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Breast MRI Diagnosis and Intervention

:	Elizabeth A. Morris, Laura Liberman
:	Laura Liberman
:	Breast MRI Diagnosis and Intervention
:	Springer-Verlag
:	9780387275956
:	1
:	CHF 273.30
:

:	Klinische Fächer
:	English

:	514
:	Wasserzeichen/DRM
:	PC/MAC/eReader/Tablet
:	PDF

Drs. Elizabeth Morris and Laura Liberman, two rising stars in breast MRI from the Memorial Sloan-Kettering Cancer Center, edited this complete, superbly illustrated practical guide. The comprehensive text is written by contributors from the top cancer centers in the world. Introductory chapters are devoted to diagnosis and cover the basics of performing breast MRI exams, setting up a breast MR program, and understanding clinical indications. Additional chapters discuss breast interventional procedures, including the surgeon's use of MR and MR-guided needle interventions. A comprehensive diagnostic atlas completes the volume and addresses the spectrum of clinical situations, such as various carcinomas, special tumor types, and benign histologies. Radiologists, residents, and fellows will benefit from this guide's thorough examination of image interpretation, which highlights pitfalls that specialists must recognize.

	Contents	11
	Foreword I --- Larry Norton, MD	6
	Foreword II --- by Beryl McCormick, Clifford Hudis, and Patrick I. Borgen	7
	Preface	9
	Contributors	14
	I Principles and Practice	16
	1 Breast Magnetic Resonance Imaging: Historical Overview --- Joo Young Melissa Lee and Elizabeth A. Morris	17
	1. Dynamic Approach	17
	2. Time Intensity Curves	17
	3. Morphologic Approach	18
	4. Combination of Dynamic and Morphologic Approaches	19
	5. Conclusion	19
	References	19
	2 Breast Magnetic Resonance Imaging Techniques --- Nola M. Hylton	21
	1. MRI Versus Mammography	21
	2. Technical Requirements for Performing Breast MRI	22
	3. Imaging Coils	23
	4. Patient Preparation and positioning	23
	5. Image Acquisition Methods	23
	6. Fat Suppression	26
	7. Image Postprocessing	26
	3 Setting Up a Breast Magnetic Resonance Imaging Program --- Elizabeth A. Morris	29
	1. Patient Issues	29
	2. Personnel Issues	30
	3. Breast MRI Protocols	30
	4. Scheduling Considerations	31
	5. Patient Preparation	31
	6. Examination Interpretation	33
	7. Kinetic Analysis	33
	8. Communication of Results	34
	9. Interventional Issues	34
	10. Data Gathering	34
	11. Practice Growth Issues	34
	12. Coil Issues	35
	13. Selecting the Sequence	35
	14. Memorial Sloan-Kettering Cancer Center Sequence	35
	15. Conclusion	36
	4 The Normal Breast --- Elizabeth A. Morris	37
	1. Breast Anatomy	37
	2. Vessels	43
	3. Lymphatics and Lymph Nodes	45
	4. Pectoralis Major Muscle	48
	5. Breast Density	49
	6. Premenopausal Breast	50
	7. Postmenopausal Breast	52
	8. Chemopreventive Agents	53
	9. Pregnancy	53
	10. Skin and Nipple	53
	11. Fat	57
	12. Fibrous Tissue and Calcifications	57
	13. Conclusion	57
	5 The Axilla --- Joo Young Melissa Lee and D. David Dershaw	59
	1. Anatomy	59
	2. Pathophysiology of Metastatic Disease to Lymph Nodes	59
	3. Imaging Methods	60
	4. Magnetic Resonance Imaging of Lymph Nodes	60
	5. Identifying Metastatic Disease	61
	6. New Contrast Agents	64
	7. Conclusion	64
	6 Breast Magnetic Resonance Imaging Lexicon --- Elizabeth A. Morris	65
	1. Standardization of Terminology	65
	2. Technique	66
	3. Breast Histopathology and Magnetic Resonance Imaging	67
	4. Morphologic Features	67
	5. Description of Terms	67
	6. Value of T2	91
	7. Kinetics	91
	8. Suggested Algorithm for Interpretation	91
	7 Dynamic Breast Magnetic Resonance Imaging --- Christiane K. Kuhl	93
	1. Pathophysiological Basis of Dynamic Contrast-Enhanced Breast Magnetic Resonance Imaging	93
	2. Technical Issues	94
	3. Choice of Pulse Sequences	95
	4. Generating the Source Data for Kinetic Analysis: Region of Interest Placement	100
	5. Analysis of Enhancement Kinetics	102
	6. Pharmakokinetic Modeling	103
	7. Understanding Published Literature:Survivors and One-Hit Wonders of Kinetic Approaches	103
	8. How To Use Information Obtainedfrom Dynamic Data	105
	9. Lesion Categorization: How We Integrate Morphologic and Kinetic Information	113
	10. Appearance of the Normal and the Diseased Breast in Dynamic Contrast-enhanced Breast Magnetic Resonance Imaging	116
	11. Current Applications of Dynamic Bilateral Breast Magnetic Resonance Imaging	142
	12. Future Directions	149
	8 Benign Lesions --- Andrea F. Abramson	154
	1. Mass Lesions	154
	2. Nonmass Lesions	171
	3. High-Risk Lesions	176
	9 Ductal Carcinoma In Situ --- Jennifer H. Menell	178
	1. Mammography and Ductal Carcinoma In Situ	178
	2. Magnetic Resonance Imaging and Ductal Carcinoma In Situ	179
	3. Magnetic Resonance Imaging of Mammographically Evident Calcifications	179
	4. False-Negative Results by Magnetic Resonance and Mammography	180
	5. Nuclear Grade	180
	6. Significant Ductal CarcinomaIn Situ Lesions on Magnetic Resonance Imaging	180
	7. Conclusion	184
	10 Magnetic Resonance Imaging of Invasive Breast Carcinoma --- Lia Bartella and D. David Dershaw	187
	1. Tumor Neovascularity and Angiogenesis	187
	2. Secondary Signs of Invasive Breast Cancer	188
	3. Types of Invasive Breast Cancer	188
	4. Invasive Ductal Carcinoma Not Otherwise Specified (NOS)	188
	5. Specialized Subtypes of Invasive Ductal Carcinoma	189
	6. Invasive Lobular Carcinoma	191
	7. Other Breast Malignancies	192
	8. Ductal Carcinoma In Situ Ve