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general.
A combination of steady and changing magnetic fields and pulsing radio signals
produce images of any body part. With MRI, the contrast between soft tissues
in the breast is 10 to 100 times greater that that obtained with x-rays.
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WHY
WAS BREAST MRI STARTED? ISN'T MAMOGRAPHY GOOD ENOUGH? |
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Mammography
has developed an excellent history as a low cost, easily accessible method
which identifies malignancy early. If you have routine mammography, this
will not prevent cancer, but will allow early identification of developing
cancer so that treatment is initiated early with greatly enhanced outcomes.
HOWEVER, there are certain advantages to breast MRI, which is complementary
to mammography. Mammographic detection of cancer in women with “dense
breasts” (more fibroglandular tissue) is much more difficult, as it
may be hidden by the normal tissues. The American College of Radiology (ACR)
guidelines refer to this as an indication for findings that are clinically
and mammographically unable to be detected. The ACR also has indicated Breast
MRI for women with identified cancer for characterization, following certain
therapies, women with specific genetic predisposition, women with breast
augmentation, post-lumpectomy, axillary adenopathy and other issues related
to known breast cancers. |
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WHAT
HAPPENS WHEN YOU GET A BREAST MRI? |
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A
patient is screened as for any MRI but also asked questions specifically
for Breast MRI, such as last menstrual period, any treatment therapies,
and what other breast exams have already occurred. You will have an IV started,
as a very mild contrast agent will be injected during the procedure. The
technologist will then assist you to lie face down on a specially designed
MRI breast coil. The function of the coil is to pick up the electrical signals
coming from the breast to make the images. You will hear a series of buzzing
and knocking noises as the images are being made. Around three thousand
images are taken in around 35 minutes and sent to a special computer. The
studies are interpreted by one of our Board Certified Radiologists and a
report is sent to the referring physician. |
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HOW
ACCURATE IS BREAST MRI? |
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Breast
MRI is very sensitive for most cancers, and rarely misses them, with some
exceptions such as “in-situ” cancer (which are demonstrated
on mammography by microcalcifications very effectively), lobular cancer
and low grade malignancies. Some benign conditions such as fibrocystic disease
can take up injected contrast and look like cancer. Another factor that
affects MRI images is hormones that stimulate uptake of the dye which may
lead to a false positive. That is why we ask our patients many questions
during the scheduling of their appointment. |
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WHY
DO MRI? ISN'T A BIOPSY THE MOST ACCURATE METHOD OF DIAGNOSIS? |
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While
biopsy is the final confirmation of the diagnosis, a biopsy result can only
be counted on as accurate when the correct area is biopsied. MRI identifies
those areas requiring biopsy. |
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SHOULD
EVERY WOMAN HAVE A BREAST MRI? |
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No. The
ACR is currently not recommending Breast MRI for screening of the general
asymptomatic population. Most insurance will pay only for specific clinical
indications and the test is very expensive. |
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WHERE
CAN I HAVE A BREAST MRI PERFORMED? |
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Breast
MRI needs to be performed on at least a 1.5 T Magnet by professionals specially
trained in Breast MRI with a special breast imaging coil. As a health care
consumer you should also realize that interpretation of breast MRI depends
on the training and experience of the radiologist. Ideally, the radiologist
should interpret mammography (ACR certified) and MRI. Finally, you should
ask how the facility deals with tumors that can only be seen by MRI. The
facility should make Breast MRI needle localization or percutaneous biopsy
available in the event the patient’s physician is unable to use other
modalities to identify the lesion, to assist in finding and sampling these
abnormalities. |
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IS
THERE ANY DIFFERENCE IN THE IMAGE QUALITY OF A MOBILE MRI SCAN VS. A FIXED
MRI? |
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No, there is no difference in the image quality between Michigan
Resonance Imaging Mobile MRI's and fixed site MRI's. Our mobile MRI units
are NEW Siemens 1.5 Tesla Symphony Magnets with superb image quality ranked
second to none.
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