine, Laura & Isaac Perlmutter Cancer Center, 160 East 34th Street, New York, NY 10016, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Gillman
authors.forename: Hildegard K
authors.initials: HK
authors.lastname: Toth
authors.forename: Linda
authors.initials: L
authors.lastname: Moy
mesh_terms: D001940:Breast / Q000473:pathology; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000235:genetics; D055088:Early Detection of Cancer; D005260:Female; D020022:Genetic Predisposition to Disease; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D012306:Risk
keywords: MRI; breast MRI; guidelines; high risk; screening