Book contents
- Frontmatter
- Contents
- Preface
- Acknowledgements
- Glossary
- Abbreviations
- 1 Basics of breast MRI
- 2 Imaging-related anatomy and pathology
- 3 Interpreting breast MRI studies
- 4 MRI-guided biopsy techniques
- 5 High-risk screening using breast MRI
- 6 Preoperative staging with breast MRI
- 7 Problem-solving applications of breast MRI
- 8 MRI after breast augmentation
- Answers to multiple choice questions
- Appendices
- Index
- Plate section
- References
4 - MRI-guided biopsy techniques
Published online by Cambridge University Press: 05 March 2012
Book contents
- Frontmatter
- Contents
- Preface
- Acknowledgements
- Glossary
- Abbreviations
- 1 Basics of breast MRI
- 2 Imaging-related anatomy and pathology
- 3 Interpreting breast MRI studies
- 4 MRI-guided biopsy techniques
- 5 High-risk screening using breast MRI
- 6 Preoperative staging with breast MRI
- 7 Problem-solving applications of breast MRI
- 8 MRI after breast augmentation
- Answers to multiple choice questions
- Appendices
- Index
- Plate section
- References
Summary
Chapter outline
Introduction
The evolution of MRI-guided biopsy techniques
Principles of MRI-guided interventions
MRI-guided hookwire localization
MRI-guided vacuum-assisted biopsy
Choosing a vacuum-assisted biopsy system
Radiologic–pathologic correlation
Histopathologic lesions which mimic malignancy on MRI
Introduction
The sensitivity of MRI for invasive cancer and DCIS far exceeds that of XRM, and a substantial proportion of these malignant lesions either cannot be seen at all on TUS or cannot be identified with sufficient confidence to allow biopsy. Accordingly, a means of performing MRI-guided tissue sampling is an essential part of any breast MRI service. Frequently, MRI-only lesions (not seen on TUS or XRM) are foci (< 5 mm), small masses (< 10 mm) or focal areas of ductal non-mass enhancement, which can be challenging targets for the relatively small tissue volumes yielded by 14-gauge CNB. Accordingly, the more robust biopsy options of MRI-guided hookwire localization or VAB are preferred.
- Type
- Chapter
- Information
- Handbook of Breast MRI , pp. 92 - 111Publisher: Cambridge University PressPrint publication year: 2011
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