Ferreira Samuel Silva, Campos Adriene Moraes, Fernandes Patrícia Lima, Pereira Izabela Machado, Rodrigues Flavia Maria, Victor Antônio Fernando Braga Ferreira, de Paula Ivie Braga
Hospital Felício Rocho - Radiologia, Belo Horizonte, MG, Brazil.
FAME - Faculdade de Medicina de Barbacena, Barbacena, MG, Brazil.
Radiol Bras. 2021 Mar-Apr;54(2):83-86. doi: 10.1590/0100-3984.2019.0114.
To describe the indications for breast magnetic resonance imaging (MRI) at a referral center for breast cancer in Brazil.
This was a retrospective study in which we reviewed the clinical records, including physician requests and patient questionnaires, of women who underwent breast MRI between 2014 and 2018 at a referral center for the diagnosis and treatment of breast cancer in the city of Belo Horizonte, Brazil.
The most common indication for breast MRI was as a complement to mammography/ultrasonography (in 43.6% of cases), followed by breast cancer staging (in 25.1%), the screening of patients at high risk (in 17.4%), the evaluation of breast implants (in 10.1%), and the evaluation of the response to neoadjuvant chemotherapy (in 3.8%).
Although there is strong evidence supporting the use of breast MRI, mainly for the screening of high-risk patients, the imaging method is underutilized in Brazil.
描述巴西一家乳腺癌转诊中心乳腺磁共振成像（MRI）的应用指征。
这是一项回顾性研究，我们查阅了2014年至2018年间在巴西贝洛奥里藏特市一家乳腺癌诊断与治疗转诊中心接受乳腺MRI检查的女性的临床记录，包括医生申请和患者问卷。
乳腺MRI最常见的应用指征是作为乳房X线摄影/超声检查的补充（43.6%的病例），其次是乳腺癌分期（25.1%）、高危患者筛查（17.4%）、乳房植入物评估（10.1%）以及新辅助化疗反应评估（3.8%）。
尽管有强有力的证据支持使用乳腺MRI，主要用于高危患者的筛查，但该成像方法在巴西未得到充分利用。
