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Breast
Procedures
Image-Guided Procedures
MR-Directed Ultrasound
MR-Directed Ultrasound
Reni Butler, MD; Wendie A. Berg, MD, PhD, FACR, FSBI
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Targeted US performed to find correlate to MR-detected suspicious lesion(s) with intent of US-guided biopsy

            IMAGING

            • Mammographic Findings

              • Ultrasonographic Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      CLINICAL ISSUES

                      • Natural History & Prognosis

                        • Treatment

                          DIAGNOSTIC CHECKLIST

                          • Consider

                            • Image Interpretation Pearls

                              Selected References

                              1. Lee AY et al: Sonographic-MRI correlation after percutaneous sampling of targeted breast ultrasound Lesions: Initial experiences with limited-sequence unenhanced MRI for postprocedural clip localization. AJR Am J Roentgenol. 210(4):927-934, 2018
                              2. Koh J et al: Additional magnetic resonance imaging-detected suspicious lesions in known patients with breast cancer: Comparison of second-look digital tomosynthesis and ultrasonography. Ultrasound Q. 33(2):167-173, 2017
                              3. Song SE et al: Post-clip placement MRI following second-look US-guided core biopsy for suspicious lesions identified on breast MRI. Eur Radiol. 27(12):5196-5203, 2017
                              4. Telegrafo M et al: Supine breast US: how to correlate breast lesions from prone MRI. Br J Radiol. 89(1059):20150497, 2016
                              5. Uematsu T et al: Real-time virtual sonography examination and biopsy for suspicious breast lesions identified on MRI alone. Eur Radiol. 26(4):1064-72, 2016
                              6. Hsu HH et al: Breast nonmass enhancement detected with MRI: Utility and lesion characterization with second-look ultrasonography. Breast J. 21(6):579-87, 2015
                              7. Lee SH et al: Role of second-look ultrasound examinations for MR-detected lesions in patients with breast cancer. Ultraschall Med. 36(2):140-8, 2015
                              8. Aracava MM et al: Identification of occult breast lesions detected by magnetic resonance imaging with targeted ultrasound: a prospective study. Eur J Radiol. 83(3):516-9, 2014
                              9. Plecha DM et al: Addition of shear-wave elastography during second-look MR imaging-directed breast US: effect on lesion detection and biopsy targeting. Radiology. 272(3):657-64, 2014
                              10. Spick C et al: Diagnostic utility of second-look US for breast lesions identified at MR imaging: systematic review and meta-analysis. Radiology. 273(2):401-9, 2014
                              11. Park VY et al: Second-Look US: How to Find Breast Lesions with a Suspicious MR Imaging Appearance. Radiographics. 33(5):1361-75, 2013
                              12. Monticciolo DL: Postbiopsy confirmation of MR-detected lesions biopsied using ultrasound. AJR Am J Roentgenol. 198(6):W618-20, 2012
                              13. Candelaria R et al: Second-look US examination of MR-detected breast lesions. J Clin Ultrasound. 39(3):115-21, 2011
                              14. Abe H et al: MR-directed ("second-look") ultrasound examination for breast lesions detected initially on MRI: MR and sonographic findings. AJR Am J Roentgenol. 194(2):370-7, 2010
                              15. Carbognin G et al: Utility of second-look ultrasound in the management of incidental enhancing lesions detected by breast MR imaging. Radiol Med. 115(8):1234-45, 2010
                              16. Trop I et al: Second-look targeted studies after breast magnetic resonance imaging: practical tips to improve lesion identification. Curr Probl Diagn Radiol. 39(5):200-11, 2010
                              17. Demartini WB et al: Utility of targeted sonography for breast lesions that were suspicious on MRI. AJR Am J Roentgenol. 192(4):1128-34, 2009
                              18. Destounis S et al: Community-based practice experience of unsuspected breast magnetic resonance imaging abnormalities evaluated with second-look sonography. J Ultrasound Med. 28(10):1337-46, 2009
                              19. Meissnitzer M et al: Targeted ultrasound of the breast in women with abnormal MRI findings for whom biopsy has been recommended. AJR Am J Roentgenol. 193(4):1025-9, 2009
                              20. Wiratkapun C et al: Indeterminate or suspicious breast lesions detected initially with MR imaging: value of MRI-directed breast ultrasound. Acad Radiol. 15(5):618-25, 2008
                              21. Sim LS et al: US correlation for MRI-detected breast lesions in women with familial risk of breast cancer. Clin Radiol. 60:801-6, 2005
                              22. LaTrenta et al: Breast lesions detected with MR imaging: Utility and histopathologic importance of identification with US. Radiology 227:856-61, 2003
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Clinical Issues

                                      • Diagnostic Checklist

                                        TERMINOLOGY

                                        • Definitions

                                          • Targeted US performed to find correlate to MR-detected suspicious lesion(s) with intent of US-guided biopsy

                                        IMAGING

                                        • Mammographic Findings

                                          • Ultrasonographic Findings

                                            • MR Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  CLINICAL ISSUES

                                                  • Natural History & Prognosis

                                                    • Treatment

                                                      DIAGNOSTIC CHECKLIST

                                                      • Consider

                                                        • Image Interpretation Pearls

                                                          Selected References

                                                          1. Lee AY et al: Sonographic-MRI correlation after percutaneous sampling of targeted breast ultrasound Lesions: Initial experiences with limited-sequence unenhanced MRI for postprocedural clip localization. AJR Am J Roentgenol. 210(4):927-934, 2018
                                                          2. Koh J et al: Additional magnetic resonance imaging-detected suspicious lesions in known patients with breast cancer: Comparison of second-look digital tomosynthesis and ultrasonography. Ultrasound Q. 33(2):167-173, 2017
                                                          3. Song SE et al: Post-clip placement MRI following second-look US-guided core biopsy for suspicious lesions identified on breast MRI. Eur Radiol. 27(12):5196-5203, 2017
                                                          4. Telegrafo M et al: Supine breast US: how to correlate breast lesions from prone MRI. Br J Radiol. 89(1059):20150497, 2016
                                                          5. Uematsu T et al: Real-time virtual sonography examination and biopsy for suspicious breast lesions identified on MRI alone. Eur Radiol. 26(4):1064-72, 2016
                                                          6. Hsu HH et al: Breast nonmass enhancement detected with MRI: Utility and lesion characterization with second-look ultrasonography. Breast J. 21(6):579-87, 2015
                                                          7. Lee SH et al: Role of second-look ultrasound examinations for MR-detected lesions in patients with breast cancer. Ultraschall Med. 36(2):140-8, 2015
                                                          8. Aracava MM et al: Identification of occult breast lesions detected by magnetic resonance imaging with targeted ultrasound: a prospective study. Eur J Radiol. 83(3):516-9, 2014
                                                          9. Plecha DM et al: Addition of shear-wave elastography during second-look MR imaging-directed breast US: effect on lesion detection and biopsy targeting. Radiology. 272(3):657-64, 2014
                                                          10. Spick C et al: Diagnostic utility of second-look US for breast lesions identified at MR imaging: systematic review and meta-analysis. Radiology. 273(2):401-9, 2014
                                                          11. Park VY et al: Second-Look US: How to Find Breast Lesions with a Suspicious MR Imaging Appearance. Radiographics. 33(5):1361-75, 2013
                                                          12. Monticciolo DL: Postbiopsy confirmation of MR-detected lesions biopsied using ultrasound. AJR Am J Roentgenol. 198(6):W618-20, 2012
                                                          13. Candelaria R et al: Second-look US examination of MR-detected breast lesions. J Clin Ultrasound. 39(3):115-21, 2011
                                                          14. Abe H et al: MR-directed ("second-look") ultrasound examination for breast lesions detected initially on MRI: MR and sonographic findings. AJR Am J Roentgenol. 194(2):370-7, 2010
                                                          15. Carbognin G et al: Utility of second-look ultrasound in the management of incidental enhancing lesions detected by breast MR imaging. Radiol Med. 115(8):1234-45, 2010
                                                          16. Trop I et al: Second-look targeted studies after breast magnetic resonance imaging: practical tips to improve lesion identification. Curr Probl Diagn Radiol. 39(5):200-11, 2010
                                                          17. Demartini WB et al: Utility of targeted sonography for breast lesions that were suspicious on MRI. AJR Am J Roentgenol. 192(4):1128-34, 2009
                                                          18. Destounis S et al: Community-based practice experience of unsuspected breast magnetic resonance imaging abnormalities evaluated with second-look sonography. J Ultrasound Med. 28(10):1337-46, 2009
                                                          19. Meissnitzer M et al: Targeted ultrasound of the breast in women with abnormal MRI findings for whom biopsy has been recommended. AJR Am J Roentgenol. 193(4):1025-9, 2009
                                                          20. Wiratkapun C et al: Indeterminate or suspicious breast lesions detected initially with MR imaging: value of MRI-directed breast ultrasound. Acad Radiol. 15(5):618-25, 2008
                                                          21. Sim LS et al: US correlation for MRI-detected breast lesions in women with familial risk of breast cancer. Clin Radiol. 60:801-6, 2005
                                                          22. LaTrenta et al: Breast lesions detected with MR imaging: Utility and histopathologic importance of identification with US. Radiology 227:856-61, 2003