Mastery Series

FACR

FSBI

Rachel F Brem

Breast

Lisa Ann Mullen

Gain confidence evaluating Breast MRI with MRI Online. Interact with scrollable cases, watch microlearning videos, and earn CME. Try it free!

Women's Health

Watch this case review for free!

Lesson

Introduction to Breast MRI Basics – BI-RADS and Approach to Interpretation

Overview and Rationale for Breast MRI

Indications for Breast MRI

Breast Anatomy

Positioning, Technique, Protocol for Breast MRI

Protocol – 43 yo woman – High Risk Screening

Protocol – 31 yo woman – Family History

MRI BI-RADS Lexicon – Amount of Fibroglandular Tissue

Background Parenchymal Enhancement (BPE)

Changing BPE Over 3 Time Points

Enhancing MRI Findings

New Focus of Enhancement – Benign

New Focus of Enhancement – Malignant

Masses – Overview

Non-Mass Enhancement (NME) – Overview

Clustered Ring NME – Benign

Clumped and Clustered Ring NME – DCIS

Kinetic Curve Assessment

Benign Findings

Axillary Lymph Node Anatomy – After Covid 19 Vaccine

Associated Features on MRI

Associated Findings on MRI

Location of Lesion & How to Report It

Interpretation and Reporting

Interpretation and Report – 4mm Focus Right Breast

Report Organization and Examples

BI-RADS Assessment Categories – Overview

BI-RADS 1

BI-RADS 2 – Left Lumpectomy

BI-RADS 2 – Right Lumpectomy, Right Non-Enhancing Mass

BI-RADS 2 – Left Post Excisional Biopsy Change

BI-RADS 2 – Marked BPE, Stable

BI-RADS 2 – Bilateral Stable Findings

New focus of enhancement on a high risk patient (BI-RADS 4)

BI-RADS 3 – Changing Pattern of Background

BI-RADS 4 – Linear NME, Left Breast

BI-RADS 4 – Right Extensive DCIS, Left Dominant Focus

BI-RADS 4 – New Diagnosis Left Cancer, Focal NME left

BI-RADS 4 – New Diagnosis Right Breast Cancer, Nodes on Right

BI-RADS 4 – Left Axillary Node Metastasis, Evaluate for Breast Cancer

BI-RADS 5 – Suspicious Mass in Left Breast, Not Biopsied Yet

BI-RADS 5 – Left Breast Cancer, MRI Shows Right Cancer

BI-RADS 5 – New Diagnosis Right Cancer, Suspicious Masses in Right Breast

BI-RADS 5 – Right Inflammatory Cancer, Bilateral Nodes

BI-RADS 6 – Right Breast Cancer, No Other Findings

BI-RADS 6 – Left Breast Cancer, No Other Findings

BI-RADS 6 – Left Breast Cancer, Index Mass

BI-RADS 6 – Pre and Post Neoadjuvant Chemotherapy (NAC) for Left Breast Cancer

Course Evaluation

Post-Course Activities

<p>Course Instructor: Lisa Mullen, MD

Breast Imaging Advisor: Rachel F. Brem, MD FACR FSBI</p>

Breast MRI

Case