What is the role of MRI in assessing breast abnormalities?

The role of MRI in assessing breast abnormalities is primarily as a complementary tool for complex cases. MRI is particularly valuable for evaluating breast tissue, especially in situations where mammography and ultrasound results may be inconclusive or where there are specific concerns about the extent of disease, such as in cases of known breast cancer.

This imaging modality provides excellent contrast resolution in soft tissues, enabling detailed visualization of breast anatomy and potential abnormalities, including the detection of additional lesions that may not be visible through traditional imaging methods. It is especially useful for assessing multifocal or bilateral disease, as well as in high-risk populations where the dense breast tissue may obscure findings on other imaging modalities.

MRI is not intended to replace traditional methods such as mammography or ultrasound, nor can it serve as a definitive diagnostic tool on its own. While it provides critical information that can aid in treatment planning, biopsy and histological analysis remain necessary for diagnosis. Furthermore, MRI is not used as a routine screening method due to factors such as cost, accessibility, and the need for specialized equipment, making it best suited for specific scenarios where further evaluation is warranted.