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Rim Enhancement (MR)
Katie M. Davis, DO; Wendie A. Berg, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • MR enhancement more pronounced at periphery of mass
                  • Earlier &/or more intensely than elsewhere in mass

              IMAGING

              • General Features

                • Mammographic Findings

                  • Ultrasonographic Findings

                    • MR Findings

                      • Nuclear Medicine Findings

                        • CT Findings

                          • Imaging Recommendations

                            • Image-Guided Biopsy

                              DIFFERENTIAL DIAGNOSIS

                                PATHOLOGY

                                • General Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Natural History & Prognosis

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Fujiwara K et al: Grading System to Categorize Breast MRI in BI-RADS 5th Edition: A Multivariate Study of Breast Mass Descriptors in Terms of Probability of Malignancy. AJR Am J Roentgenol. 210(3):W118-W127, 2018
                                            2. Navarro Vilar L et al: MR imaging findings in molecular subtypes of breast cancer according to BIRADS system. Breast J. 23(4):421-428, 2017
                                            3. Dong A et al: Spectrum of the breast lesions with increased 18F-FDG uptake on PET/CT. Clin Nucl Med. 41(7):543-57, 2016
                                            4. Oztekin PS et al: Imaging findings in patients with granulomatous mastitis. Iran J Radiol. 13(3):e33900, 2016
                                            5. Zhang L et al: Comparative analysis of imaging and pathology features of mucinous carcinoma of the breast. Clin Breast Cancer. 15(2):e147-54, 2015
                                            6. Schmitz AM et al: Association between rim enhancement of breast cancer on dynamic contrast-enhanced MRI and patient outcome: impact of subtype. Breast Cancer Res Treat. 148(3):541-51, 2014
                                            7. Irshad A et al: Assessing the role of ultrasound in predicting the biological behavior of breast cancer. AJR Am J Roentgenol. 200(2):284-90, 2013
                                            8. Morris EA, Comstock CE, Lee CH, et al. ACR BI-RADS® Magnetic Resonance Imaging. In: ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. Reston, VA, American College of Radiology; 2013
                                            9. Drukteinis JS et al: MR imaging assessment of the breast after breast conservation therapy: distinguishing benign from malignant lesions. Radiographics. 32(1):219-34, 2012
                                            10. Han M et al: Prognostic role of MRI enhancement features in patients with breast cancer: value of adjacent vessel sign and increased ipsilateral whole-breast vascularity. AJR Am J Roentgenol. 199(4):921-8, 2012
                                            11. Jeong SJ et al: Medullary carcinoma of the breast: MRI findings. AJR Am J Roentgenol. 198(5):W482-7, 2012
                                            12. Sohns C et al: Value of the BI-RADS classification in MR-Mammography for diagnosis of benign and malignant breast tumors. Eur Radiol. 21(12):2475-83, 2011
                                            13. Li J et al: Breast MRI after conservation therapy: usual findings in routine follow-up examinations. Am J Roentgenol. Sep;195(3):799-807, 2010
                                            14. Chang YW et al: Magnetic resonance imaging of breast cancer and correlation with prognostic factors. Acta Radiol. 50(9):990-8, 2009
                                            15. Kobayashi M et al: Two different types of ring-like enhancement on dynamic MR imaging in breast cancer: correlation with the histopathologic findings. J Magn Reson Imaging. 28(6):1435-43, 2008
                                            16. Lee SH et al: Correlation between high resolution dynamic MR features and prognostic factors in breast cancer. Korean J Radiol. 9(1):10-8, 2008
                                            17. Onishi M et al: A wide variety of dynamic contrast-enhanced MR appearances of breast cancer: pathologic correlation study. Eur J Radiol. 65(2):286-92, 2008
                                            18. Goto M et al: Diagnosis of breast tumors by contrast-enhanced MR imaging: comparison between the diagnostic performance of dynamic enhancement patterns and morphologic features. J Magn Reson Imaging. 25(1):104-12, 2007
                                            19. Schnall MD et al: Diagnostic architectural and dynamic features at breast MR imaging: multicenter study. Radiology. 238(1):42-53, 2006
                                            20. Teifke A et al: Dynamic MR imaging of breast lesions: correlation with microvessel distribution pattern and histologic characteristics of prognosis. Radiology. 239(2):351-60, 2006
                                            21. Tozaki M et al: High-spatial-resolution MR imaging of focal breast masses: interpretation model based on kinetic and morphological parameters. Radiat Med. 23(1):43-50, 2005
                                            22. Velasco M et al: MRI of metaplastic carcinoma of the breast. AJR 184:1274-8, 2005
                                            23. Lee JM et al: MRI before reexcision surgery in patients with breast cancer. AJR Am J Roentgenol. 182(2):473-80, 2004
                                            24. LaTrenta LR et al: Breast lesions detected with MR imaging: utility and histopathologic importance of identification with US. Radiology. 227(3):856-61, 2003
                                            25. Semple SI et al: Correlation of MRI/PET rim enhancement in breast cancer: a delivery related phenomenon with therapy implications? Lancet Oncol. 4(12):759, 2003
                                            26. Szabó BK et al: Invasive breast cancer: correlation of dynamic MR features with prognostic factors. Eur Radiol. 13(11):2425-35, 2003
                                            27. Liberman L et al: Breast lesions detected on MR imaging: features and positive predictive value. AJR Am J Roentgenol. 179(1):171-8, 2002
                                            28. Nunes LW et al: Update of breast MR imaging architectural interpretation model. Radiology. 219(2):484-94, 2001
                                            29. Frei KA et al: MR imaging of the breast in patients with positive margins after lumpectomy: influence of the time interval between lumpectomy and MR imaging. AJR Am J Roentgenol. 175(6):1577-84, 2000
                                            30. Kinkel K et al: Dynamic high-spatial-resolution MR imaging of suspicious breast lesions: diagnostic criteria and interobserver variability. AJR Am J Roentgenol. 175(1):35-43, 2000
                                            31. Matsubayashi R et al: Breast masses with peripheral rim enhancement on dynamic contrast-enhanced MR images: correlation of MR findings with histologic features and expression of growth factors. Radiology. 217(3):841-8, 2000
                                            32. Buadu LD et al: Patterns of peripheral enhancement in breast masses: correlation of findings on contrast medium enhanced MRI with histologic features and tumor angiogenesis. J Comput Assist Tomogr. 21(3):421-30, 1997
                                            33. Heywang-Köbrunner SH et al: Contrast-enhanced MRI of the breast after limited surgery and radiation therapy. J Comput Assist Tomogr. 17(6):891-900, 1993
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • MR enhancement more pronounced at periphery of mass
                                                            • Earlier &/or more intensely than elsewhere in mass

                                                        IMAGING

                                                        • General Features

                                                          • Mammographic Findings

                                                            • Ultrasonographic Findings

                                                              • MR Findings

                                                                • Nuclear Medicine Findings

                                                                  • CT Findings

                                                                    • Imaging Recommendations

                                                                      • Image-Guided Biopsy

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Natural History & Prognosis

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Fujiwara K et al: Grading System to Categorize Breast MRI in BI-RADS 5th Edition: A Multivariate Study of Breast Mass Descriptors in Terms of Probability of Malignancy. AJR Am J Roentgenol. 210(3):W118-W127, 2018
                                                                                      2. Navarro Vilar L et al: MR imaging findings in molecular subtypes of breast cancer according to BIRADS system. Breast J. 23(4):421-428, 2017
                                                                                      3. Dong A et al: Spectrum of the breast lesions with increased 18F-FDG uptake on PET/CT. Clin Nucl Med. 41(7):543-57, 2016
                                                                                      4. Oztekin PS et al: Imaging findings in patients with granulomatous mastitis. Iran J Radiol. 13(3):e33900, 2016
                                                                                      5. Zhang L et al: Comparative analysis of imaging and pathology features of mucinous carcinoma of the breast. Clin Breast Cancer. 15(2):e147-54, 2015
                                                                                      6. Schmitz AM et al: Association between rim enhancement of breast cancer on dynamic contrast-enhanced MRI and patient outcome: impact of subtype. Breast Cancer Res Treat. 148(3):541-51, 2014
                                                                                      7. Irshad A et al: Assessing the role of ultrasound in predicting the biological behavior of breast cancer. AJR Am J Roentgenol. 200(2):284-90, 2013
                                                                                      8. Morris EA, Comstock CE, Lee CH, et al. ACR BI-RADS® Magnetic Resonance Imaging. In: ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. Reston, VA, American College of Radiology; 2013
                                                                                      9. Drukteinis JS et al: MR imaging assessment of the breast after breast conservation therapy: distinguishing benign from malignant lesions. Radiographics. 32(1):219-34, 2012
                                                                                      10. Han M et al: Prognostic role of MRI enhancement features in patients with breast cancer: value of adjacent vessel sign and increased ipsilateral whole-breast vascularity. AJR Am J Roentgenol. 199(4):921-8, 2012
                                                                                      11. Jeong SJ et al: Medullary carcinoma of the breast: MRI findings. AJR Am J Roentgenol. 198(5):W482-7, 2012
                                                                                      12. Sohns C et al: Value of the BI-RADS classification in MR-Mammography for diagnosis of benign and malignant breast tumors. Eur Radiol. 21(12):2475-83, 2011
                                                                                      13. Li J et al: Breast MRI after conservation therapy: usual findings in routine follow-up examinations. Am J Roentgenol. Sep;195(3):799-807, 2010
                                                                                      14. Chang YW et al: Magnetic resonance imaging of breast cancer and correlation with prognostic factors. Acta Radiol. 50(9):990-8, 2009
                                                                                      15. Kobayashi M et al: Two different types of ring-like enhancement on dynamic MR imaging in breast cancer: correlation with the histopathologic findings. J Magn Reson Imaging. 28(6):1435-43, 2008
                                                                                      16. Lee SH et al: Correlation between high resolution dynamic MR features and prognostic factors in breast cancer. Korean J Radiol. 9(1):10-8, 2008
                                                                                      17. Onishi M et al: A wide variety of dynamic contrast-enhanced MR appearances of breast cancer: pathologic correlation study. Eur J Radiol. 65(2):286-92, 2008
                                                                                      18. Goto M et al: Diagnosis of breast tumors by contrast-enhanced MR imaging: comparison between the diagnostic performance of dynamic enhancement patterns and morphologic features. J Magn Reson Imaging. 25(1):104-12, 2007
                                                                                      19. Schnall MD et al: Diagnostic architectural and dynamic features at breast MR imaging: multicenter study. Radiology. 238(1):42-53, 2006
                                                                                      20. Teifke A et al: Dynamic MR imaging of breast lesions: correlation with microvessel distribution pattern and histologic characteristics of prognosis. Radiology. 239(2):351-60, 2006
                                                                                      21. Tozaki M et al: High-spatial-resolution MR imaging of focal breast masses: interpretation model based on kinetic and morphological parameters. Radiat Med. 23(1):43-50, 2005
                                                                                      22. Velasco M et al: MRI of metaplastic carcinoma of the breast. AJR 184:1274-8, 2005
                                                                                      23. Lee JM et al: MRI before reexcision surgery in patients with breast cancer. AJR Am J Roentgenol. 182(2):473-80, 2004
                                                                                      24. LaTrenta LR et al: Breast lesions detected with MR imaging: utility and histopathologic importance of identification with US. Radiology. 227(3):856-61, 2003
                                                                                      25. Semple SI et al: Correlation of MRI/PET rim enhancement in breast cancer: a delivery related phenomenon with therapy implications? Lancet Oncol. 4(12):759, 2003
                                                                                      26. Szabó BK et al: Invasive breast cancer: correlation of dynamic MR features with prognostic factors. Eur Radiol. 13(11):2425-35, 2003
                                                                                      27. Liberman L et al: Breast lesions detected on MR imaging: features and positive predictive value. AJR Am J Roentgenol. 179(1):171-8, 2002
                                                                                      28. Nunes LW et al: Update of breast MR imaging architectural interpretation model. Radiology. 219(2):484-94, 2001
                                                                                      29. Frei KA et al: MR imaging of the breast in patients with positive margins after lumpectomy: influence of the time interval between lumpectomy and MR imaging. AJR Am J Roentgenol. 175(6):1577-84, 2000
                                                                                      30. Kinkel K et al: Dynamic high-spatial-resolution MR imaging of suspicious breast lesions: diagnostic criteria and interobserver variability. AJR Am J Roentgenol. 175(1):35-43, 2000
                                                                                      31. Matsubayashi R et al: Breast masses with peripheral rim enhancement on dynamic contrast-enhanced MR images: correlation of MR findings with histologic features and expression of growth factors. Radiology. 217(3):841-8, 2000
                                                                                      32. Buadu LD et al: Patterns of peripheral enhancement in breast masses: correlation of findings on contrast medium enhanced MRI with histologic features and tumor angiogenesis. J Comput Assist Tomogr. 21(3):421-30, 1997
                                                                                      33. Heywang-Köbrunner SH et al: Contrast-enhanced MRI of the breast after limited surgery and radiation therapy. J Comput Assist Tomogr. 17(6):891-900, 1993