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MR mammography, its principles and contribution in diagnosis of malignant breast disease
PEJČOCHOVÁ, Eliška
Magnetic resonance imaging is a relatively new technology used for breast examination; however, mammography or ultrasound are the most commnly used screening methods. Unlike mammography and ultrasound, MRI provides not only morphological but also functional data and therefore offers high sensitivity diagnosis of invasive carcinoma. The practical part of this thesis aims to ascertain how often an MRI breast examination is carried out, what are the most common indications for this examination and also the ratio of MRI diagnosis of malignant breast cancer and other pathological changes in breast tissue. I was given access to data in the PACS central archive system of the hospital in Ceske Budejovice. I focused on MRI breast examinations carried out within one year period, specifically between the dates November 1, 2015 and October 31, 2016. The obtained data were added up, classified, turned into graphs and analysed on the basis of various criteria. Within a one year period, 102 examinations were carried out. The results indicated that MRI breast examination has strict indications such as examinations of women with high risk of developing breast cancer, evaluation of post-operative changes after surgical carcinoma treatment, staging of an already diagnosed carcinoma, screening of an unidentified breast lump, a check of integrity and placement of breast implants etc. However, this examination still represents an additional and superior method. When properly indicated this examination outcome is satisfactory when the specific conditions are met; however, it is not as widely accessible as a mammography or ultrasound.
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