Magnetic resonance imaging in patients with newly diagnosed breast cancer: A review of the literature Journal Article


Authors: Pilewskie, M.; King, T. A.
Article Title: Magnetic resonance imaging in patients with newly diagnosed breast cancer: A review of the literature
Abstract: The use of magnetic resonance imaging (MRI) in patients with newly diagnosed breast cancer remains controversial. Here we review the current use of breast MRI and the impact of MRI on short-term surgical outcomes and rates of local recurrence. In addition, we address the use of MRI in specific patient populations, such as those with ductal carcinoma in situ, invasive lobular carcinoma, and occult primary breast cancer, and discuss the potential role of MRI for assessing response to neoadjuvant chemotherapy. Although MRI has improved sensitivity compared with conventional imaging, this has not translated into improved short-term surgical outcomes or long-term patient benefit, such as improved local control or survival, in any patient population. MRI is an important diagnostic test in the evaluation of patients presenting with occult primary breast cancer and has shown promise in monitoring response to neoadjuvant chemotherapy; however, the data do not support the routine use of perioperative MRI in patients with newly diagnosed breast cancer. © 2014 American Cancer Society.
Keywords: cancer survival; primary tumor; survival rate; review; cancer localization; cancer recurrence; treatment planning; cancer adjuvant therapy; cancer staging; nuclear magnetic resonance imaging; outcome assessment; antineoplastic agent; cancer susceptibility; breast cancer; mastectomy; tumor volume; population research; mammography; breast carcinoma; problem solving; clinical effectiveness; intraductal carcinoma; women's health; occult cancer; local recurrence; breast-conserving surgery; magnetic resonance imaging (mri); human; priority journal
Journal Title: Cancer
Volume: 120
Issue: 14
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 2014-07-15
Start Page: 2080
End Page: 2089
Language: English
DOI: 10.1002/cncr.28700
PROVIDER: scopus
PUBMED: 24752817
DOI/URL:
Notes: Export Date: 1 August 2014 -- CODEN: CANCA -- Source: Scopus
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  1. Tari King
    186 King
  2. Melissa Louise Pilewskie
    112 Pilewskie