2012
DOI: 10.1016/j.diii.2012.05.013
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Is a breast MRI possible and indicated in case of suspicion of breast cancer during lactation?

Abstract: The paper tries to answer two questions: the safety of the injection of gadolinium during breastfeeding; the value of a breast MRI in the nursing mother if breast cancer is suspected. Recent Anglo-Saxon publications are in favour of continued breastfeeding following the injection of gadolinium. In fact, only a minute quantity of contrast product passes into the mother's milk, much less than the threshold recommended in paediatrics in the infant. However, a suspension of lactation for 24h after the injection of… Show more

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Cited by 13 publications
(10 citation statements)
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“…Magnetic resonance imaging findings may be altered due to physiologic changes but remains an efficient technique for the detection and characterization of breast lesions during lactation. There is no reported risk for the use of intravenous gadolinium chelates during lactation; however, breastfeeding may be suspended for 24 h after contrast medium administration [6]. …”
Section: Discussionmentioning
confidence: 99%
“…Magnetic resonance imaging findings may be altered due to physiologic changes but remains an efficient technique for the detection and characterization of breast lesions during lactation. There is no reported risk for the use of intravenous gadolinium chelates during lactation; however, breastfeeding may be suspended for 24 h after contrast medium administration [6]. …”
Section: Discussionmentioning
confidence: 99%
“…As reported by Sabate et al. [6] , US is an appropriate radiologic tool for evaluating breast disorders in pregnancy and lactation because the sonographic semiology of breast does not change significantly in these women [7] , [8] , [9] , [10] . In particular, US has a great sensitivity (nearly 100%) in detection and characterization of palpable breast masses in pregnant and lactating women [9] .…”
Section: Discussionmentioning
confidence: 99%
“…Concern has been raised about the efficacy of MRI during lactation due to diffuse enhancement brought about by the hypervascularity of the breast as well as increased T2 signaling due to milk production. While MRI scanning to define the extent of disease in known cancers has shown excellent sensitivity, data related to MRI screening during lactation is limited [9]. Concern about the safety of MRI scanning in lactating women has been addressed by studies showing that the amount of gadolium dye passed to the breast feeding infant is a fraction of 1% of the allowable dose.…”
Section: High Risk Screening During Pregnancy and Lactationmentioning
confidence: 99%
“…Concern about the safety of MRI scanning in lactating women has been addressed by studies showing that the amount of gadolium dye passed to the breast feeding infant is a fraction of 1% of the allowable dose. It is therefore recommended that women resume breast feeding without delay after undergoing MRI [9]. For women who plan to breast feed for a limited time, it is recommended that surveillance imaging resume 8 weeks after cessation to maximize sensitivity and specificity [8].…”
Section: High Risk Screening During Pregnancy and Lactationmentioning
confidence: 99%