When is breast MRI recommended for breast cancer screening? Is it for the earlier stage or later stage
For high risk women. Yearlly breast MRI in addition to mammography is recommended for women with a 20-25% risk of breast cancer as determined by a lifetime risk calculator, for women who have the breast cancer gene, who had radiation to the chest for hodgekins disease between 10 & 30 years, sometimes for women who have been treated for breast cancer, and for women with a few rare syndromes. To detect cancer early.
Screening MRI. Mri for screening is a test, like a mammogram, whose goal is early detection. It is only recommended in certain situations that should be determined by a trained breast specialist. In the context of breast cancer, there is not a routine guideline for when MRI is utilized, except for lobular breast cancers. The decision to order an MRI when someone is diagnosed, is typically made by the surgeon.
MR is over- Used in practice. It is indicated in dense breasts, those with child hood thoracic radiotherapy, and genetic cancer syndromes (brca 1, 2). They are associated with a 30% false positive when used routinely in every newly diagnosed breast cancer, leading to unnecessary procedures and increased cost.
Screening . Screening studies do not determine the stage of a breast cancer. A screening examination is one that is done in healthy patients in order to find a breast cancer, hopefully in an early stage of the disease. Mri is recommended for screening in only the following very special circumstances: -have a known breast cance susceptibility mutation (brca1 or brca2 gene mutation) -have a first-degree relative (mother, father, brother, sister, or child) with a brca1 or brca2 gene mutation and have not had genetic testing themselves -have a lifetime risk of breast cancer of 20-25% or greater, according to risk assessment tools that are based mainly on family history -had radiation therapy to the chest for another type of cancer, such as hodgkinâ€™s disease, when they were between the ages of 10 and 30 years -have a genetic disease such as li-fraumeni syndrome, cowden syndrome, or bannayan-riley-ruvalcaba syndrome, or have one of these syndromes in first-degree relatives women with the following issues should also discuss the role of screening MRI for them with their doctor: -a personal history of breast cancer, ductal carcinoma in situ (dcis), lobular carcinoma in situ (lcis), or abnormal breast cell changes such as atypical ductal hyperplasia or atypical lobular hyperplasia -have extremely dense breasts or unevenly dense breasts when viewed by mammograms. Otherwise standard mammograms are the best screening at this time as mris may result in a lot of false findings and unnecessary biopsies. Mri can also sometimes be helpful in women already diagnosed with breast cancer to help determine the optimal surgical treatment for them.