MRI-detected breast lesions: clinical implications and evaluation based on MRI/ultrasonography fusion technology

Jpn J Radiol. 2019 Oct;37(10):685-693. doi: 10.1007/s11604-019-00866-8. Epub 2019 Sep 5.

Abstract

Magnetic resonance imaging (MRI) is a highly sensitive imaging modality that frequently reveals additional breast lesions that are occult on mammography and ultrasonography (US) and are thus difficult to diagnose. It is important to investigate these MRI-detected suspicious lesions, which are associated with a fairly high rate of malignancy. In this review, we have discussed MRI/US fusion technology, a magnetic position tracking system that synchronizes real-time US and MRI to improve lesion detection and enables comparisons of MRI and US findings of the detected lesions. This combination increases the precision of second-look US. We hope that our review underscores the importance of understanding the US findings and histopathology of MRI-detected breast lesions, as this will enable radiologists to perform appropriate assessments.

Keywords: Breast cancer; Fusion; MRI-detected lesion; Real-time virtual sonography; Second-look ultrasonography.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Breast / diagnostic imaging
  • Breast Neoplasms / diagnostic imaging*
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Middle Aged
  • Multimodal Imaging / methods*
  • Retrospective Studies
  • Sensitivity and Specificity
  • Ultrasonography, Mammary / methods*