Top 10 indications for breast MRI

  1. All newly diagnosed breast cancer patients; to define the extent of disease multifocality and/or presence of contralateral abnormalities, and to assist with planning or surgical treatment
  2. Adjunct to mammography and ultrasound in women with clinically difficult exam and dense breasts on these examinations (women younger than 40)
  3. Preoperative assessment in patients with mammographic abnormalities or dense breast tissue (i.e., preop breast reduction or revision reconstruction)
  4. Yearly follow-up for breast cancer patients
  5. Screening patients at high risk for breast cancer, especially those with suspected or proven mutations of BRCA1 and BRCA2
  6. Further evaluation of suspicious clinical findings or imaging results that remain indeterminate after mammographic and ultrasound evaluation
  7. Evaluation of silicone gel implant integrity (supported by recent U.S. Food and Drug Administration recommendations)
  8. Breast cancer screening in women with breast implants as adjunct to mammography
  9. Monitor response to neoadjuvant hormonal therapy and/or chemotherapy
  10. To determine primary site in patients with axillary nodal disease and unknown primary disease
  11. — Dr. Gail Lebovic,
    Cooper Clinic, McKinney, TX

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