MRI-guided Intervention for Breast Lesions Using the Freehand Technique in a 3.0-T Closed-bore MRI Scanner: Feasibility and Initial Results

Overview

Journal Korean J Radiol

Specialty Radiology

Date 2013 Mar 14

PMID 23482868

Citations 2

Authors

Hye Young Choi

Sun Mi Kim

Mijung Jang

Bo La Yun

Sung-Won Kim

Eunyoung Kang

So Yeon Park

Woo Kyung Moon

Eun Sook Ko

Affiliations

Soon will be listed here.

Abstract

Objective: To report the feasibility of magnetic resonance imaging (MRI)-guided intervention for diagnosing suspicious breast lesions detectable by MRI only, using the freehand technique with a 3.0-T closed-bore MRI scanner.

Materials And Methods: Five women with 5 consecutive MRI-only breast lesions underwent MRI-guided intervention: 3 underwent MRI-guided needle localization and 2, MRI-guided vacuum-assisted biopsy. The interventions were performed in a 3.0-T closed-bore MRI system using a dedicated phased-array breast coil with the patients in the prone position; the freehand technique was used. Technical success and histopathologic outcome were analyzed.

Results: MRI showed that four lesions were masses (mean size, 11.5 mm; range, 7-18 mm); and 1, a nonmass-like enhancement (maximum diameter, 21 mm). The locations of the lesions with respect to the breast with index cancer were as follows: different quadrant, same breast - 3 cases; same quadrant, same breast - 1 case; and contralateral breast - 1 case. Histopathologic evaluation of the lesions treated with needle localization disclosed perilobular hemangioma, fibrocystic change, and fibroadenomatous change. The lesions treated with vacuum-assisted biopsy demonstrated a radial scar and atypical apocrine hyperplasia. Follow-up MRI after 2-7 months (mean, 4.6 months) confirmed complete lesion removal in all cases.

Conclusion: MRI-guided intervention for breast lesions using the freehand technique with a 3.0-T closed-bore MRI scanner is feasible and accurate for diagnosing MRI-only lesions.

Citing Articles

Is there a Role for Contrast-enhanced Ultrasound in the Detection and Biopsy of MRI Only Visible Breast Lesions?.

Nykanen A, Arponen O, Sutela A, Vanninen R, Sudah M Radiol Oncol. 2018; 51(4):386-392.

PMID: 29333116 PMC: 5765314. DOI: 10.1515/raon-2017-0049.

Initial experience with magnetic resonance-guided vacuum-assisted biopsy in korean women with breast cancer.

Jung H, Han B, Ko E, Shin J J Breast Cancer. 2014; 17(3):270-8.

PMID: 25320626 PMC: 4197358. DOI: 10.4048/jbc.2014.17.3.270.

References

Pfleiderer S, Reichenbach J, Azhari T, Marx C, Wurdinger S, Kaiser W . Dedicated double breast coil for magnetic resonance mammography imaging, biopsy, and preoperative localization. Invest Radiol. 2002; 38(1):1-8. DOI: 10.1097/00004424-200301000-00001. View

Brenner R, Shellock F, Rothman B, Giuliano A . Technical note: magnetic resonance imaging-guided pre-operative breast localization using "freehand technique". Br J Radiol. 1995; 68(814):1095-8. DOI: 10.1259/0007-1285-68-814-1095. View

Daniel B, Yen Y, Glover G, Ikeda D, Birdwell R, Black J . Breast disease: dynamic spiral MR imaging. Radiology. 1998; 209(2):499-509. DOI: 10.1148/radiology.209.2.9807580. View

Kuhl C, Elevelt A, Leutner C, Gieseke J, Pakos E, Schild H . Interventional breast MR imaging: clinical use of a stereotactic localization and biopsy device. Radiology. 1997; 204(3):667-75. DOI: 10.1148/radiology.204.3.9280242. View

Morris E, Liberman L, Dershaw D, Kaplan J, LaTrenta L, Abramson A . Preoperative MR imaging-guided needle localization of breast lesions. AJR Am J Roentgenol. 2002; 178(5):1211-20. DOI: 10.2214/ajr.178.5.1781211. View

Hauth E, Jaeger H, Lubnau J, Maderwald S, Otterbach F, Kimmig R . MR-guided vacuum-assisted breast biopsy with a handheld biopsy system: clinical experience and results in postinterventional MR mammography after 24 h. Eur Radiol. 2007; 18(1):168-76. DOI: 10.1007/s00330-007-0704-0. View

Daniel B, Birdwell R, Ikeda D, Jeffrey S, Black J, Block W . Breast lesion localization: a freehand, interactive MR imaging-guided technique. Radiology. 1998; 207(2):455-63. DOI: 10.1148/radiology.207.2.9577495. View

Coulthard A . Magnetic resonance imaging-guided pre-operative breast localization using a "freehand technique". Br J Radiol. 1996; 69(821):482-3. DOI: 10.1259/0007-1285-69-821-482-b. View

Kuhl C, BIELING H, Gieseke J, Ebel T, Mielcarek P, Far F . Breast neoplasms: T2* susceptibility-contrast, first-pass perfusion MR imaging. Radiology. 1997; 202(1):87-95. DOI: 10.1148/radiology.202.1.8988196. View

10.

Ikeda D, Hylton N, Kinkel K, Hochman M, Kuhl C, Kaiser W . Development, standardization, and testing of a lexicon for reporting contrast-enhanced breast magnetic resonance imaging studies. J Magn Reson Imaging. 2001; 13(6):889-95. DOI: 10.1002/jmri.1127. View

11.

Daniel B, Birdwell R, Butts K, Nowels K, Ikeda D, Heiss S . Freehand iMRI-guided large-gauge core needle biopsy: a new minimally invasive technique for diagnosis of enhancing breast lesions. J Magn Reson Imaging. 2001; 13(6):896-902. DOI: 10.1002/jmri.1128. View

12.

Meeuwis C, Peters N, Mali W, Gallardo A, van Hillegersberg R, Schipper M . Targeting difficult accessible breast lesions: MRI-guided needle localization using a freehand technique in a 3.0 T closed bore magnet. Eur J Radiol. 2007; 62(2):283-8. DOI: 10.1016/j.ejrad.2006.12.006. View

13.

Fischer U, Kopka L, Grabbe E . Magnetic resonance guided localization and biopsy of suspicious breast lesions. Top Magn Reson Imaging. 1998; 9(1):44-59. View

14.

Kuhl C, Morakkabati N, Leutner C, Schmiedel A, Wardelmann E, Schild H . MR imaging--guided large-core (14-gauge) needle biopsy of small lesions visible at breast MR imaging alone. Radiology. 2001; 220(1):31-9. DOI: 10.1148/radiology.220.1.r01jl0731. View

15.

SMITH L, Henry-Tillman R, Rubio I, Korourian S, Klimberg V . Intraoperative localization after stereotactic breast biopsy without a needle. Am J Surg. 2002; 182(6):584-9. DOI: 10.1016/s0002-9610(01)00790-5. View

16.

van den Bosch M, Daniel B, Pal S, Nowels K, Birdwell R, Jeffrey S . MRI-guided needle localization of suspicious breast lesions: results of a freehand technique. Eur Radiol. 2006; 16(8):1811-7. DOI: 10.1007/s00330-006-0214-5. View

17.

Orel S, SCHNALL M, Newman R, Powell C, Torosian M, Rosato E . MR imaging-guided localization and biopsy of breast lesions: initial experience. Radiology. 1994; 193(1):97-102. DOI: 10.1148/radiology.193.1.8090928. View

18.

Youk J, Kim E, Kim M, Ko K, Kwak J, Son E . Concordant or discordant? Imaging-pathology correlation in a sonography-guided core needle biopsy of a breast lesion. Korean J Radiol. 2011; 12(2):232-40. PMC: 3052615. DOI: 10.3348/kjr.2011.12.2.232. View

19.

Veltman J, Boetes C, Wobbes T, Blickman J, Barentsz J . Magnetic resonance-guided biopsies and localizations of the breast: initial experiences using an open breast coil and compatible intervention device. Invest Radiol. 2005; 40(6):379-84. DOI: 10.1097/01.rli.0000163672.90247.70. View

20.

Lee C, Smith R, Levine J, Troiano R, Tocino I . Clinical usefulness of MR imaging of the breast in the evaluation of the problematic mammogram. AJR Am J Roentgenol. 1999; 173(5):1323-9. DOI: 10.2214/ajr.173.5.10541112. View