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The application of MRI guided breast localization and biopsy in breast lesions
SONG Ying  OUYANG Han  YE Feng  CHE Shu’nan  LI Jing  ZHOU Chunwu 

Cite this article as: Song Y, Ouyang H, Ye F, et al. The application of MRI guided breast localization and biopsy in breast lesions[J]. Chin J Magn Reson Imaging, 2021, 12(6): 92-96. DOI:10.12015/issn.1674-8034.2021.06.018.


[Abstract] Objective MR imaging of the breast can depict cancer that is occult on conventional imaging modalities and at physical examination. The purpose of this study was to determine the ease of performance, the outcome of MRI-guided needle localization and the imaging features of breast lesion. Materials andMethods Retrospective review revealed 130 consecutive breast lesions that had preoperative MR imaging-guided needle localization based on a 1.5 T MR scanner and a special MR biopsy positioning frame. Surgical pathology results, lesion characteristics, procedure record were reviewed.Results Histologic evaluation revealed 53 (40.8%) carcinomas, 6 (4.6%) high-risk lesions (atypical ductal hyperplasia) , and 71 (54.6%) benign lesions. Twenty one (39.6%) of 53 carcinomas were invasive carcinoma, 29 (54.7%) were ductal carcinoma in situ, and 3 (5.7%) were intraductal papillary carcinoma. Of the 130 1esions, 41 (31.5%) were masses, 87 (66.9%) were non-mass enhancement lesions,two (1.5%) were foci. Mean lesion size evaluated by MRI prior to needle localization was (16±11) mm. The mean length of the interventional procedure time defined as the time interval between the start of the first and of the last MRI sequence was (24±8) minutes. Compliclations encountered in two cases (1.6%) were vasovagal reactions.Conclusions MRI guided needle localization provides a safe, accurate and time-efficient procedure for localizing the suspicious lesions detected on MRI only and can be applied to improve early diagnosis and treatment.
[Keywords] breast conservation therapy；magnetic resonance imaging；MRI-guided procedures；needle localization；needle localized excision biopsy

SONG Ying   OUYANG Han*   YE Feng   CHE Shu’nan   LI Jing   ZHOU Chunwu  

Department of Imaging Diagnostic, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China

Ouyang H, E-mail: houybj@126.com

Conflicts of interest   None.

Received  2021-01-07
Accepted  2021-03-25
DOI: 10.12015/issn.1674-8034.2021.06.018
Cite this article as: Song Y, Ouyang H, Ye F, et al. The application of MRI guided breast localization and biopsy in breast lesions[J]. Chin J Magn Reson Imaging, 2021, 12(6): 92-96. DOI:10.12015/issn.1674-8034.2021.06.018.

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