APBI 2016

Breast MRI Staging

 Additional lesions detection rate :  Multifocal lesions are found in 20-60 % of mastectomy specimens  Contralateral occult carcinoma : 5-10%  Increased risk in case of lobular carcinoma and genetic risk  Mean additional rate of true lesions detected with MRI > MG + US  20-30% homolateral  4-6% contralateral  Change of treatment strategy with MRI : 28 %  Sardanelli, Breast 2010, Liberman AJR 2003, Lehman NEJM 2007, Mann RM. Breast Cancer Res Treat 2008, Sardanelli F. Radiology 2007