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Text
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URL Address
<a href="http://doi.org/10.1097/COC.0000000000000290" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/COC.0000000000000290</a>
Pages
314–319
Issue
3
Volume
39
Dublin Core
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Title
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The Role of MRI in the Follow-up of Women Undergoing Breast-conserving Therapy.
Publisher
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American journal of clinical oncology
Date
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2016
2016-06
Subject
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*Magnetic Resonance Imaging; Aftercare; Breast Neoplasms/*diagnostic imaging/*surgery; Female; Humans; Local/*diagnostic imaging; Mammography; Mastectomy; Neoplasm Recurrence; Population Surveillance/*methods; Segmental
Creator
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Shah Chirag; Ahlawat Stuti; Khan Atif; Tendulkar Rahul D; Wazer David E; Shah Shilpi S; Vicini Frank
Description
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OBJECTIVES: Breast-conserving therapy (BCT) represents a standard of care in the management of breast cancer. However, unlike mastectomy, women treated with BCT require follow-up imaging of the treated breast as well as the contralateral breast as part of posttreatment surveillance. Traditionally, surveillance has consisted of clinical exams and mammograms. However, magnetic resonance imaging (MRI) has emerged as a breast imaging technique utilized as part of high-risk screening programs as well as part of the initial diagnosis and workup of women considered for BCT. At this time, the role of MRI as part of follow-up for women treated with BCT remains unclear. METHODS: A systematic review was performed to evaluate the role of MRI following BCT. RESULTS: Although there is no randomized evidence supporting the routine use of MRI in surveillance post-BCT, a review of the literature demonstrates that MRI (1) has increased sensitivity as compared with mammography to detect recurrences, and (2) can help evaluate mammographic abnormalities before biopsy and/or surgery. CONCLUSIONS: In patients with higher risk of local recurrence, surveillance with MRI may represent an effective surveillance strategy though subgroups benefiting have not been identified nor has the impact on quality of life and cost been evaluated.
Identifier
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<a href="http://doi.org/10.1097/COC.0000000000000290" target="_blank" rel="noreferrer noopener">10.1097/COC.0000000000000290</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Magnetic Resonance Imaging
2016
Aftercare
Ahlawat Stuti
American journal of clinical oncology
Breast Neoplasms/*diagnostic imaging/*surgery
Female
Humans
Khan Atif
Local/*diagnostic imaging
Mammography
Mastectomy
Neoplasm Recurrence
Population Surveillance/*methods
Segmental
Shah Chirag
Shah Shilpi S
Tendulkar Rahul D
Vicini Frank
Wazer David E