Role of breast MRI in treatment planning

The use of breast MRI in routine clinical practice continues to increase and in our experience this is most noticeable in the context of individual treatment planning for management of breast cancer. A number of well-established guidelines advocate MRI in pre-treatment local staging of invasive lobular cancer; where there is discordance of tumour size on clinical examination and conventional imaging greater than 1cm; and in evaluation of occult breast cancer. These guidelines also highlight potential roles for breast MRI in patients considered for neo-adjuvant therapy and partial breast irradiation.

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