title: Breast MRI: EUSOBI recommendations for women's information.
abstract: This paper summarizes information about breast MRI to be provided to women and referring physicians. After listing contraindications, procedure details are described, stressing the need for correct scheduling and not moving during the examination. The structured report including BI-RADS® categories and further actions after a breast MRI examination are discussed. Breast MRI is a very sensitive modality, significantly improving screening in high-risk women. It also has a role in clinical diagnosis, problem solving, and staging, impacting on patient management. However, it is not a perfect test, and occasionally breast cancers can be missed. Therefore, clinical and other imaging findings (from mammography/ultrasound) should also be considered. Conversely, MRI may detect lesions not visible on other imaging modalities turning out to be benign (false positives). These risks should be discussed with women before a breast MRI is requested/performed. Because breast MRI drawbacks depend upon the indication for the examination, basic information for the most important breast MRI indications is presented. Seventeen notes and five frequently asked questions formulated for use as direct communication to women are provided. The text was reviewed by Europa Donna-The European Breast Cancer Coalition to ensure that it can be easily understood by women undergoing MRI.
  
  
  CONCLUSIONS
  • Information on breast MRI concerns advantages/disadvantages and preparation to the examination • Claustrophobia, implantable devices, allergic predisposition, and renal function should be checked • Before menopause, scheduling on day 7-14 of the cycle is preferred • During the examination, it is highly important that the patient keeps still • Availability of prior examinations improves accuracy of breast MRI interpretation.
authors.affiliation: Department of Radiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
authors.forename: Ritse M
authors.initials: RM
authors.lastname: Mann
authors.affiliation: Department of Radiology, Gustave-Roussy Institute, Villejuif, France.
authors.forename: Corinne
authors.initials: C
authors.lastname: Balleyguier
authors.affiliation: Department of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
authors.forename: Pascal A
authors.initials: PA
authors.lastname: Baltzer
authors.affiliation: Clinic of Radiology, Charité, Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Bick
authors.affiliation: Radiology Unit, Hospices Civils de Lyon, Centre Hospitalo-Universitaire Lyon Sud, Pierre Bénite Cedex, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Colin
authors.affiliation: Nottingham Breast Institute, Nottingham University Hospitals, Nottingham, UK.
authors.forename: Eleanor
authors.initials: E
authors.lastname: Cornford
authors.affiliation: Dundee Cancer Centre, Clinical Research Centre, Ninewells Hospital and Medical School, Dundee, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Evans
authors.affiliation: Clinic of Radiology, Charité, Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Eva
authors.initials: E
authors.lastname: Fallenberg
authors.affiliation: MHEK Teaching Hospital University Semmelweis, Budapest, Hungary.
authors.forename: Gabor
authors.initials: G
authors.lastname: Forrai
authors.affiliation: Department of Radiology, Medical University of Graz, Graz, Austria.
authors.forename: Michael H
authors.initials: MH
authors.lastname: Fuchsjäger
authors.affiliation: Department of Radiology, University of Cambridge, School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, UK.
authors.forename: Fiona J
authors.initials: FJ
authors.lastname: Gilbert
authors.affiliation: Department of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Helbich
authors.affiliation: National Reference Centre Mammography, Munich, Munich, Germany.
authors.forename: Sylvia H
authors.initials: SH
authors.lastname: Heywang-Köbrunner
authors.affiliation: Department of Radiology, Hospital de la Ribera, Alzira, Valencia, Spain.
authors.forename: Julia
authors.initials: J
authors.lastname: Camps-Herrero
authors.affiliation: University Hospital of Aachen, Rheinisch-Westfälische Technische Hochschule, Aachen, Germany.
authors.forename: Christiane K
authors.initials: CK
authors.lastname: Kuhl
authors.affiliation: Radiology Unit, IRCCS-FPO, Candiolo, Turin, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Martincich
authors.affiliation: Department of Radiological, Oncological and Pathological Sciences, Sapienza University, Rome, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Pediconi
authors.affiliation: Department of Radiology 1, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Panizza
authors.affiliation: Department of Radiology, Clínica Universidad de Navarra, Pamplona, Navarra, Spain.
authors.forename: Luis J
authors.initials: LJ
authors.lastname: Pina
authors.affiliation: Department of Imaging, University Medical Centre Utrecht, Utrecht, The Netherlands.
authors.forename: Ruud M
authors.initials: RM
authors.lastname: Pijnappel
authors.affiliation: Department of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
authors.forename: Katja
authors.initials: K
authors.lastname: Pinker-Domenig
authors.affiliation: Department of Radiology, Oslo University Hospital Ullevaal, University of Oslo, Oslo, Norway.
authors.forename: Per
authors.initials: P
authors.lastname: Skaane
authors.affiliation: Department of Biomedical Sciences for Health, Università degli Studi di Milano, Radiology Unit, IRCCS Policlinico San Donato, Via Morandi 30, 20097, San Donato Milanese, Milan, Italy. francesco.sardanelli@unimi.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Sardanelli
mesh_terms: D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000175:diagnosis*; D005060:Europe; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D017410:Practice Guidelines as Topic
keywords: Access to information; Breast; Breast cancer; Magnetic resonance imaging; Patient advocacy