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Breast MRI is not recommended for screening all breast cancer patients, yet limited to patients with high risk of developing breast cancer that may have high familial risk or mutations in BCRA1/2 genes. [51] Breast MRI is not a perfect tool despite its increased sensitivity for detecting breast cancer masses when compared to mammography.
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For women at high risk, NCCN recommends undergoing an annual mammogram and breast MRI between the ages of 25 and 40, considering the specific gene mutation type or the youngest age of breast cancer occurrence in the family. Additionally, NCCN suggests that high-risk women undergo clinical breast exams every 6 to 12 months starting at age 25.
It asks about age, age at first menstrual period, age when the woman’s first child was born or if the woman has not given birth, family history of breast cancer, past breast biopsies, results of ...
MRI of the breasts has the highest sensitivity to detect breast cancer when compared with other imaging modalities such as breast ultrasound or mammography. In the screening for breast cancer for high-risk women, sensitivity of MRI ranges from 83 to 94% while specificity (the confidence that a lesion is cancerous and not a false positive ...
In patients where MRI is contraindicated (certain implantable devices, certain kidney conditions) or in those who prefer to avoid MRI (claustrophobia), molecular breast imaging is a viable alternative. MBI has shown to increase detection of breast cancer in dense breasts by 7-16 cancers per 1000 screens. [1] [3] [5]
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