Radiopraxis 2023; 16(04): E116-E130
DOI: 10.1055/a-2166-0736
CPD-Fortbildung

MR-gesteuerte Interventionen der Brust

Uwe Fischer
,
Friedemann Baum
,
Susanne Luftner-Nagel
,
Nadia Meiser
,
Ulla Ritter

MR-gesteuerte Interventionen sind in der Brustdiagnostik etabliert. Sowohl Biopsie- und Markierungsvorrichtungen als auch Nadeln für die Vakuumbiopsie, Markierungsdrähte, Clips und Coils stehen als MR-kompatibles Equipment zur Verfügung. Diese Publikation beschreibt über diese Materialien hinaus auch die Indikationen, die leitliniengemäße Durchführung und potenzielle Fehler bei MR-gesteuerten Interventionen.



Publication History

Article published online:
28 November 2023

© 2023. Thieme. All rights reserved.

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  • Literatur

  • 1 Kuhl CK, Weigel S, Schrading S. et al. Prospective multicenter cohort study to refine recommendations for women at elevated familial risk of breast cancer: the EVA trial. J Clin Oncol 2010; 28: 1450-1457
  • 2 Sardanelli F, Podo F, Santoro F. et al. Multicenter surveillance of women at high genetic breast cancer risk using mammography, ultrasonography, and contrast-enhanced magnetic resonance imaging (the high breast cancer risk Italian 1 study): Final results. Invest Radiol 2011; 46: 94-105
  • 3 Fischer U, Hollstein M, Luftner-Nagel S. et al. HR-MRI of the Breast at Intervals of Maximum 24 Months: Influence on Tumor Stage at the Time of Diagnosis. Int J Womens Health Wellness 2019; 5: 1-11
  • 4 Comstock CE, Constantine C, Newstead G. et al. Comparison of Abbreviated Breast MRI vs. Digital Breast Tomosynthesis for Breast Cancer Detection Among Women with Dense Breasts Undergoing Screening. JAMA 2020; 323: 746-756
  • 5 Fischer U, Baum F. Diagnostische Interventionen der Mamma. Stuttgart: Thieme; 2008
  • 6 Viehweg P, Heinig A, Amaya B. et al. MR-gesteuerte interventionelle Brustverfahren, insbesondere unter Berücksichtigung der Vakuumbiopsie. Eur Radiol 2002; 42: 32-39
  • 7 Schrading S, Strobel K, Keulers A. et al. Safety and Efficacy of Magnetic Resonance-Guided Vacuum-Assisted Large-Volume Breast Biopsy (MR-Guided VALB). Invest Radiol 2017; 52: 186-193
  • 8 DʼOrsi CJ, Sickles EA, Mendelson EB. et al. ACR BI-RADS Atlas, Breast Imaging Reporting and Data System. Reston, VA, American College of Radiology. 2013
  • 9 Leitlinienprogramm Onkologie der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V. (AWMF), Deutschen Krebsgesellschaft e.V. (DKG) und Deutschen Krebshilfe (DKH). Interdisziplinäre S3-Leitlinie für die Früherkennung, Diagnostik, Therapie und Nachsorge des Mammakarzinoms. Version 4.3, Februar 2020. Im Internet (Stand: 06.07.2022): https://www.leitlinienprogramm-onkologie.de/fileadmin/user_upload/Downloads/Leitlinien/Mammakarzinom_4_0/Version_4.4/LL_Mammakarzinom_Kurzversion_4.3.pdf
  • 10 Fischer U, Korthauer A, Baum F. et al. Short first-pass MRI of the breast. Acta Radiol 2012; 53: 267-269
  • 11 Kuhl CK, Schrading S, Strobel K. et al. Abbreviated breast Magnetic Resonance Imaging (MRI): First postcontrast subtracted images and maximum-intensity projection – a novel approach to breast cancer screening with MRI. J Clin Onc 2014; 32: 2304-2310
  • 12 Spick C, Baltzer PAT. Diagnostic utility of second-look US for breast lesions identified at MR imaging: systematic review and meta-analysis. Radiology 2014; 273: 401-409
  • 13 NHSBSP. Guidelines for non-operative diagnostic procedures and reporting in breast cancer screening. Non-operative Diagnosis Subgroup of the National Coordinating Group for Breast Screening Pathology. NHSBSP Publication No 50. 2001 ISBN 1-87199-744-5
  • 14 Shaylor SD, Samantha L, Heller SL, Melsaether AN. et al. Short interval follow-up after a benign concordant MR-guided vacuum assisted breast biopsy – is it worthwhile?. Eur Radiol 2014; 24: 1176-1185
  • 15 Liberman L, Bracero N, Morris E. et al. MRI-Guided 9-Gauge Vacuum-Assisted Breast Biopsy: Initial Clinical Experience. AJR Am J Roentgenol 2005; 185: 183-193
  • 16 Viehweg P, Bernerth T, Kiechle M. et al. MR-guided intervention in women with a family history of breast cancer. Eur J Radiol 2006; 57: 81-89
  • 17 Lehman CD, DePeri ER, Peacock S. et al. Clinical Experience with MRI-Guided Vacuum-Assisted Breast Biopsy. AJR Am J Roentgenol 2005; 184: 1782-1787
  • 18 Perlet C, Heinig A, Prat X. et al. Magnetic resonance-guided, vacuum-assisted breast biopsy: results from a European multicenter study of 538 lesions. Cancer 2006; 106: 982-990
  • 19 Fischer U, Schwethelm L, Baum F. et al. Effort, Accuracy and Histology of MR-Guided Vacuum Biopsy of Suspicious Breast Lesions – Retrospective Evaluation after 389 Interventions. Röfo 2009; 181: 774-781
  • 20 Krug B, Hellmich M, Ulhaas A. et al. Vacuum-assisted breast biopsies (VAB) carried out on an open 1.0 T MR imager: Influence of patient and target characteristics on the procedural and clinical results. Eur J Radiol 2016; 85: 1157-1166
  • 21 Lambert J, Steelandt T, Heywang-Köbrunner SH. et al. Longterm MRI-guided vacuum-assisted breast biopsy results of 600 single-center procedure. Eur Radiol 2021; 31: 4886-4897