Contrast Enhanced Mri Of The Breast

Since the first edition of Contrast-Enhanced MRI of the Breast was published in 1990, further progress has been made in the field and interest in magnetic resonance imaging (MRI) as an additional tool in the diagnosis of breast disease has increased. However, further questions have arisen concerning the best choice of technique, the most appropriate way to interpret MR images, and the role which MRI might play in the work-up of breast disease. In this edition we give an overview of the latest technical possibilities and present knowledge, which today is based on a much greater range of experience gained by various excellent research groups. It is our aim to help the interested reader in choosing an appropriate technique and in finding those applications which promise the greatest benefit for the patient. The particular advantages and limitations of MRI have been pointed out and the currently known capabilities and still existing limitations of other imaging modalities, including transcutaneous biopsy, discussed. Finally, a chapter concerning the use of MRI in the diagnosis of implant failure, a new situation, has been added. Acknowledgements. Since the first edition was published, much further work and research has been necessary. This would not have been possible without the continuous support of many colleagues, coworkers, and advisors.

This book is a comprehensive guide to contrast-enhanced mammography (CEM), a novel advanced mammography technique using dual-energy mammography in combination with intravenous contrast administration in order to increase the diagnostic performance of digital mammography. Readers will find helpful information on the principles of CEM and indications for the technique. Detailed attention is devoted to image interpretation, with presentation of case examples and highlighting of pitfalls and artifacts. Other topics to be addressed include the establishment of a CEM program, the comparative merits of CEM and MRI, and the roles of CEM in screening populations and monitoring of response to neoadjuvant chemotherapy. CEM became commercially available in 2011 and is increasingly being used in clinical practice owing to its superiority over full-field digital mammography. This book will be an ideal source of knowledge and guidance for all who wish to start using the technique or to learn more about it.

Since the first edition of Contrast-Enhanced MRI of the Breast was published in 1990, further progress has been made in the field and interest in magnetic resonance imaging (MRI) as an additional tool in the diagnosis of breast disease has increased. However, further questions have arisen concerning the best choice of technique, the most appropriate way to interpret MR images, and the role which MRI might play in the work-up of breast disease. In this edition we give an overview of the latest technical possibilities and present knowledge, which today is based on a much greater range of experience gained by various excellent research groups. It is our aim to help the interested reader in choosing an appropriate technique and in finding those applications which promise the greatest benefit for the patient. The particular advantages and limitations of MRI have been pointed out and the currently known capabilities and still existing limitations of other imaging modalities, including transcutaneous biopsy, discussed. Finally, a chapter concerning the use of MRI in the diagnosis of implant failure, a new situation, has been added. Acknowledgements. Since the first edition was published, much further work and research has been necessary. This would not have been possible without the continuous support of many colleagues, coworkers, and advisors.

Breast MRI is a comprehensive, practical resource entirely devoted to this state-of-the-art technique, which has emerged as a valuable adjunct to the conventional imaging modalities in the detection of primary and recurrent breast cancer. This brand-new medical reference book utilizes an atlas-type format that showcases numerous examples of each aspect of breast MRI, equipping you with the latest knowledge on effective breast image interpretation. "I would recommend this textbook as a useful resource for a wide audience." RAD Magazine, Oct 2014 Compare your breast imaging findings to a wealth of breast MRI examples that capture the characteristic clinical presentation of both normal and diseased patients. Apply the most up-to-date information available on all aspects of breast MRI, including MRI-guided biopsy, breast cancer screening with MRI, MRI features of benign and malignant lesions, and MRI in the evaluation of newly diagnosed breast cancer. Take advantage of an image-rich, atlas-type format that offers the visual clarity you need for accurate interpretation. Access the full text and images online at Expert Consult.

Dynamic contrast-enhanced MRI is now established as the methodology of choice for the assessment of tumor microcirculation in vivo. The method assists clinical practitioners in the management of patients with solid tumors and is finding prominence in the assessment of tumor treatments, including anti-angiogenics, chemotherapy, and radiotherapy. Here, leading authorities discuss the principles of the methods, their practical implementation, and their application to specific tumor types. The text is an invaluable single-volume reference that covers all the latest developments in contrast-enhanced oncological MRI.

Although mammography is the primary method used for breast cancer screening, screening mammography is limited especially in women with dense breasts, which includes nearly 50% of all women in the United States. Despite improvements such as digital mammography, computed aided detection, and digital breast tomosynthesis, breast cancer continues to be a leading cause of cancer-related death in women. The recent proliferation of screening breast ultrasound has led to increased health care costs and false positives, with only a slight improvement in breast cancer detection. It is time for a better test. This is the first textbook dedicated to the subject of abbreviated breast MRI (AB-MR). The editors are principal investigators in the first multicenter trial evaluating AB-MR. Each chapter is authored by a leading expert in the field of breast MRI. AB-MR only takes 10 minutes or less to perform, has a comparable cost to screening breast ultrasound, and detects twice as many cancers compared to combined screening with mammography and ultrasound. The improved performance of AB-MR is irrespective of breast density, family history, overall breast cancer risk, and cancer characteristics (e.g. type, staging, invasive or intraductal, primary or recurrent). As such, it will likely become a routine screening tool in women with dense breasts. Key Features A background on breast MR imaging including a review of current research data Fundamental guidelines for implementing, performing, and interpreting AB-MR Technical approaches with proven efficacy, including biopsy methods Accurate interpretation presented in an easy-to-read flow chart format More than 250 high quality color illustrations AB-MR has the potential to help radiologists overcome breast cancer screening limitations and change current standards of practice. This book provides radiologists with the necessary tools to quickly incorporate AB-MR into clinical practice, with an ultimate goal of improved breast cancer detection rates and patient outcomes.

This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of "hot topics". The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology.

This book offers a comprehensive, practical resource entirely devoted to Contrast-Enhanced Digital Mammography (CEDM), a state-of-the-art technique that has emerged as a valuable addition to conventional imaging modalities in the detection of primary and recurrent breast cancer, and as an important preoperative staging tool for women with breast cancer. CEDM is a relatively new breast imaging technique based on dual energy acquisition, combining mammography with iodine-based contrast agents to display contrast uptake in breast lesions. It improves the sensitivity and specificity of breast cancer detection by providing higher foci to breast-gland contrast and better lesion delineation than digital mammography. Preliminary results suggest that CEDM is comparable to breast MRI for evaluating the extent and size of lesions and detecting multifocal lesions, and thus has the potential to become a readily available, fast and cost-effective examination. With a focus on the basic imaging principles of CEDM, this book takes a practical approach to breast imaging. Drawing on the editors’ and authors’ practical experience, it guides the reader through the basics of CEDM, making it especially accessible for beginners. By presenting the key aspects of CEDM in a straightforward manner and supported by clear images, the book represents a valuable guide for all practicing radiologists, in particular those who perform breast imaging and have recently incorporated or plan to incorporate CEDM into their diagnostic arsenal.