MRI-Guided Intervention for Breast Lesions Using the Freehand Technique in a 3.0-T Closed-Bore MRI Scanner: Feasibility and Initial Results
Korean Journal of Radiology
;
: 171-178, 2013.
Article
in English
| WPRIM
| ID: wpr-15372
ABSTRACT
OBJECTIVE:
To report the feasibility of magnetic resonance imaging (MRI)-guided intervention for diagnosing suspicious breast lesions detectable by MRI only, using the freehand technique with a 3.0-T closed-bore MRI scanner. MATERIALS ANDMETHODS:
Five women with 5 consecutive MRI-only breast lesions underwent MRI-guided intervention 3 underwent MRI-guided needle localization and 2, MRI-guided vacuum-assisted biopsy. The interventions were performed in a 3.0-T closed-bore MRI system using a dedicated phased-array breast coil with the patients in the prone position; the freehand technique was used. Technical success and histopathologic outcome were analyzed.RESULTS:
MRI showed that four lesions were masses (mean size, 11.5 mm; range, 7-18 mm); and 1, a nonmass-like enhancement (maximum diameter, 21 mm). The locations of the lesions with respect to the breast with index cancer were as follows different quadrant, same breast - 3 cases; same quadrant, same breast - 1 case; and contralateral breast - 1 case. Histopathologic evaluation of the lesions treated with needle localization disclosed perilobular hemangioma, fibrocystic change, and fibroadenomatous change. The lesions treated with vacuum-assisted biopsy demonstrated a radial scar and atypical apocrine hyperplasia. Follow-up MRI after 2-7 months (mean, 4.6 months) confirmed complete lesion removal in all cases.CONCLUSION:
MRI-guided intervention for breast lesions using the freehand technique with a 3.0-T closed-bore MRI scanner is feasible and accurate for diagnosing MRI-only lesions.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Vacuum
/
Biopsy, Needle
/
Breast Neoplasms
/
Magnetic Resonance Imaging
/
Feasibility Studies
/
Retrospective Studies
/
Contrast Media
/
Gadolinium DTPA
/
Diagnosis, Differential
/
Magnetic Resonance Imaging, Interventional
Type of study:
Diagnostic study
/
Observational study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Korean Journal of Radiology
Year:
2013
Type:
Article
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