77047 Magnetic resonance imaging, breast, without contrast material; bilateral

Name of the Procedure:

Magnetic Resonance Imaging (MRI) of the Breast, Without Contrast Material; Bilateral

Summary

This procedure is a type of imaging test that uses magnetic fields and radio waves to create detailed images of both breasts. Unlike other MRI procedures, this one is done without the use of a contrast dye.

Purpose

The MRI of the breast is primarily used to identify any anomalies or abnormalities within the breast tissue. It is especially helpful in detecting breast cancer or other breast-related conditions such as cysts, fibroadenomas, or infections. The main goal is to obtain high-resolution images to aid in diagnosis and guide treatment decisions.

Indications

• Family history of breast cancer
• Previous breast biopsy showing high-risk lesions
• Dense breast tissue not clearly visible on a mammogram
• Unexplained pain or lump in the breast
• Screening for breast cancer in women at very high risk

Preparation

• Wear comfortable clothing without metal fasteners or zippers.
• Remove all jewelry and metal objects.
• Inform the radiologist of any implants, pacemakers, or other metal devices.
• No fasting or specific dietary restrictions are required.

Procedure Description

1. The patient will lie face down on a specially designed MRI table.
2. The breasts will be positioned into two openings on the table.
3. The table slides into the MRI machine, a large tube surrounded by a circular magnet.
4. The patient must remain still while the machine takes multiple images.
5. The entire imaging process is monitored from a control room.

Duration

The procedure typically takes about 30 to 45 minutes.

Setting

The MRI procedure is performed in a hospital radiology department or an outpatient imaging facility.

Personnel

• Radiologist: Interprets the MRI images.
• MRI Technologist: Operates the MRI machine.
• Support staff: Assist with patient preparation and comfort.

Risks and Complications

• Minor discomfort due to lying still for a prolonged period.
• Rare cases of feeling claustrophobic inside the MRI machine.
• Slight risk for patients with implanted electronic devices.

Benefits

• Non-invasive and painless procedure.
• Provides detailed images of breast tissue.
• Helps in early detection and accurate diagnosis of breast conditions.

Recovery

• No specific recovery time is required.
• Patients can resume normal activities immediately after the procedure.
• A follow-up appointment may be scheduled to discuss the results.

Alternatives

• Mammography: Good for initial screening but less detailed images.
• Ultrasound: Helpful for examining specific areas, especially in dense breasts.
• Contrast-Enhanced MRI: Provides more detailed images but requires the use of a contrast agent.

Patient Experience

During the procedure, patients might feel a slight vibration and hear loud tapping or thumping noises from the MRI machine. Earplugs or headphones are usually provided for comfort. It's important to stay as still as possible during the imaging process to ensure clear, accurate images.