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Magnetic Resonance Imaging Clinics of North America

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https://www.readbyqxmd.com/read/29622138/breast-mr-imaging-in-era-of-value-based-medicine
#1
EDITORIAL
Jessica W T Leung
No abstract text is available yet for this article.
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622137/breast-mr-imaging
#2
EDITORIAL
Lynne S Steinbach
No abstract text is available yet for this article.
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622136/american-college-of-radiology-accreditation-performance-metrics-reimbursement-and-economic-considerations-in-breast-mr-imaging
#3
REVIEW
Matthew F Covington, Catherine A Young, Catherine M Appleton
Accreditation through the American College of Radiology (ACR) Breast Magnetic Resonance Imaging Accreditation Program is necessary to qualify for reimbursement from Medicare and many private insurers and provides facilities with peer review on image acquisition and clinical quality. Adherence to ACR quality control and technical practice parameter guidelines for breast MR imaging and performance of a medical outcomes audit program will maintain high-quality imaging and facilitate accreditation. Economic factors likely to influence the practice of breast MR imaging include cost-effectiveness, competition with lower-cost breast-imaging modalities, and price transparency, all of which may lower the cost of MR imaging and allow for greater utilization...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622135/how-does-mr-imaging-help-care-for-my-breast-cancer-patient-perspective-of-a-radiation-oncologist
#4
REVIEW
Kaitlin M Christopherson, Benjamin D Smith
Radiation therapy is used in many cases of both early and late breast cancer. The authors examine the role of MR imaging as it pertains to radiotherapy planning and treatment approaches for patients with breast cancer. MR imaging can assist the radiation oncologist in determining the best radiation approach and in creating treatment planning volumes. MR imaging may be useful in the setting of accelerated partial breast irradiation. Radiation oncologists should attend to MR breast images, when obtained, to ensure that these imaging findings are taken into consideration when developing a radiation therapy plan...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622134/how-does-mr-imaging-help-care-for-the-breast-cancer-patient-perspective-of-a-medical-oncologist
#5
REVIEW
Akshara S Raghavendra, Debu Tripathy
Although traditional assessment with clinical examination, mammogram, and ultrasound is generally accepted for detection and staging of breast cancer, MR imaging is commonly used to detect occult cancers in the breast and regional nodes in the early stage and to determine the extent of disease in patients with metastatic disease. Several studies have shown a variety of uses for MR imaging in the staging of breast cancer and assessment of treatment response in the neoadjuvant (preoperative) setting. This article reviews the impact of MR imaging in different settings on medical oncology decision-making in patients with breast cancer...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622133/how-does-mr-imaging-help-care-for-my-breast-cancer-patient-perspective-of-a-surgical-oncologist
#6
REVIEW
Benjamin Raber, Vivian J Bea, Isabelle Bedrosian
MR imaging is now readily available for surgeons to incorporate into their practice, thus, begging the question, is this new modality clinically useful? Current literature and expert opinion are reviewed concerning the implementation of breast MR imaging to clinical management of breast cancer. Although breast MR imaging is acknowledged to be highly sensitive in detection of breast cancer, its routine application to surgical practice remains controversial because these gains in sensitivity have not been demonstrated to translate into improved long-term patient outcomes...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622132/comparison-of-breast-mr-imaging-with-molecular-breast-imaging-in-breast-cancer-screening-diagnosis-staging-and-treatment-response-evaluation
#7
REVIEW
Gaiane M Rauch, Beatriz E Adrada
Breast MR imaging and molecular breast imaging (MBI) are functional imaging modalities that can be used to noninvasively evaluate the pathophysiology and biology of breast cancer. In the era of personalized medicine, these imaging techniques give clinicians insight into cancer pathobiology and allows them to individualize treatment regimens. Breast MR imaging has gained acceptance for breast cancer evaluation; work is ongoing on validation of MBI for breast cancer evaluation. This article discusses clinical applications of breast MR imaging and MBI, and compares the performance of these techniques in breast cancer screening, diagnosis, staging, and treatment response evaluation...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622131/use-of-breast-specific-pet-scanners-and-comparison-with-mr-imaging
#8
REVIEW
Deepa Narayanan, Wendie A Berg
The goals of this article are to discuss the role of breast-specific PET imaging of women with breast cancer, compare the clinical performance of positron emission mammography (PEM) and MR imaging for current indications, and provide recommendations for when women should undergo PEM instead of breast MR imaging.
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622130/comparison-of-contrast-enhanced-mammography-and-contrast-enhanced-breast-mr-imaging
#9
REVIEW
John Lewin
Contrast-enhanced mammography (CEM) is a contrast-enhanced modality for breast cancer detection that utilizes iodinated contrast and dual-energy imaging performed on a digital mammography unit with only slight modifications. It is approved by the US Food and Drug Administration, commercially available, and in routine clinical use at centers around the world. It has similar sensitivity and specificity to MR Imaging and has advantages in terms of cost, patient acceptability, and examination time. MR Imaging has some advantages compared with CEM, especially in its ability to image the complete axilla and the chest wall...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622129/developments-in-breast-imaging-update-on-new-and-evolving-mr-imaging-and-molecular-imaging-techniques
#10
REVIEW
Samantha Lynn Heller, Laura Heacock, Linda Moy
This article reviews new developments in breast imaging. There is growing interest in creating a shorter, less expensive MR protocol with broader applicability. There is an increasing focus on and consideration for the additive impact that functional analysis of breast pathology have on identifying and characterizing lesions. These developments apply to MR imaging and molecular imaging. This article reviews evolving breast imaging techniques with attention to strengths, weaknesses, and applications of these approaches...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622128/mr-imaging-guided-breast-interventions-indications-key-principles-and-imaging-pathology-correlation
#11
REVIEW
Lumarie Santiago, Rosalind P Candelaria, Monica L Huang
MR imaging is now routinely performed for breast cancer screening and staging. For suspicious MR imaging-detected lesions that are mammographically and sonographically occult, MR imaging-guided breast interventions, including biopsy, clip placement, and preoperative needle localization, have been developed to permit accurate tissue diagnosis and aid in surgical planning. These procedures are safe, accurate, and effective when performed according to key principles, including proper patient selection, use of appropriate technique, adequate preprocedure preparation and postprocedure patient care, and postprocedure imaging-pathology correlation...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622127/problem-solving-mr-imaging-for-equivocal-imaging-findings-and-indeterminate-clinical-symptoms-of-the-breast
#12
REVIEW
Ethan Cohen, Jessica W T Leung
Breast MR imaging is commonly used for high-risk screening and for assessing the extent of disease in patients with newly diagnosed breast cancer, but its utility for assessing suspicious symptoms and equivocal imaging findings is less widely accepted. The authors review current literature and guidelines regarding the use of breast MR imaging for these indications. Overall, problem-solving breast MR imaging is best reserved for pathologic nipple discharge and sonographically occult architectural distortion with limited biopsy options...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622126/role-of-mr-imaging-in-neoadjuvant-therapy-monitoring
#13
REVIEW
Huong T Le-Petross, Bora Lim
Neoadjuvant chemotherapy (NAC) has become an important treatment approach for stage II/III breast cancers to downsize tumor and enable breast-conserving surgery for patients that may otherwise undergo mastectomy. MR imaging has the potential to identify early response or disease progression, enabling potential modification to NAC regimens. Detection of size and morphologic changes is better appreciated with MR imaging than other modalities and is different between molecular subtypes of breast cancer. The combination of DCE-MR imaging and DWI provides the highest sensitivity and specificity...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622125/role-of-mr-imaging-for-the-locoregional-staging-of-breast-cancer
#14
REVIEW
Kimberly M Ray, Jessica H Hayward, Bonnie N Joe
Breast MR imaging has been shown to identify unsuspected sites of cancer in the ipsilateral breast in 16% of women with newly diagnosed breast cancer. Breast MR imaging identifies occult cancer in the contralateral breast in 3% to 5% of women. Early evidence suggests that the added value of MR imaging for staging may be attenuated in women who also undergo tomosynthesis, particularly those with nondense breasts. Breast MR imaging is complementary to ultrasound imaging in evaluating regional nodal basins. Ongoing prospective randomized clinical trials should clarify the impact of preoperative breast MR imaging on clinical outcomes...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29622124/breast-mr-imaging-atlas-of-anatomy-physiology-pathophysiology-and-breast-imaging-reporting-and-data-systems-lexicon
#15
REVIEW
Sarah R Martaindale
The latest edition of the Breast Imaging Reporting and Data Systems lexicon, copyrighted in 2013, contains several changes to the breast MR imaging section. Most changes were implemented to standardize descriptors across breast imaging modalities. New sections on special topics and implant evaluation are included. We review basic MR imaging breast anatomy and a detailed pictorial review of the Breast Imaging Reporting and Data Systems lexicon, including these new sections. In each section we discuss which descriptors are more concerning for malignancy and information radiologists can use to better categorize findings as lower risk or benign...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29128010/advanced-imaging-in-head-and-neck-tumors
#16
EDITORIAL
Girish M Fatterpekar
No abstract text is available yet for this article.
February 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29128009/foreword
#17
EDITORIAL
Suresh K Mukherji
No abstract text is available yet for this article.
February 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29128008/practical-tips-for-mr-imaging-of-perineural-tumor-spread
#18
REVIEW
Claudia F E Kirsch, Ilona M Schmalfuss
Perineural tumor spread (PNS) substantially alters a patient's prognosis and treatment plan. Therefore, it is critical that the radiologists are familiar with the course of cranial nerves commonly affected by PNS and the neuronal connections to appropriately map the extent of PNS. Limited involvement of a nerve by PNS might be resectable, whereas advanced PNS may require radiation therapy.
February 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29128007/computed-tomography-versus-magnetic-resonance-in-head-and-neck-cancer-when-to-use-what-and-image-optimization-strategies
#19
REVIEW
Amy Juliano, Gul Moonis
This article provides a practical overview of head and neck cancers, outlining an approach to evaluating these lesions and optimizing imaging strategies. Recognition of key anatomic landmarks as suggested by American Joint Committee on Cancer (AJCC) tumor, node, metastasis (TNM) criteria is emphasized. Further, the recently updated eighth edition of the AJCC staging manual has introduced some modifications that influence the TNM staging. These modifications are discussed throughout the article to provide an updated review on head and neck cancer...
February 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29128006/neck-imaging-reporting-and-data-system
#20
REVIEW
Ashley H Aiken, Patricia A Hudgins
The Neck Imaging Reporting and Data System (NI-RADS) is a practical and clinically useful imaging surveillance template designed to guide appropriate imaging follow-up and next-management steps. This article is a practical guide for using NI-RADS to reduce report-generation time for radiologists and create useful reports for referring clinicians and patients. A review of the report template and legend is followed by a case-based and pictorial review of the proper assignment of NI-RADS categories.
February 2018: Magnetic Resonance Imaging Clinics of North America
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