NetForum uses cookies to ensure that we give you the best experience on our website. If you continue to use the site, we'll assume that you are happy to receive these cookies on the NetForum website. Read about our cookies.
NetForum Community
Learn. Share. Optimize.
Log in | Sign up now | Submit content | Contact
Go to similar content

MR makes a difference in diagnosis for patients with breast implants

Case Study
Rossi, Santiago, M.D. Centro de Diagnostico Dr. Enrique Rossi • Argentina
Dr. Volpacchio, Mariano, M.D. Centro de Diagnostico Dr. Enrique Rossi • Argentina

Patient history

68-year-old female with history of 15-year-old breast implants presents with a nodule on her upper outer quadrant of the left breast.  

MR Examination

Achieva 3.0T TX with SENSE Breast 7 coil is used.  


Contrast agent used Gadoversetamida 20 ml with 20 ml of saline solution (2 ml per second). Infusion Pump is used.

Results

 Sagittal T2
Sagittal T2
 Silicone only STIR Axial
Silicone only
STIR Axial
 T2W Axial Thrive Axial
T2W Axial
Thrive Axial

 

Sagittal T2 shows retroglandular breast implants.
Silicone only shows breast implants with hypointense lines, that represent intracapsular rupture.  No extracapsular rupture is seen. No further abnormalities.
On STIR no adenomegalies are seen.
Axial T2 shows a nodule with poorly defined margins of 18.6 mm x 14.4 mm in the left breast prior to i.v. contrast. 
On THRIVE (6 Dynamics with substraction) a nodule is seen on the left breast with heterogeneous enhancement.The results showed a Curve type 3, referring to perfusion of the angiogenesis.

Diagnosis

Invasive Ductal Carcinoma is suspected.

Clinical impact of using SENSE Breast 7 TX coil

MR made a difference in the diagnosis because as this patient had implants and she touched a nodule that wasn´t seen on the mammogram; MR helped to visualize the nodule and its limits, it also helped to evaluate the other breast and both implants.  It helped to determine if the nodule was multicentric or localized.
Other modalities used to make diagnosis were Digital Mammogram with eclum technique and Ultrasound.  On the digital mammogram bilateral implants and dense glandular tissue were seen, but no signs of the mass could be appreciated. Ultrasound showed a hypoechoic nodule with imprecise margins, heterogenous and solid in comparison to MRI. 
Breast MRI has become an essential tool to evaluate special situations. With this coil, breast imaging has reached a level of quality in a shorter time helping us to define pathology on our daily case scenarios.




Related Reading:



This content has been made possible by NetForum Community.
Share this on: Share your link in twitter Share your link in facebook Share your link on LinkedIn Print Rate this article: Log in to vote

 
Rating:
Votes:
1
Views:
2748
Added:
Feb 21, 2012

Rate this:
Log in to vote
 

Case Study
Achieva 3.0T
Body, breast, carcinoma, SENSE Breast 7TX coil
 

Clinical News
Best Practices
Case Studies
Publications and Abstracts
White Papers
Web seminars and Presentations
ExamCards
Protocols
Application Tips and FAQ
Training
Try an Application
Business News
Case Studies
White Papers
Web Seminars and Presentations
Utilization Services
Contributing Professionals
Contributing Institutions
Become a Contributor