Screening Breast MRI
High Risk (new American Cancer Society recommendations, Cancer, 3/28/07)

• Breast cancer gene carrier
• First degree relative with breast cancer gene
• Prior radiation to the chest between the ages of 10 and 30
• Lifetime risk of breast cancer 20% or greater using a model such as NCI, Gail models

Note: Dense Breast on Mammography are not yet recommended for MRI screening by ACS, but may benefit if other tests are equivocal.

Diagnostic Breast MRI
Pre-op Screening for Patient with New Positive Breast Biopsy (new ACRIN recommendations N.E.J.M. 3/28/07)
Close or Positive Surgical Margins
Lobular Carcinoma
Lobular Carcinoma In-Situ, Atypical Lobular Hyperplasia, Atypical Ductal Hyperplasia
Neoadjuvant Chemotherapy
Postoperative Scar vs. Tumor Recurrence
Axillary Node Cancer, with negative mammogram
Suspected Inflammatory Breast Cancer

FAQs
Can BREAST MRI replace mammography?
NO, only mammography can show microcalcifications, the most important sign of DCIS (early cancer).

Is BREAST MRI appropriate for general screening?
NO.

For more information about any of these procedures, including how to prepare and what to expect, visit www.radiologyinfo.com >>