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