Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Japanese Journal of Radiology
Published in: Japanese Journal of Radiology 10/2019

01-10-2019 | Magnetic Resonance Imaging | Invited Review

MRI-detected breast lesions: clinical implications and evaluation based on MRI/ultrasonography fusion technology

Authors: Kazuaki Nakashima, Takayoshi Uematsu, Taiyo L. Harada, Kaoru Takahashi, Seiichirou Nishimura, Yukiko Tadokoro, Tomomi Hayashi, Junichiro Watanabe, Takashi Sugino

Published in: Japanese Journal of Radiology | Issue 10/2019

Login to get access

Abstract

Magnetic resonance imaging (MRI) is a highly sensitive imaging modality that frequently reveals additional breast lesions that are occult on mammography and ultrasonography (US) and are thus difficult to diagnose. It is important to investigate these MRI-detected suspicious lesions, which are associated with a fairly high rate of malignancy. In this review, we have discussed MRI/US fusion technology, a magnetic position tracking system that synchronizes real-time US and MRI to improve lesion detection and enables comparisons of MRI and US findings of the detected lesions. This combination increases the precision of second-look US. We hope that our review underscores the importance of understanding the US findings and histopathology of MRI-detected breast lesions, as this will enable radiologists to perform appropriate assessments.
Literature
1.
Liberman L, Morris EA, Lee MJ, Kaplan JB, LaTrenta LR, Menell JH, et al. Breast lesions detected on MR imaging: features and positive predictive value. AJR Am J Roentgenol. 2002;179:171–8.CrossRefPubMed
2.
Han BK, Schnall MD, Orel SG, Rosen M. Outcome of MRI-guided breast biopsy. AJR Am J Roentgenol. 2008;191:1798–804.CrossRefPubMed
3.
Nakano S, Yoshida M, Fujii K, Yorozuya K, Mouri Y, Kousaka J, et al. Fusion of MRI and sonography image for breast cancer evaluation using real-time virtual sonography with magnetic navigation: first experience. Jpn J Clin Oncol. 2009;39:552–9.CrossRefPubMed
4.
Pons EP, Azcon FM, Casas MC, Meca SM, Espona JLG. 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. Eur J Radiol. 2014;83:942–50.CrossRefPubMed
5.
Uematsu T, Takahashi K, Nishimura S, Watanabe J, Yamasaki S, Sugino T, et al. Real-time virtual sonography examination and biopsy for suspicious breast lesions identified on MRI alone. Eur Radiol. 2016;26:1064–72.CrossRefPubMed
6.
Watanabe R, Ando T, Osawa M, Ido M, Kousaka J, Mouri Y, et al. Second-look US using real-time virtual sonography, a coordinated breast US and MRI system with electromagnetic tracking technology: a pilot study. Ultrasound Med Biol. 2017;43:2362–71.CrossRefPubMed
7.
Uematsu T. Real-time virtual sonography (RVS)-guided vacuum-assisted breast biopsy for lesions initially detected with breast MRI. Jpn J Radiol. 2013;31:826–31.CrossRefPubMed
8.
Fausto A, Bernini M, La Forgia D, Fanizzi A, Marcasciano M, Volterrani L, et al. Six-year prospective evaluation of second-look US with volume navigation for MRI-detected additional breast lesions. Eur Radiol. 2019;29:1799–808.CrossRefPubMed
9.
Houssami N, Ciatto S, Macaskill P, Lord SJ, Warren RM, Dixon JM, et al. Accuracy and surgical impact of magnetic resonance imaging in breast cancer staging: systematic review and meta-analysis in detection of multifocal and multicentric cancer. J Clin Oncol. 2008;26:3248–58.CrossRefPubMed
10.
Pediconi F, Catalano C, Roselli A, Padula S, Altomari F, Moriconi E, et al. Contrast-enhanced MR mammography for evaluation of the contralateral breast in patients with diagnosed unilateral breast cancer or high-risk lesions. Radiology. 2007;243:670–80.CrossRefPubMed
11.
Spick C, Baltzer PA. Diagnostic utility of second-look US for breast lesions identified at MR imaging: systematic review and meta-analysis. Radiology. 2014;273:401–9.CrossRefPubMed
12.
Tozaki M, Yamashiro N, Sakamoto M, Sakamoto N, Mizuuchi N, Fukuma E. Magnetic resonance-guided vacuum-assisted breast biopsy: results in 100 Japanese women. Jpn J Radiol. 2010;28:527–33.CrossRefPubMed
13.
Abe H, Schmidt RA, Shah RN, Shimauchi A, Kulkarni K, Sennett CA, et al. MR-directed ("Second-Look") ultrasound examination for breast lesions detected initially on MRI: MR and sonographic findings. AJR Am J Roentgenol. 2010;194:370–7.CrossRefPubMed
14.
Demartini WB, Eby PR, Peacock S, Lehman CD. Utility of targeted sonography for breast lesions that were suspicious on MRI. AJR Am J Roentgenol. 2009;192:1128–34.CrossRefPubMed
15.
LaTrenta LR, Menell JH, Morris EA, Abramson AF, Dershaw DD, Liberman L. Breast lesions detected with MR imaging: utility and histopathologic importance of identification with US. Radiology. 2003;227:856–61.CrossRefPubMed
16.
Meissnitzer M, Dershaw DD, Lee CH, Morris EA. Targeted ultrasound of the breast in women with abnormal MRI findings for whom biopsy has been recommended. AJR Am J Roentgenol. 2009;193:1025–9.CrossRefPubMed
17.
Dratwa C, Jalaguier-Coudray A, Thomassin-Piana J, Gonin J, Chopier J, Antoine M, et al. Breast MR biopsy: pathological and radiological correlation. Eur Radiol. 2016;26:2510–9.CrossRefPubMed
18.
D'Orsi CJ, Sickles EA, Mendelson EB, Morris EA. ACR BI-RADS Atlas, breast imaging reporting and data system. 5th ed. Reston, VA: American College of Radiology; 2013.
19.
Spick C, Schernthaner M, Pinker K, Kapetas P, Bernathova M, Polanec SH, et al. MR-guided vacuum-assisted breast biopsy of MRI-only lesions: a single center experience. Eur Radiol. 2016;26:3908–16.CrossRefPubMedPubMedCentral
20.
Sung JS, Lee CH, Morris EA, Comstock CE, Dershaw DD. Patient follow-up after concordant histologically benign imaging-guided biopsy of MRI-detected lesions. AJR Am J Roentgenol. 2012;198:1464–9.CrossRefPubMed
21.
Li J, Dershaw DD, Lee CH, Kaplan J, Morris EA. MRI follow-up after concordant, histologically benign diagnosis of breast lesions sampled by MRI-guided biopsy. AJR Am J Roentgenol. 2009;193:850–5.CrossRefPubMed
22.
Shaylor SD, Heller SL, Melsaether AN, Gupta D, Gupta A, Babb J, et al. Short interval follow-up after a benign concordant MR-guided vacuum assisted breast biopsy—is it worthwhile? Eur Radiol. 2014;24:1176–85.CrossRefPubMed
23.
Clauser P, Mann R, Athanasiou A, Prosch H, Pinker K, Dietzel M, et al. A survey by the European Society of Breast Imaging on the utilisation of breast MRI in clinical practice. Eur Radiol. 2018;28:1909–18.CrossRefPubMed
24.
Nakano S, Kousaka J, Fujii K, Yorozuya K, Yoshida M, Mouri Y, et al. Impact of real-time virtual sonography, a coordinated sonography and MRI system that uses an image fusion technique, on the sonographic evaluation of MRI-detected lesions of the breast in second-look sonography. Breast Cancer Res Treat. 2012;134:1179–88.CrossRefPubMed
25.
Tatsugami F, Matsuki M, Nakai G, Tanikake M, Yoshikawa S, Narabayashi I, et al. Hepatic computed tomography for simultaneous depiction of hepatocellular carcinoma, intrahepatic portal veins, and hepatic veins in real-time virtual sonography: initial experience. J Ultrasound Med. 2007;26:1065–9.CrossRefPubMed
26.
Kawasoe H, Eguchi Y, Mizuta T, Yasutake T, Ozaki I, Shimonishi T, et al. Radiofrequency ablation with the real-time virtual sonography system for treating hepatocellular carcinoma difficult to detect by ultrasonography. J Clin Biochem Nutr. 2007;40:66–72.CrossRefPubMed
27.
Ando T, Ito Y, Ido M, Osawa M, Kousaka J, Mouri Y, et al. Pre-operative planning using real-time virtual sonography, an MRI/ultrasound image fusion technique, for breast-conserving surgery in patients with non-mass enhancement on breast MRI: a preliminary study. Ultrasound Med Biol. 2018;44:1364–70.CrossRefPubMed
28.
Park AY, Seo BK, Han H, Cho KR, Woo OH, Cha SH, et al. Clinical value of real-time ultrasonography-MRI fusion imaging for second-look examination in preoperative breast cancer patients: additional lesion detection and treatment planning. Clin Breast Cancer. 2018;18:261–9.CrossRefPubMed
29.
Kang DK, Jung Y, Han S, Kim JY, Kim TH. Clinical utility of real-time MR-navigated ultrasound with supine breast MRI for suspicious enhancing lesions not identified on second-look ultrasound. Ultrasound Med Biol. 2017;43:412–20.CrossRefPubMed
30.
Kucukkaya F, Aribal E, Tureli D, Altas H, Kaya H. Use of a volume navigation technique for combining real-time ultrasound and contrast-enhanced MRI: accuracy and feasibility of a novel technique for locating breast lesions. AJR Am J Roentgenol. 2016;206:217–25.CrossRefPubMed
31.
Uematsu T. How to choose needles and probes for ultrasonographically guided percutaneous breast biopsy: a systematic approach. Breast Cancer. 2012;19:238–41.CrossRefPubMed
Metadata
Title
MRI-detected breast lesions: clinical implications and evaluation based on MRI/ultrasonography fusion technology
Authors
Kazuaki Nakashima
Takayoshi Uematsu
Taiyo L. Harada
Kaoru Takahashi
Seiichirou Nishimura
Yukiko Tadokoro
Tomomi Hayashi
Junichiro Watanabe
Takashi Sugino
Publication date
01-10-2019
Publisher
Springer Japan
Published in
Japanese Journal of Radiology / Issue 10/2019
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-019-00866-8

Other articles of this Issue 10/2019

Japanese Journal of Radiology 10/2019 Go to the issue

Invited Review

Early detection of intrahepatic cholangiocarcinoma

Original Article

Management of acute cholecystitis after biliary stenting for malignant obstruction: comparison of percutaneous gallbladder drainage and aspiration

Original Article

In vitro evaluation of radiopacity of contrast-loaded superabsorbent polymer microspheres (SAP-MS) with static imaging and flow model

Original Article

Assessment of angiogenesis in rabbit orthotropic liver tumors using three-dimensional dynamic contrast-enhanced ultrasound compared with two-dimensional DCE-US

Original Article

Whole-tumor histogram analysis of DWI and QSI for differentiating between meningioma and schwannoma: a pilot study

Original Article

Factors affecting the accuracy of respiratory tracking of the image-guided robotic radiosurgery system