Review and audit of the post-surgical MRI breast: Pictorial essay

J Med Imaging Radiat Oncol. 2019 Apr;63(2):163-169. doi: 10.1111/1754-9485.12852. Epub 2019 Jan 28.

Abstract

Audit of contrast-enhanced breast MRI performed over a 3-year period in a single institution to describe and summarise the changes seen after surgery and radiation therapy for primary breast cancer, breast augmentation and oncoplastic surgery. Seventy women were identified and reviewed (100 breast MRIs in total). The most common change seen was haemosiderin deposition. The early changes of skin thickening, oedema, seroma and background parenchymal enhancement decreased with time leaving residual breast shrinkage, haemosiderin/calcification and architectural distortion due to fibrosis and scarring.

Keywords: MRI; breast; breast cancer; post-surgical; post-treatment.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / surgery*
  • Contrast Media
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Medical Audit
  • Middle Aged
  • Postoperative Complications / diagnostic imaging*
  • Retrospective Studies

Substances

  • Contrast Media