Real-time MRI navigated US: Role in diagnosis and guided biopsy of incidental breast lesions and axillary lymph nodes detected on breast MRI but not on second look US

Pons, Elena Pastor; Azcón, Francisco; Casas, M. Culiañez; Meca, S. Martínez; Espona, José Luis García

doi:10.1016/j.ejrad.2014.03.006

Cited by 27 publications

(22 citation statements)

References 27 publications

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“…They also reported that MRI navigated ultrasound improved the detection of lesions around mammary fascia rather than within mammary gland ( p = 0.023) (15). In another similar investigation, Pons et al (18) reported that the detection rate of MRI navigated ultrasound and conventional ultrasound was 91 and 43%, respectively, and the diagnostic performance of MRI navigated ultrasound in identifying malignancy was 96.3% in sensitivity, 18.8% in specificity, 66.7% in positive predictive value, and 75% in negative predictive value.…”

Section: Clinical Researches About the Use Of Real-time Mri Navigatedmentioning

confidence: 88%

“…After this plane registration, additional point registration is carried out to enable a more precise adaptation. For point registration, either external (fiducially placed on the patient) or internal (anatomic structures or pathologic lesions) landmarks can be used (118). When either image causes a discrepancy, re-synchronization is needed by additional point registration.…”

Section: Technical Principles Of Real-time Mri Navigated Ultrasoundmentioning

confidence: 99%

“…Real-time MRI navigated ultrasound is mostly applied as an adjunctive modality for second-look ultrasound examination in breast cancer patients (15161718). Second-look ultrasound is the targeted ultrasound examination for identification of a breast lesion which is detected on MRI, but not seen on initial ultrasound examination.…”

Section: Clinical Researches About the Use Of Real-time Mri Navigatedmentioning

confidence: 99%

“…We often face difficulties in interpreting and correlating the radiological features between these two imaging modalities in preoperative evaluation of breast cancer patients. Therefore, a combination technique of MRI and real-time ultrasound imaging, namely "real-time MRI navigated ultrasound" could be more objective, and can enhance the sensitivity of conventional ultrasound for initially detected breast lesions on MRI during the second-look ultrasound evaluation (15161718). Consequently, real-time MRI navigated ultrasound and biopsy could replace the MRI-guided biopsy for MRI-detected lesions.…”

Section: Introductionmentioning

confidence: 99%

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Real-Time MRI Navigated Ultrasound for Preoperative Tumor Evaluation in Breast Cancer Patients: Technique and Clinical Implementation

Park

Seo

2016

Korean J Radiol

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Real-time magnetic resonance imaging (MRI) navigated ultrasound is an image fusion technique to display the results of both MRI and ultrasonography on the same monitor. This system is a promising technique to improve lesion detection and analysis, to maximize advantages of each imaging modality, and to compensate the disadvantages of both MRI and ultrasound. In evaluating breast cancer stage preoperatively, MRI and ultrasound are the most representative imaging modalities. However, sometimes difficulties arise in interpreting and correlating the radiological features between these two different modalities. This pictorial essay demonstrates the technical principles of the real-time MRI navigated ultrasound, and clinical implementation of the system in preoperative evaluation of tumor extent, multiplicity, and nodal status in breast cancer patients.

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Section: Clinical Researches About the Use Of Real-time Mri Navigatedmentioning

confidence: 88%

Section: Technical Principles Of Real-time Mri Navigated Ultrasoundmentioning

confidence: 99%

Section: Clinical Researches About the Use Of Real-time Mri Navigatedmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Real-Time MRI Navigated Ultrasound for Preoperative Tumor Evaluation in Breast Cancer Patients: Technique and Clinical Implementation

Park

Seo

2016

Korean J Radiol

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“…In a few systems, color change in the lymph nodes also helps in faster SLN identification [2]. Figure 8 shows real-time MR-US mapping of the lymph node [24]. Table 1 gives an overview of the clinical results from the recent years for all the mentioned imaging modalities.…”

Section: Ultrasound-magnetic Resonance (Mr-us)mentioning

confidence: 99%

Breast sentinel lymph node biopsy with imaging towards minimally invasive surgery

Joseph

Oepen

Friebe

2017

Biomedical Engineering / Biomedizinische Technik

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Breast sentinel lymph nodes are still commonly assessed through complete lymph node dissections, which is a time-consuming and radical approach because the nodes are difficult to identify. To prevent false diagnosis and achieve accurate results, minimally invasive, imageguided procedures are applied and constantly improved. The purpose of this paper is to present the currently used imaging modalities ultrasound, fluorescence, single-photon emission computed tomography (SPECT), magnetic resonance imaging (MRI) and hybrid imaging methods and comparing their effectiveness for breast sentinel lymph node biopsy. A definition for an ideal imaging system combining efficient minimally invasive techniques with workflow considerations is also discussed. As a conclusion, upcoming imaging methods and their future outlook with areas of advancement are presented.

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MRI‐guided breast interventions

McGrath

Price

Eby³

et al. 2017

Magnetic Resonance Imaging

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Real-time MRI navigated US: Role in diagnosis and guided biopsy of incidental breast lesions and axillary lymph nodes detected on breast MRI but not on second look US

Cited by 27 publications

References 27 publications

Real-Time MRI Navigated Ultrasound for Preoperative Tumor Evaluation in Breast Cancer Patients: Technique and Clinical Implementation

Real-Time MRI Navigated Ultrasound for Preoperative Tumor Evaluation in Breast Cancer Patients: Technique and Clinical Implementation

Breast sentinel lymph node biopsy with imaging towards minimally invasive surgery

MRI‐guided breast interventions

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