Name of the Procedure:

Magnetic Resonance Imaging (MRI) Without Contrast, Breast; Bilateral (C8907)

Summary

This procedure uses magnetic waves, rather than X-rays, to create detailed images of both breasts. It is non-invasive and does not require the injection of contrasting agents.

Purpose

The goal of this MRI is to detect any abnormalities or potential issues such as tumors, cysts, or other changes in the breast tissue. It helps in early diagnosis and treatment planning for breast cancer or other breast conditions.

Indications

This imaging is typically indicated for patients who:

• Have dense breast tissue that makes mammograms less effective
• Have a high risk of breast cancer due to family history or genetic factors
• Show symptoms like nipple discharge or unexplained lumps
• Need further evaluation of abnormalities found in other imaging tests

Preparation

Patients are usually advised to:

• Remove all metal objects, including jewelry and watches
• Inform the technician about any implants or metal devices within their body
• Wear comfortable clothing and may need to change into a hospital gown
• Inform the doctor if they are claustrophobic, as mild sedation might be required

Procedure Description

1. The patient lies face down on a padded platform with openings for the breasts.
2. The platform slides into the MRI machine.
3. The MRI machine generates images using magnetic fields and radiofrequency waves.
4. Patients must remain still and may hear tapping or thumping sounds during the scan.

No anesthesia or sedation is typically necessary unless the patient has severe anxiety or claustrophobia.

Duration

The procedure usually takes about 30 to 60 minutes.

Setting

Magnetic Resonance Imaging is performed in a specialized radiology department, typically within a hospital, imaging center, or outpatient clinic.

Personnel

The procedure is conducted by:

• A radiology technologist who operates the MRI machine
• A radiologist who interprets the images and provides a diagnosis

Risks and Complications

While MRI is generally safe, some potential risks include:

• Discomfort from lying still for a prolonged period
• Claustrophobic feelings
• Rare allergic reactions to materials in the MRI environment (not the imaging itself)

Benefits

• Provides detailed and clear images of breast tissue
• Non-invasive with no exposure to radiation
• Helps in early detection and treatment planning

Recovery

• No recovery time is needed; patients can resume normal activities immediately after the procedure.
• Follow-up appointments may be scheduled to discuss the results with a healthcare provider.

Alternatives

• Mammograms: Effective for general breast screening but less so in dense breast tissue.
• Ultrasound: Useful for targeting specific areas, particularly in dense breasts.
• Contrast-enhanced MRI: Can provide more detail but involves injecting a contrast agent.

Patient Experience

During the MRI, the patient might feel a sense of confinement. Although the process is painless, lying still for the duration can be uncomfortable. Patients should communicate any discomfort to the technician. Post-procedure, there are no lingering effects, and normal activities can be resumed immediately.