About Breast MRIMagnetic Resonance Imaging (MRI) of
the breast is an important new approach for diagnosing and characterizing
abnormalities in the breasts. Because images produced by MRI are very
detailed, this technology can detect small changes or abnormalities.
Breast
MRI frequently can be used to determine whether or not an area is
cancerous, thereby avoiding unnecessary biopsies. It is especially helpful
for evaluation of very dense breasts. This exam is also used to check for
leakage or rupture of breast implants.
Breast MRI does not take the
place of traditional breast cancer screening methods: annual physical
exams by your health-care provider, monthly breast self-examinations, and
annual screening
mammography for women
who are 40 years of age or more.
What to expectYou
will lie on your stomach on a table that moves within a large magnet. Your
chest will be elevated somewhat, on a padded “coil,” which sends and
receives the radio frequency waves used in this technology. Your breasts
will hang freely in the coil, and the female technologist will make you as
comfortable as possible.
During the scan, as with all MRI exams,
you will hear various noises, ranging from a buzzing to a loud knocking.
You will be given earplugs to diminish the noise. You will be able to
communicate with the technologist through a two-way intercom.
Because
an MRI exam can take images or “slices” from various angles, several
sequences or sets of images will be taken. Each sequence will last from
one to 10 minutes, and the technologist will inform you before the
scanning noise begins. The total exam time for a scan can range from 30 to
60 minutes. You must lie very still during each sequence, in order to
produce clear diagnostic images.
Depending on your symptoms or
prior medical history, you may be given
Gadolinium
for your scan. The technologist will explain this procedure to you if it
is necessary.
Patient preparationUnless
sedation is being used to help you lie still, no preparation is necessary.
Because the MRI uses a very large, strong magnet, you will be asked to
remove and store any loose metal such as jewelry and keys. You will be
asked to change into a gown.
Side effects and complicationsMagnetic
resonance imaging does not cause any known long-term side effects. You may
experience temporary ringing in the ears, similar to the sensation
following a loud music concert. The earplugs will diminish this. While MRI
examination has no known effects upon a fetus, please let the staff know
if you think you may be pregnant. In some cases, your scan may be modified
or rescheduled later during your pregnancy.
Follow-up careThe
exam itself requires no follow-up care.