Catherine Streeto Giess MD, Presenter: Nothing to Disclose

Sona Ajit Chikarmane MD, Abstract Co-Author: Nothing to Disclose

Dorothy Amy Sippo MD, Abstract Co-Author: Nothing to Disclose

Robyn L. Birdwell MD, Abstract Co-Author: Nothing to Disclose

Problem solving breast MRI for inconclusive mammographic findings has been reported to be a useful tool.  Yet breast MRI is an expensive exam, and while sensitivity is high, specificity remains only moderate, with possible false positive and false negative results.  Our teaching objectives are 1) to review situations in which diagnostic imaging may be equivocal; 2) to illustrate cases in which problem solving MRI could aid or potentially interfere with appropriate management; and 3) to discuss strategies for appropriate utilization of problem solving MRI.

1. To review mammographic diagnostic techniques, including digital tomosynthesis, to perform complete evaluation of questioned mammographic lesions, including one-view asymmetries, focal asymmetries, masses and architectural distortions 2. To discuss the complementary role of breast ultrasound in diagnostic evaluation, and the limitations of negative or equivocal ultrasound in determining management 3. To illustrate cases where MRI aided in appropriate BIRADS assessment and management of equivocal mammographic lesions 4. To illustrate false positive and false negative breast MRI cases, potentially impacting patient management 5. Discuss strategies for appropriate utilization of breast MRI in challenging, equivocal, or complicated mammographic abnormalities

http://abstract.rsna.org/uploads/2014/14015677/14015677_74iw.pdf

Giess, C, Chikarmane, S, Sippo, D, Birdwell, R, Breast MRI for Equivocal Mammographic Findings: A Help or Hindrance?.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14015677.html