Magnetic Resonance Imaging–Guided Vacuum-Assisted Breast Biopsy: An Initial Experience in a Community Hospital Paul Friedman, DO, Sean Enis, MD, Jeremy.

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Magnetic Resonance Imaging–Guided Vacuum-Assisted Breast Biopsy: An Initial Experience in a Community Hospital Paul Friedman, DO, Sean Enis, MD, Jeremy Pinyard, MD Canadian Association of Radiologists Journal Volume 60, Issue 4, Pages 196-200 (October 2009) DOI: 10.1016/j.carj.2009.06.007 Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 1 A 48-year-old woman, considered high risk, with a positive family history of breast cancer. Mammogram (not shown) revealed increased parenchymal density, with no suspicious findings. (A) T-1, fat-saturated, postcontrast MRI reveals an irregular area of intense enhancement in the left lower inner quadrant. (B) Vacuum-assisted MRI-guided breast biopsy specimen reveals DCIS. Canadian Association of Radiologists Journal 2009 60, 196-200DOI: (10.1016/j.carj.2009.06.007) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 2 A 50-year-old woman with known cancer of the right breast underwent MRI for evaluation of extensive disease. A “second look” ultrasound (not shown) was without suspicious findings. (A) MRI of right breast demonstrates known lesion of the upper-inner right breast. (B) T-1 weighted MRI demonstrates a 6-mm, round, intensely enhancing, retroareolar, mid-depth mass. (C) MRI-guided needle biopsy confirms atypical ductal hyperplasia. Canadian Association of Radiologists Journal 2009 60, 196-200DOI: (10.1016/j.carj.2009.06.007) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions