Utility of surveillance MRI in women with a personal history of breast cancer

Clin Imaging. 2017 Nov-Dec:46:33-36. doi: 10.1016/j.clinimag.2017.06.007. Epub 2017 Jul 3.

Abstract

Purpose: To determine the utility and rate of biopsy in women with a positive history of breast cancer screened with MRI.

Methods: Retrospective review of 491 breast MRI screening examinations in women with a personal history of breast cancer.

Results: In total, 107 biopsies were performed, an average of 0.09 biopsies per person year. The positive predictive value for biopsies prompted by MRI findings was 0.24 (95% C.I. 0.10-0.38). Eight of the nine subsequent cancers were initially identified on screening MRI alone.

Conclusion: Surveillance MRI in breast cancer survivors may increase detection of subsequent cancers while increasing rate of biopsy.

Keywords: Biopsy; Breast cancer; MRI; Screening.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Biopsy*
  • Breast / pathology*
  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / diagnostic imaging*
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Mammography
  • Mass Screening / methods*
  • Middle Aged
  • Neoplasm Recurrence, Local / diagnosis
  • Neoplasm Recurrence, Local / diagnostic imaging*
  • Retrospective Studies
  • Survivors