The Role of MRI in the Follow-up of Women Undergoing Breast-conserving Therapy.

Title

The Role of MRI in the Follow-up of Women Undergoing Breast-conserving Therapy.

Creator

Shah Chirag; Ahlawat Stuti; Khan Atif; Tendulkar Rahul D; Wazer David E; Shah Shilpi S; Vicini Frank

Publisher

American journal of clinical oncology

Date

2016
2016-06

Description

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.

Subject

*Magnetic Resonance Imaging; Aftercare; Breast Neoplasms/*diagnostic imaging/*surgery; Female; Humans; Local/*diagnostic imaging; Mammography; Mastectomy; Neoplasm Recurrence; Population Surveillance/*methods; Segmental

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

314–319

Issue

3

Volume

39

Citation

Shah Chirag; Ahlawat Stuti; Khan Atif; Tendulkar Rahul D; Wazer David E; Shah Shilpi S; Vicini Frank, “The Role of MRI in the Follow-up of Women Undergoing Breast-conserving Therapy.,” NEOMED Bibliography Database, accessed March 19, 2024, https://neomed.omeka.net/items/show/4354.