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Review
. 2018 May;26(2):265-272.
doi: 10.1016/j.mric.2017.12.006.

Use of Breast-Specific PET Scanners and Comparison with MR Imaging

Deepa Narayanan  1 , Wendie A Berg  2
Affiliations
Review

Use of Breast-Specific PET Scanners and Comparison with MR Imaging

Deepa Narayanan et al. Magn Reson Imaging Clin N Am. 2018 May.

Abstract

The goals of this article are to discuss the role of breast-specific PET imaging of women with breast cancer, compare the clinical performance of positron emission mammography (PEM) and MR imaging for current indications, and provide recommendations for when women should undergo PEM instead of breast MR imaging.

Keywords: Breast PET; Breast cancer; Positron emission mammography.

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Figures

Figure 1
Figure 1
CMRNaviscan’s PEM Flex Solo II PEM scanner. Courtesy of CMR Naviscan, with permission.
Figure 2
Figure 2
45 year-old woman with invasive lobular carcinoma. (A) 12-slice PEM mediolateral oblique view shows multi-lobulated irregular mass or group of masses spanning 3.2 cm (straight arrows) and scattered foci closer to the nipple (circle). (B) Sagittal T1-weighted contrast-enhanced subtraction MR image shows 3.2-cm irregular mass (arrow) with small enhancing foci more anteriorly (circle). At mastectomy, 3.0 cm of grade 1 invasive lobular carcinoma was found with lobular carcinoma in situ. More anterior foci of radiotracer uptake/MRI enhancement were due to sclerosing adenosis and fibroadenomas. One axillary node was metastatic.
Figure 2
Figure 2
45 year-old woman with invasive lobular carcinoma. (A) 12-slice PEM mediolateral oblique view shows multi-lobulated irregular mass or group of masses spanning 3.2 cm (straight arrows) and scattered foci closer to the nipple (circle). (B) Sagittal T1-weighted contrast-enhanced subtraction MR image shows 3.2-cm irregular mass (arrow) with small enhancing foci more anteriorly (circle). At mastectomy, 3.0 cm of grade 1 invasive lobular carcinoma was found with lobular carcinoma in situ. More anterior foci of radiotracer uptake/MRI enhancement were due to sclerosing adenosis and fibroadenomas. One axillary node was metastatic.
See this image and copyright information in PMC

References

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    1. Schilling K, Narayanan D, Kalinyak JE, et al. Positron emission mammography in breast cancer presurgical planning: comparisons with magnetic resonance imaging. Eur J Nucl Med Mol Imaging. 2011;38(1):23–36. - PMC - PubMed
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