CONTROVERSIES IN BREAST MRI

This article addresses some of the current controversies in breast mag netic resonance imaging (MRI), including (a) Is MR mammography a suita ble name for breast MRI? (b) Do we need another breast-imaging exam (I s mammography really that bad?)? (c) What is the best technique for MR I of the breast? (d) Is fat suppression necessary? (e) Is MRI more sen sitive than mammography for breast cancer detection? (f) Will MRI make a difference in patient outcome, and will it become a screening test? (g) What are the current indications for breast MRI? (h) Is MRI impor tant for evaluation of the postsurgical breast? and (i) Should patient s with radiographically dense breast undergo ''screening'' MRI?