Additional findings at preoperative MRI: a simple golden rule for a complex problem?

Predictors of re‐excision in wire‐guided wide local excision for early breast cancer: a Western Australian multi‐centre experience

“…The overall median concentricity score was 27 (IQR 18. [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”

“…Translation of preoperative MRI findings (where the patient's breast is in the prone position) to their corresponding location in the supine patient position during surgery is challenging, and this may help explain why it has been difficult to show preoperative MRI can reduce re-excision rates. 39 Recent studies using co-registration and projection techniques to help address this issue have shown promising results. 40,41 Localization methods that give three-dimensional real-time feedback during surgery such as intra-operative ultrasound (IOUS) and radio-guided techniques (injection of radioisotope (ROLL) and radio-guided occult lesion localisation using iodine-125 seed(s) (ROLLIS)) have been shown to reduce re-excision rates.…”

Magnetic resonance imaging in the preoperative assessment of patients with primary breast cancer: systematic review of diagnostic accuracy and meta-analysis

“…Regarding breast density, some authors advocate the use of preoperative MRI in women with dense breasts [2] but this T tesla, NA not available. a type of equipment: magnetic camp indication has not been included in current recommendations [1].…”

“…Nevertheless, its generalised use as a preoperative staging test remains controversial [1][2][3]. The accuracy of MRI in this context has been assessed in numerous studies with varying results although it is perceived to be superior to mammography, ultrasound and clinical examinations [4][5][6][7][8].…”

MRI-Guided Breast Biopsy: Outcomes and Effect on Patient Management

“…While several studies have demonstrated that pre-operative breast MRI changes surgical management in 10–34%, 13–17 some argue that this change in surgical plan does not change patient outcomes. 18–20 Additional studies evaluating the role of breast MRI in this patient population and its subsequent clinical impact are needed.…”