Revisiting the Role of MRI Breast in Detection, Treatment Planning and Follow-up of Breast Pathologies

Breast cancer remains the leading cancer among Indian women, with alarming incidence and mortality rates. Imaging modalities have become indispensable in screening, diagnosis, and post-treatment follow up. While mammography is the cornerstone, ultrasound complements its role in characterising suspicious lesions. Magnetic resonance imaging (MRI), although relatively newer, offers distinct advantages, especially in younger women, those with dense breasts, and high-risk individuals. It excels in detecting occult disease, assessing tumour extent, and evaluating treatment response. This article highlights the role of MRI in breast cancer management. It outlines indications for breast MRI, including screening high-risk women, staging, evaluation before and after neoadjuvant therapy, and assessing dense breasts. The optimal timing for MRI and the recommended protocol, involving pre- and post-contrast sequences, are discussed. MRI's ability to provide detailed anatomical information and functional data enhances its value in comprehensive breast care.