MRI-guided ablation of breast cancer: where do we stand today?

Abstract

The treatment of patients with localized breast cancer has changed considerably over the past few decades. The next challenge is to use image-guided minimally invasive tumor ablation techniques. The fact that MRI is the most accurate imaging modality for visualization and delineation of breast tumor margins in three dimensions and provides MRI-based temperature mapping, makes it particularly applicable for monitoring during minimally invasive ablation techniques. The overall result of the studies performed on MRI-guided minimally invasive tumor ablation studies are varying, with reported total tumor ablation rates ranging between 20% and 100%. Strict selection of patients, consensus on the treatment zone margin and optimization of MR-imaging, should make MRI-guided breast cancer tumor ablation a useful tool in clinical practice.

• Authors: Emily L Postma, Richard van Hillegersberg, Bruce L Daniel, Laura G Merckel, Helena M Verkooijen, Maurice A A J van den Bosch
• Journal: Journal of magnetic resonance imaging : JMRI (J Magn Reson Imaging) Vol. 34 Issue 2 Pg. 254-61 (Aug 2011) ISSN: 1522-2586 [Electronic] United States
• PMID: 21780220 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2011 Wiley-Liss, Inc.

Topics

• Breast (pathology)
• Breast Neoplasms (radiotherapy, therapy)
• Catheter Ablation (methods)
• Equipment Design
• Female
• Humans
• Hyperthermia, Induced (methods)
• Lasers
• Magnetic Resonance Imaging (methods)
• Magnetic Resonance Imaging, Interventional (methods)
• Minimally Invasive Surgical Procedures (methods)
• Temperature