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Breast MRI scan

MRI - breast; Magnetic resonance imaging - breast; Breast cancer - MRI; Breast cancer screening - MRI

A breast MRI (magnetic resonance imaging) scan is an imaging test that uses powerful magnets and radio waves to create pictures of the breast and surrounding tissue. It does not use radiation (x-rays).

A breast MRI may be done in combination with mammography or ultrasound. It is not a replacement for mammography.

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How the Test is Performed

You will wear a hospital gown or clothes without metal snaps or a zipper (sweatpants and a t-shirt). Some types of metal can cause blurry images.

You will lie on your stomach on a narrow table with your breasts hanging down into cushioned openings. The table slides into a large tunnel-like tube.

Some exams require a special dye (contrast). Most of the time, you will get the dye through a vein (IV) in your hand or forearm. The dye helps the doctor (radiologist) see some areas more clearly.

During the MRI, the person who operates the machine will watch you from another room. The test lasts 30 to 60 minutes, but may take longer.

How to Prepare for the Test

You likely won't need to do anything to prepare for the test. Ask your health care provider about eating and drinking before the test.

Tell your provider if you are afraid of tight spaces (have claustrophobia). You may be given a medicine to help you feel sleepy and less anxious. Also, your provider may suggest an "open" MRI. The machine is not as close to the body in this type of test.

Before the test, tell your provider if you have:

Because the MRI contains strong magnets, metal objects are not allowed into the room with the MRI scanner:

How the Test will Feel

An MRI exam causes no pain. You will need to lie still. Too much movement can blur MRI images and cause errors.

If you are very anxious, you may be given medicine to calm your nerves.

The table may be hard or cold, but you can ask for a blanket or pillow. The machine makes loud thumping and humming noises when turned on. You will likely be given ear plugs to help reduce the noise.

An intercom in the room lets you to speak to someone at any time. Some MRIs have televisions and special headphones to help the time pass.

There is no recovery time, unless you were given a medicine to relax. After an MRI scan, you can return to your normal diet, activity, and medicines unless your doctor tells you otherwise.

Why the Test is Performed

MRI provides detailed pictures of the breast. It also provides clear pictures of parts of the breast that are hard to see clearly on an ultrasound or mammogram.

Breast MRI may also be performed to:

An MRI of the breast may also be done after a mammogram to screen for breast cancer in women who:

Before having a breast MRI, talk to your provider about the pros and cons of having the test. Ask about:

What Abnormal Results Mean

Abnormal results may be due to:

Consult your provider if you have any questions and concerns.

Risks

MRI contains no radiation. No side effects from the magnetic fields and radio waves have been reported.

The most common type of contrast (dye) used is gadolinium. It is very safe. Allergic reactions to this dye are rare. However, gadolinium can be harmful to people with kidney problems who need dialysis. If you have kidney problems, tell your provider before the test.

The strong magnetic fields created during an MRI can make heart pacemakers and other implants not work as well. It can also cause a piece of metal inside your body to move or shift.

Considerations

Breast MRI is more sensitive than mammogram, especially when it is performed using contrast dye. However, breast MRI may not always be able to distinguish breast cancer from noncancerous breast growths. This can lead to a false-positive result.

MRI also cannot pick up tiny pieces of calcium (microcalcifications), which a mammogram can detect. Certain types of calcifications can be an indication of breast cancer.

A biopsy is needed to confirm the results of a breast MRI.

References

American Cancer Society website. American Cancer Society recommendations for early breast cancer detection. www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. Updated October 3, 2019. Accessed January 23, 2020.

American College of Radiology website. ACR practice parameter for the performance of contrast-enhanced magnetic resonance imaging (MRI) of the breast. www.acr.org/-/media/ACR/Files/Practice-Parameters/mr-contrast-breast.pdf. Updated 2018. Accessed January 24, 2020.

American College of Obstetricians and Gynecologists (ACOG) website. ACOG Practice Bulletin: Breast Cancer Risk Assessment and Screening in Average-Risk Women. www.acog.org/Clinical-Guidance-and-Publications/Practice-Bulletins/Committee-on-Practice-Bulletins-Gynecology/Breast-Cancer-Risk-Assessment-and-Screening-in-Average-Risk-Women. No. 179, July 2017 Accessed January 23, 2020.

National Cancer Institute website. Breast cancer screening (PDQ) – health professional version. www.cancer.gov/types/breast/hp/breast-screening-pdq. Updated December 18, 2019. Accessed January 20, 2020. Siu AL; US Preventive Services Task Force. Screening for breast cancer: US Preventive Services Task Force recommendation statement. Ann Intern Med. 2016;164(4):279-296. PMID: 26757170 www.ncbi.nlm.nih.gov/pubmed/26757170.

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Review Date: 1/21/2020  

Reviewed By: Neil Grossman, MD, MetroWest Radiology Associates, Framingham, MA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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