By Uwe Fischer

Acclaim for the 1st edition:

A convenient reference of MRI findings for training radiologists of their day-by-day paintings. symptoms for breast MRI are excellently offered. Strongly prompt. Acta Radiologica

Interesting and instructive ebook [...] the writer effectively provides, evaluates and discusses using MR within the imaging of the breast [...]. each one bankruptcy is enriched through a number of, transparent and demonstrative illustrations [...] may be within the palms of all radiologists who perform mammography [...] and people who should still comprehend while and why MR mammography will be played. Journal of medical Imaging

High-resolution MR mammography is more desirable to all different breast imaging modalities for the detection of invasive and intraductal breast melanoma kinds. It performs a huge position within the early detection of breast melanoma and within the extra eff ective assessment of breast sickness, and has confirmed to be a competent procedure for staging and follow-up after a breast melanoma analysis. given that there at the moment are devoted fabrics to be had for the functionality of percutaneous MRI-guided needle biopsies, it's also attainable to acquire a histologic analysis of findings which are merely detected on MRI. The thoroughly revised and increased moment version of Practical MR Mammography units out to hide those thematic and technical developments.

Key Features:

  • Goal-oriented didactic constitution all through: while should still breast MRI be played? How does one continue throughout the exam? How does one arrive at a prognosis accurately and reliably? How can blunders be shunned?
  • Now over 1300 thoroughly new, top quality photos produced with the newest gear
  • Summarized features of specified illnesses: prevalence, etiology, malignant capability, scientific and imaging findings
  • Inclusion and alertness of MRI-BIRADS
  • In-depth and up-to-date assurance of DCIS

This e-book exhibits readers the way to collect very good photographs and is helping enhance their photo research and assessment abilities. It presents transparent solutions to all questions concerning MR mammography and aid for precise problems.

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Extra info for Practical MR Mammography: High-Resolution MRI of the Breast

Example text

40 Regional (solitary). Multiple regions (two). Multiple regions. Diffuse. Nonmasslike Enhancement Distribution • Focal (spread over < 25% of a breast quadrant) • Linear • Ductal (linear branching along a milk duct) • Segmental (triangular with peak toward nipple) •Regional (solitary and multiple) •Diffuse 5 Assessment of the Contrast-Enhanced T1-Weighted Examination Fig. 12a–e Nonmasslike enhancement: internal characteristics. a Homogeneous. b Inhomogeneous. c Stippled/punctate. d Clumped. e Reticular/dendritic.

BI-RADS 6. Findings are placed in this category when percutaneous biopsy (large-core biopsy, vacuum-assisted biopsy) has revealed a lesion with malignant histology (intraductal, invasive). This categorization persists until definitive therapy (usually surgical removal) has been initiated. 46 ! In general, clinical, radiological, and ultrasonographic findings must be taken into account to fully characterize ambiguous breast lesions and to decide on the further course of action. 6 6 Artifacts and Sources of Error Incorrect Positioning The patient to be examined is typically placed in the prone position.

If a contrast-enhancing lesion is found here, however, it is not possible to perform an analysis of the time–signal intensity curve with high temporal resolution. The sandwich and zebra protocols are examination protocols in which additional scans with a perpendicular phase-encoding gradient direction are performed. b Fig. 22a, b Phase-encoding gradient on axial view of breast MRI. Established protocol. a MIP of contrast-enhanced breast MRI in axial view with mediolateral b A possible solution to this problem can be achieved by swapping direction of the phase-encoding gradient.

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