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Breast Magnetic Resonance Imaging (MRI) – Patient Information

What is this examination?

Magnetic Resonance Imaging (MRI) of the breasts is a safe, painless, and non-invasive imaging method that uses a magnetic field and radio waves (it does not use X-rays) to create detailed images of the breast tissue.

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When is Breast MRI Recommended?

Breast MRI may be prescribed in the following cases:

  • For women at high risk of breast cancer (e.g., family history, genetic mutations such as BRCA1/2)

  • To determine the size and extent of an already diagnosed cancer

  • For follow-up after breast cancer treatment

  • To evaluate breast implants – to detect possible damage or rupture

  • To clarify uncertain or inconclusive results from other imaging methods (ultrasound, mammography); in cases of occult breast cancer (patients with breast cancer metastases but negative mammography and ultrasound findings)

How is the Examination Performed?

  • The procedure takes approximately 30–45 minutes

  • You will lie on your stomach, with your breasts positioned in a special coil designed for the examination

  • You must remain completely still during the scan

  • You will hear noises from the MRI machine – earplugs or headphones are usually provided for your comfort

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Is Contrast Agent Necessary?

Yes. To distinguish between benign and malignant conditions, the use of an intravenous contrast agent based on gadolinium is required.
The only exception is when the examination is performed solely to evaluate the integrity of breast implants.


What Are the Contraindications for MRI?

Absolute Contraindications:

  • Presence of metallic implants in the body that are not MRI-compatible

  • Presence of pacemakers, implanted defibrillators, or neurostimulators that are not MRI-compatible

Relative Contraindications:

  • Claustrophobia (the procedure may be performed under sedation if necessary)

  • Tattoos or permanent makeup – they may contain metallic particles that can cause a burning sensation (rarely)

  • Patients with kidney failure – due to the use of intravenous contrast material

  • Pregnancy – especially during the first trimester

When Is the Best Time for the Examination?

  • Premenopausal women:
    The optimal time for MRI is between the 7th and 14th day of the menstrual cycle.

  • Postmenopausal women:
    The examination can be performed at any time.


Should Previous Examinations Be Brought?

Yes. For a more accurate interpretation of the results, you should bring any previous imaging studies – mammography, ultrasound, or prior MRI scans, as well as documentation of breast interventions, previous biopsies, and histological results.
Of particular importance is documentation from surgical procedures, including details about the type and extent of the operation, histological tumor type, and postoperative course.

Providing these helps the radiologist to:

  • Increase the accuracy of the examination

  • Detect changes over time

  • Determine whether a finding is new, growing, or stable

  • Avoid misinterpretations


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