In which patients do you utilize a breast MRI as part of the initial workup for breast cancer?
Given no improvement in outcomes and increased mastectomies with preop MRI, what do the data say about who should get them and why?
Answer from: Radiation Oncologist at Academic Institution
I'm not a fan of routine MRI in the work-up for early-stage breast cancer, but I do agree with the fairly standard list of selective indications mentioned previously.
I also obtain an MRI when there is a significant discrepancy between standard imaging and physical exam. Examples would be:
One o...
Answer from: Radiation Oncologist at Community Practice
We recently endorsed and expanded upon the Cancer Care Ontario (CCO) list of indications for pre-operative breast MRI in a modified Delphi consensus of expert opinion Cao et al., PMID 39590163Preoperative breast MRI was recommended in the following situations:
In patients diagnosed with invasive lo...
Comments
Radiation Oncologist at University of Arkansas for Medical Sciences Agree with that well-defined approach, but would s...
Radiation Oncologist at Arthur JE Child Comprehensive Cancer Centre, Calgary Agree re: mismatch between physical exam and stand...