What if no enhancement is seen after the contrast agent is injected?
The negative predictive value of RODEO Breast MRI is over 95%. This means
that if nothing "lights up," or enhances, there is no abnormality in your
breast.
Will I have just one or both breasts examined
(unilateral or bilateral exam)?
Although many women will be concerned about both breasts, there is a tradeoff
in the convenience of only one visit versus greatly improved resolution and
image quality (bigger, better pictures) by looking at only one breast at a
time. As each image obtained represents a very thing segment of tissue (<2mm),
this superior image quality offsets the inconvenience of a second exam by
providing the ability to detact small abnormalities (<5mm), which would be
missed if both breasts were studied at the same time.
Does RODEO Breast MRI replace mammography?
Although RODEO Breast MRI may provide information that is not seen on
mammography, it is NOT a replacement for mammography, clinical, or self breast
exams. Rather, the information from RODEO Breast MRI should be used in
addition to the other information your doctor has available to make treastment
decisions.
Who is a candidate for RODEO Breast MRI?
Usually, candidates are women who have already been diagnoses with breast
cancer, or have a suspicious mass, based on results of mammography,
sonography, or clinical examination. RODEO Breast MRI can be used to help
determine if breast conservation surgery (lumpectomy) is the appropriate
treatment, or if mastectomy is indicated, based on the amount of cancer
demonstrated by the MRI procedure.
Other candidates are women with large tumors (or tumors extending to the skin
or chest wall) who may have chemotherapy to reduce the size of their tumor
before surgery. This is know as "neoadjuvant chemotherapy." These women
would have a RODEO Breast MRI before their first, during, and after their last
chemotherapy treatment to see if the treatment is working, and if so, how much
their tumor has shrunk.
A woman may also be a candidate if she has dense breasts, scar tissue from
previous breast surgery, or implants. These factors may prevent mammography
from providing adequate or complete information about her breasts.
Are there disadvantages to RODEO Breast MRI?
Some normal and benign breast tissue (such as fibroadenomas) can sometimes
"light up," or enhance. Such false positive results may cause some anxiety
for you, and it may be necessary to get a sample of tissue from the
questionable area to determine the exact nature of the tissue.
RODEO Breast MRi is a costly procedure, approximately fifteen times that of a
mammogram. It is very important for your doctor to check with your insurance
company to make sure they will cover the cost of the exam. Generally, if
there is a legitimate medical indication, most companies will cover at least a
portion of the cost. However, it is very important to make sure of the
coverage prior to scheduling an appointment for the procedure.
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