Breast MRI Midtown Manhattan Boob MRI Scan in New York City

Women experience breast changes when they lose or gain weight, and sometimes breasts change for no obvious reason. Age, hormonal levels, and medicines can cause lumps, bumps, and discharges. Minor and serious breast problems have similar symptoms. If you have a breast lump, pain discharge, or skin irritation, it is essential to consult your healthcare provider.   

Breast disorders can be noncancerous and benign or cancerous and malignant. Most breast problems are noncancerous, non-life-threatening and do not require treatment. However, breast cancer needs prompt treatment and may involve surgery or other intensive treatment. Rarely do men develop breast cancer, but they should be aware of changes in or around their nipples.

Potential problems can often be detected early with the help of regular breast examinations with your physicians, mammograms as recommended, and MRI. An MRI can give your doctor information about your breasts, chest wall, and underarms.

What Is a Breast MRI?

Anatomy of The Female BreastMagnetic resonance imaging (MRI) is a diagnostic exam that uses a large magnet, radio waves, and a computer to produce three-dimensional, detailed images of structures inside the breast.

A breast MRI looks specifically at the breast and helps physicians determine what the inside of the breast looks like without having to do surgery or flatten the breast, as in a mammogram. A breast MRI can offer more information about the extent of breast cancer than is possible with a mammogram alone. When used with mammography and breast ultrasound, an MRI can be a useful diagnostic tool and help in detecting small breast lesions, which are often missed by mammography. It can show the extent of the cancer or an issue with the other breast.

It also helps discover breast cancer in women with breast implants and in younger women with dense breast tissue when mammography is not so effective. MRI tells the difference between diseased tissues and normal tissues better than X-ray, CT scan, and ultrasound and enables physicians to monitor treatment progress.

When Do You Need a Breast MRI?

A breast MRI can be used in different situations.

They include:

  • Screening for breast cancer – Along with a mammogram, a screening breast MRI is recommended for women at high risk for breast cancer to gather more information about something that looks unusual in the breast and determine if a biopsy is needed.
  • To examine breasts in case of breast cancer symptoms – When breast ultrasound and mammogram tests are not clear, a breast MRI can identify abnormal lymph nodes to help stage breast cancer and confirm the diagnosis based on symptoms or exam findings.
  • To determine the extent of breast cancer – A breast MRI can help determine the exact size and location of the breast cancer in case of confirmed diagnosis, look for other tumors in the breast, and check for tumors in the other breast.
  • To check for silicon breast implant leaks – A breast MRI can check for implant leaks or ruptures in women with silicone breast implants, but it is not suitable for saline breast implants.
  • To guide doctors for biopsy – A biopsy is the only way to know for sure if a suspicious area of breast tissue contains cancer. Breast MRI can help guide the positioning of the needle during the biopsy of the breast.

Your doctor may ask for a breast MRI if you have a family history of breast cancer, have had radiation treatment to the chest between the ages of 10 and 30 such as for treatment of Hodgkin disease, genetic disorders such as Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley-Ruvalcaba syndrome or have a first degree relative with the syndrome.

Breast MRI is also ordered to find out how well chemotherapy and other treatments are working. When chemotherapy is started before the breast cancer surgery, an MRI can determine how well the chemotherapy is working to shrink the tumor. One breast MRI test may be done at the beginning, and the other may be done at the middle or end of the chemotherapy treatment.

How to Prepare for a Breast MRI?

Breast MRI Machine
  • No special preparation is required for a breast MRI, but you must follow your doctor’s instructions to get as accurate results as possible.
  • Take off all the piercings and jewelry and leave them at home along with other valuables. No metal object is allowed in the scanning room.
    Avoid putting on makeup, perfume, deodorant or antiperspirant on the day of the scan as they may contain metal which can interfere with image quality.
  • Breast MRI is most often done while you are lying on your belly with your arms above your head inside a long, narrow tube. If you cannot lie like this for some time due to any medical or health condition, let the technologist know.
  • You may continue to eat, drink and take your medications unless your doctor asks you to stop eating and drinking some time before the MRI.
  • If you are scared of enclosed spaces, have anxiety, or find the idea of lying still on your chest for some time uncomfortable, inform your doctor. They will prescribe an anti-anxiety medication or relaxant to help you feel sleepy and less stressed during the test.
  • Tell your doctor if you are pregnant or suspect you may be pregnant. Usually, MRIs are not recommended during pregnancy, particularly during the first trimester, due to concerns that the contrast dye may pose a risk to the fetus.
  • Plan on arriving at least 15 minutes before your scheduled time so you can fill the forms and prepare for the scan.

Metal and electronic devices are not allowed in the room as they can interfere with the magnetic field of the MRI unit, cause burns, and get damaged.

Inform your doctor if you have any of the following in your body:

  • Heart pacemaker/defibrillator
  • Electronic or implanted stimulators or devices, such as a vagus nerve stimulator
  • Cochlear or other ear implants
  • Aneurysm clips and coils
  • Stents
  • Insulin pumps
  • Filters, such as blood clot filters
  • Metal fragments in your body or eye, such as bullets, metal shrapnel, shavings, etc.

Your MRI may have to be rescheduled or canceled if you fail to provide correct information regarding the type of devices or certain metals in your body.

What Happens During a Breast MRI?

  • You will have to take off all your clothes, change into a loose gown, and remove your eyeglasses, watch, hairpins, and any removable denture work or hearing aid.
  • The MRI machine is large, tube-shaped, and open on both ends. For an MRI, your breasts will be placed into the breast coil, which is like a special padded bra. This coil works with the MRI machine to create images of your breasts. You may feel a slight pressure on your breasts, but this is to keep them from moving, otherwise the images may be blurry. Your breasts will be completely covered during the examination. The table then slides into the machine.
  • The technologist will be in an adjoining room where the scanner controls are located. However, they will be able to see you through a window. Speakers inside the scanner enable the technologist to communicate with and hear you. There is also a call button that you can use to let the technologist know if you have any problems during the procedure or want to pause.
  • A breast MRI usually requires the use of contrast as it improves the clarity of the images of the breast’s internal structures and helps radiologists look for abnormalities such as inflammation, tumors, and other issues better. An IV line will be started in your hand or arm in which the contrast dye is injected.
  • The MRI machines are noisy and make a lot of thumping, and clicking noises when they scan. This is normal as the metal switches on and off. You will be provided earplugs to block the noise, or you can get headphones and listen to music during the scanning process.
    You may be asked to hold your breath for a few seconds or keep very still during certain parts of the test so that your technologist can obtain high-quality images.
  • Breast scanning takes about 30 to 45 minutes or more, depending on how many images are required and what your radiologist is looking for. Hundreds of images of the breast are produced, cross-sectional in all three directions, side to side, top to bottom, and front to back, so that the radiologist can study them in detail.  You may have to wait while the pictures are checked to see if more are needed.
    Once the MRI is complete, you can get up from the table. If an IV line is hooked for contrast, it will be removed.

An MRI is a simple diagnostic test that does not cause any pain. The only problem you may face is lying on your stomach while the scan takes place.

What Happens After an MRI?

There is no post-MRI care. However, it is best to move slowly when you are getting up from the table to avoid any dizziness or lightheadedness from lying still for the procedure.

If you were given a relaxant or anti-anxiety medication for the procedure, you may be required to rest until its effects have worn off. You will need someone to drive you home.  Some people have a reaction to the contrast dye used for the scan, such as itching, swelling, rash, or difficulty breathing. They are usually mild and can be managed with medication.

You can resume your diet, medication, and routine activities unless your doctor has advised otherwise. However, if your exam was an MRI breast biopsy, you will be provided further instructions.  Nursing mothers can choose not to breastfeed for 12 to 24 hours after a breast MRI with contrast. Drinking lots of water helps to flush the contrast out of your bloodstream.

If you notice any pain, redness, or swelling at the IV site after you return home, call your doctor as this could be a sign of an infection or other reaction.  Your doctor may provide additional or alternate instructions, depending on your situation or medication condition.

Results and Follow-up

After the scan is over, a specialized doctor, called a radiologist will review and interpret the images taken and create a formal report. This report is then sent to your referring doctor, and they will share the test results with you. You can also access your report and images online or have them transferred on a CD for your record.

It is necessary to schedule an appointment with your doctor so they can explain what the results mean and plan the next step in your care. Depending on whether you got a breast MRI for screening purposes, diagnostic purposes, or to evaluate known cancer, your report may look different. Your doctor will help you understand what it indicates.

Radiologists use a system called the Breast Imaging Reporting and Database System, or BI-RADS, to report what they find on a breast MRI mammogram or an ultrasound. This system sorts the results into categories numbered 0 through 6 and helps describe what was found on a breast exam.

Risks Associated With a Breast MRI?

An MRI exam does not pose any risk to the average patient when proper safety guidelines are followed, but there may be risks depending on your medical history or health condition.

  • There is a risk of excessive sedation if you took an anti-anxiety medication. The staff will keep an eye out to minimize this risk and make sure you are back to normal before you leave.
  • The strong magnetic field is not harmful to you, but it may cause implanted medical devices to malfunction or distort the images.
  • The doctor will assess your kidney function before administering the dye. If you have a kidney disease or poor kidney function, the contrast can lead to serious reactions or complications.

A breast MRI is a non-invasive procedure that has proven valuable in detecting and staging breast cancer, particularly when other imaging studies fail to provide adequate information. Understanding what it involves and how to prepare for the scan makes the process less intimidating and helps you go through it smoothly.

Does your doctor suspect something unusual in your breast and want to further examine the area with an MRI? If yes, call Manhattan MRI today and schedule a scan to get screened for and diagnose breast cancer and other breast abnormalities. Our specialists offer the highest quality scanning services that focus on irregularities of your breast tissue and identifying your condition accurately to make the best decisions regarding your health.

(212) 401-0097