Read e-book online Breast MRI: Diagnosis and Intervention PDF

By Laura Liberman

ISBN-10: 0387219978

ISBN-13: 9780387219974

Drs. Elizabeth Morris and Laura Liberman, emerging stars in breast MRI from the Memorial Sloan-Kettering melanoma middle, edited this whole, beautifully illustrated sensible consultant. the excellent textual content is written through individuals from the head melanoma facilities on the planet. Introductory chapters are dedicated to prognosis and canopy the fundamentals of appearing breast MRI assessments, developing a breast MR application, and figuring out medical symptoms. extra chapters talk about breast interventional tactics, together with the surgeonÆs use of MR and MR-guided needle interventions. A entire diagnostic atlas completes the amount and addresses the spectrum of scientific occasions, corresponding to quite a few carcinomas, detailed tumor forms, and benign histologies. Radiologists, citizens, and fellows will take advantage of this guideÆs thorough exam of picture interpretation, which highlights pitfalls that experts needs to realize.

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We have found protocols that are fixed and streamlined increase throughput. All of our nonresearch examinations, regardless of the clinical indication, are performed with the same protocol. It is now rare that a radiologist needs to monitor an examination as we try to ensure all necessary information is obtained on every patient via close communication beforehand with the referring clinicians and the MRI technologists. We have found it helpful to review and protocol each case in advance. This way, we can be sure that the patient has had the appropriate work up to date and that all necessary information is available for the time of interpretation.

Zeppa R. Vascular response of the breast to estrogen. J Clin Endocrinol Metab. 1969;29:695–700. 7. Vogel PM, Geariade NG, Fetter BF, et al. The correlation of histologic changes in the human breast with the menstrual cycle. Am J Pathol. 1981;104:23–24. 8. Fowler PA, Casey CE, Cameron GG, et al. Cyclical changes in composition and volume of the breast during the menstrual cycle measured by magnetic resonance imaging. Br J Obstet Gyn. 1990;97:595–602. 9. Kuhl CK, Bieling HB, Gieseke J, et al. Healthy premenopausal breast parenchyma in dynamic contrastenhanced MR imaging of the breast: normal contrast medium enhancement and cyclical phase dependency.

1 mmol/kg). The contrast agent is bloused through an 18- or 22-gauge needle by hand followed by a saline flush. The nurse administers the contrast, explaining to the patient what she can expect to feel. Three postcontrast images are obtained. Also, it was and still is important to us to perform bilateral imaging as many disease processes of the breast, including cancer, are bilateral. As with mammography, evaluation of symmetry is beneficial as well. 3) in which we would examine the breast of interest first, then the contralateral breast for a total of six postcontrast acquisitions (three for for each breast).

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Breast MRI: Diagnosis and Intervention by Laura Liberman

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