Breast MRI in DCIS size estimation, breast-conserving surgery and oncoplastic breast surgery
Alexander Bartram, Fiona Gilbert, Alastair Thompson, G Bruce Mann, Amit Agrawal
CANCER TREATMENT REVIEWS | ELSEVIER SCI LTD | Published : 2021
The impact of MRI on improving surgical outcomes in DCIS is debated. Here, we explore the utility of MRI in the investigation and management of DCIS in three key areas. Firstly, we highlight that MRI is likely to be a more accurate predictor of actual tumour size than conventional imaging. Secondly, we examine mastectomy rates and reoperation rates across the literature and suggest that surgical outcomes do not differ between pre-operative MRI and conventional imaging groups, despite improved size estimation on MRI. Finally, we examine the rapidly developing field of oncoplastic breast surgery and highlight a paucity of data in determining the usefulness of pre-operative MRI in this field, d..View full abstract
FJG receives support from the NIHR Cambridge Biomedical Research Centre.