Breast MRI: Basic Evaluation and Beyond

This teaching tool is intended for radiology resident education. Suitable learners should be familiar with basic principles of magnetic resonance imaging (MRI) and clinical breast imaging. Although not necessary, familiarity with Breast Imaging-Reporting and Data System (BI-RADS) lexicon and assessment categories is helpful.

Part I of the teaching tool is intended to provide an understanding of the appropriate utilization of contrast-enhanced breast MRI in the clinical breast imaging work-up. First, acceptable clinical indications are reviewed. Then the information that can be derived from each image acquisition is illustrated. Opportunities for students to master a standardized approach to evaluating breast MRI using the BI-RADS lexicon is tested through case presentations and questions.

Part II of the presentation takes the audience members’ learning to a higher level by showing both common and uncommon breast MRI artifacts and potential pitfalls in interpretation. The authors offer strategies to eliminate or minimize artifacts and interpretive errors.

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