Lumarie Santiago MD, Presenter: Nothing to Disclose

Mohammad Eghtedari MD, PhD, Abstract Co-Author: Nothing to Disclose

H. Carisa Le-Petross MD, Abstract Co-Author: Nothing to Disclose

1) Review of various types MRI guided breast interventions and their indications 2) Review the technical aspects and step by step planning of MRI guided breast biopsy 3) Describe alternate techniques for challenging MRI guided interventions and how to anticipate their utilization 4) Understanding alternate techniques that may help the radiologist troubleshoot difficult cases and prevent false negative biopsies or potential surgical biopsies  

We will present a pictorial essay of our experience performing MRI guided breast interventions over the last 10 years, including management of challenging cases 1) Variable appearance of the target lesion between the diagnostic and the intervention breast MRI 2) Planning schematics generated for MRI guided interventions with and without CAD 3) When MRI guided needle localization and bracketed needle localization are indicated 4) When MRI guided marker clip placement is indicated 5) Alternate techniques addressing challenging interventions due to lesion location, presence of breast implants, multiplicity and bilaterality of lesions 5) Determination of sampling adequacy and false negatives 6) How to address clip deployment failures or migration  

http://abstract.rsna.org/uploads/2014/14016755/14016755_i7hw.pdf

Santiago, L, Eghtedari, M, Le-Petross, H, Mastering the Challenges of MRI-guided Breast Interventions; MRI-guided Biopsy and Beyond.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016755.html