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Open Access 01-05-2018 | Breast

A survey by the European Society of Breast Imaging on the utilisation of breast MRI in clinical practice

Authors: Paola Clauser, Ritse Mann, Alexandra Athanasiou, Helmut Prosch, Katja Pinker, Matthias Dietzel, Thomas H. Helbich, Michael Fuchsjäger, Julia Camps-Herrero, Francesco Sardanelli, Gabor Forrai, Pascal A. T. Baltzer

Published in: European Radiology | Issue 5/2018

Abstract

Objectives

While magnetic resonance imaging (MRI) is considered a helpful diagnostic tool in breast imaging, discussions are ongoing about appropriate protocols and indications. The European Society of Breast Imaging (EUSOBI) launched a survey to evaluate the utilisation of breast MRI in clinical practice.

Methods

An online survey reviewed by the EUSOBI board and committees was distributed amongst members. The questions encompassed: training and experience; annual breast MRI and MRI-guided-intervention workload; examination protocols; indications; reporting habits and preferences. Data were summarised and subgroups compared using χ² test.

Results

Of 647 EUSOBI members, 177 (27.4%) answered the survey. The majority were radiologists (90.5%), half of them based in academic centres (51.9%). Common indications for MRI included cancer staging, treatment monitoring, high-risk screening and problem-solving, and differed significantly between countries (p≤0.03). Structured reporting and BI-RADS were mostly used. Breast radiologists with ≤10 years of experience preferred inclusion of additional techniques, such as T2/STIR (p=0.03) and DWI (p=0.08) in the scan protocol. MRI-guided interventions were performed by a minority of participants (35.4%).

Conclusions

The utilisation of breast MRI in clinical practice is generally in line with international recommendations. There are substantial differences between countries. MRI-guided interventions and functional MRI parameters are not widely available.

Key points

• MRI is commonly used for the detection and characterisation of breast lesions.

• Clinical practice standards are generally in line with current recommendations.

• Standardised criteria and diagnostic categories (mainly BI-RADS) are widely adopted.

• Younger radiologists value additional techniques, such as T2/STIR and DWI.

• MRI-guided breast biopsy is not widely available.

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Title: A survey by the European Society of Breast Imaging on the utilisation of breast MRI in clinical practice
Authors: Paola Clauser
Ritse Mann
Alexandra Athanasiou
Helmut Prosch
Katja Pinker
Matthias Dietzel
Thomas H. Helbich
Michael Fuchsjäger
Julia Camps-Herrero
Francesco Sardanelli
Gabor Forrai
Pascal A. T. Baltzer
Publication date: 01-05-2018
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 5/2018
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-017-5121-4

At a glance: The STEP trials

Springer Medicine

A survey by the European Society of Breast Imaging on the utilisation of breast MRI in clinical practice

Abstract

Objectives

Methods

Results

Conclusions

Key points

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key points

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