When do you recommend a breast MRI for breast cancer surveillance?

Would you recommend it for a mammographically occult primary or if the patient had dense breasts? What if a high risk patient decides not to have radiotherapy after lumpectomy and refusing mastectomy, should MRI be recommended in follow-up?

Answer from: Radiation Oncologist at Community Practice

MRI is a routine part of the work up (this would not be screening) for women presenting with axilary nodal disease and occult primary. In the era of MRI the incidence of so called occult primary has gone down becuase of higher sensitivity of MRI As far screening is concerned, it is approved f...

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Medical Oncologist at Ironwood Cancer & Research Center
I think the main question was the role of MRI afte...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
There is emerging data that MRI is better at detec...

Answer from: Medical Oncologist at Academic Institution

Breast MRI screening is recommended for women who have a lifetime breast cancer risk of 20% or higher, as well BRCA and other germline mutations carriers, such as p53, ATM, PLAB2. The NCCN guidelines have recommendations by gene as well as start age.

Comments

Medical Oncologist at Ironwood Cancer & Research Center
I think the main question was, the role of MRI aft...

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When do you recommend a breast MRI for breast cancer surveillance?

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