Dynamic breast magnetic resonance imaging without complications in a patient with dual-chamber demand pacemaker

F. Sardanelli, P. Lupo, A. Esseridou, A. Fausto, M. Quarenghi

Research output: Contribution to journalArticle

Abstract

Mammography and ultrasound indicated a cancer of the right breast in a 77-year-old woman with a dual-chamber demand pacemaker. The patient was not pacemaker-dependent. She underwent breast 1.5T magnetic resonance imaging (MRI) (dynamic gradient echo sequence with Gd-DOTA 0.1 mmol/kg). Before the patient entered the MR room, the configuration of the device was changed (the response to magnet was switched from asynchronous to off and the rate-responsive algorithm was disabled). No relevant modifications of heart rhythm or rate were observed during the MR examination. No symptom was reported. Immediately after the examination, the pacemaker interrogation showed neither program changes nor alert warnings. MRI detected a bifocal cancer in the right breast which allowed tailored breast-conserving treatment to be initiated. Histopathology confirmed a bifocal invasive ductal carcinoma.

Original languageEnglish
Pages (from-to)24-27
Number of pages4
JournalActa Radiologica
Volume47
Issue number1
DOIs
Publication statusPublished - Feb 1 2006

Keywords

  • Breast cancer, local staging
  • Breast cancer, MR imaging
  • Mr imaging, contraindications
  • MR imaging, safety
  • Pacemaker, MR imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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