Paul Martin Murphy MD, PhD, Abstract Co-Author: Nothing to Disclose

Rebecca Rakow-Penner MD, PhD, Abstract Co-Author: Nothing to Disclose

Jade De Guzman MD, Abstract Co-Author: Nothing to Disclose

Haydee Ojeda-Fournier MD, Presenter: Nothing to Disclose

1. Describe the value added for breast diffusion imaging in breast cancer screening, staging, and treatment monitoring. 2. Explain the basics of diffusion weighted imaging in the context of breast imaging. 3. Recommend a protocol for breast diffusion imaging with optimal MRI scanning parameters. 4. Discuss the technical challenges of breast diffusion imaging and potential solutions.

1. Introduction; a) Why perform diffusion imaging in the breast; b) Describe basics of diffusion MRI and introduce the value of the Apparent Diffusion Coefficient, as measured in the breast; 2. Recommend diffusion imaging protocol as utilized at our institute; 3. Provide several examples of diffusion MRI maps of breast images in patient’s with both normal breast tissue as well as pathology; 4. Discuss technical challenges of diffusion imaging in the breast, and possible fixes, a) Post procedural effects on the ADC, b) Relevant timing in using the ADC to provide early indication of treatment response, c) Distortion effects, and issues exacerbated by breast architecture 5. Conclusion – discussion of future developments and applications of breast diffusion imaging

http://abstract.rsna.org/uploads/2014/14006393/14006393_2qym.pdf

Murphy, P, Rakow-Penner, R, De Guzman, J, Ojeda-Fournier, H, State Of The Art DWI In The Breast: Recommended Protocol.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14006393.html