Imaging for early stage breast cancer

EARLY DETECTION BREAST CANCER : HOW TO IMPROVE THE STAGING

Accuracy of breast MRI staging • Mean additional rate of lesions MRI > MG + US • 20-30% homolateral • 4-6 % contralateral 35% DCIS 65 % invasive cancer (Increased risk lobular carcinoma or genetic tumor) • Change of treatment strategy with MRI : 28% survival impact ?

Sardanelli, Breast 2010, Liberman AJR 2003, Lehman NEJM 2007, Mann RM. Breast Cancer Res Treat 2008, Sardanelli F. Radiology 2007 Surg Oncol 2018 Mar; 27 - Paudel