Making visible what hides in dense tissue.
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The most sensitive method of breast imaging. Calmly and with time.
Especially in dense breast tissue, mammography reaches its limits – dense tissue and tumour both appear white. Contrast-enhanced MRI is the most sensitive imaging method of the breast and reveals even small changes – without X-rays, without compression.
A newly palpable lump, discharge or blood from the nipple, skin changes or a new change in shape – please do not delay diagnostic work-up. Contact your gynaecologist or come to us directly. MRI is considered the most sensitive method of breast imaging.⁸
In cases of familial or genetic predisposition (e.g. BRCA1/2), contrast-enhanced breast MRI is an internationally recommended part of early detection.¹
When mammography or ultrasound leave questions open, MRI provides clarity – often the decisive step before further measures such as a biopsy are considered.
MR mammography with dynamic contrast administration is one examination – and one of the safest and gentlest examination procedures for the breast: without X-rays, without compression. Via the perfusion behaviour of the tissue it achieves the highest sensitivity of all breast imaging methods.
Dense glandular tissue appears white on X-ray – just like a tumour. MRI is independent of tissue density and shows changes where mammography reaches its limits.
Tumour tissue forms additional vessels and takes up contrast agent in a characteristic way – the dynamic measurement makes this behaviour visible. Complemented by diffusion-weighted imaging (DWI with ADC map)², which captures differences in tissue density, together they form the basis of the high sensitivity.
MRI works with magnetic fields instead of ionising radiation – and does without compressing the breast.
Every examination is assessed in a structured way according to the international standard (BI-RADS) – with clear classification and a comprehensible recommendation for the next steps.
With silicone-selective special sequences, implants can be assessed specifically: MRI is regarded as the gold standard for detecting a rupture – including the “silent”, inward-facing kind – as well as silicone that has escaped into the tissue and accompanying foreign-body reactions.³
The fear of the finding is often greater than the finding itself.
Conveniently online or by phone – you receive an appointment promptly through our friendly reception.
The scan is performed in a modern, open and short MRI – comfortable even with claustrophobia. The contrast agent is given via an arm vein.
You receive a detailed report and a personal discussion of the next steps.
Physicist and radiologist – combining medical and technical expertise for precise imaging and personal care.
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Breast cancer is the most common cancer in women: about one in eight women develops it in her lifetime, and around 75,000 new cases and about 18,500 deaths are registered each year.⁴ Decisive for the prognosis is how early a change is detected: below one centimetre in size it is considered a local process with a very good outlook.⁵ This is exactly where contrast-enhanced MRI is strong – it is the most sensitive imaging method of the breast and, through the perfusion behaviour, makes even small tumours visible that remain hidden in mammography in dense tissue.⁶ For a proven high risk it is internationally recommended as a preventive method.¹ Important: statutory mammography remains the established screening method with a proven reduction in mortality – MRI complements it where its sensitivity makes the decisive difference. For context: as feared as breast cancer is, cardiovascular disease is the most common cause of death in women and, at a good third of all deaths, claims more lives than all cancers combined.⁷ Whether MR mammography makes sense in your case is something we clarify together and in coordination with your gynaecologist.
Studies show how large the difference is: in very dense breast tissue, X-ray mammography detects only about half of all tumours (48 %), whereas in fatty tissue it detects almost all (98 %).⁹ In the German EVA trial in women at increased familial risk, MRI found 93 % of cancers, mammography 33 % and ultrasound 37 %.¹⁰ In the Dutch DENSE trial, supplemental MRI in very dense breasts halved the number of cancers occurring between two screening rounds (2.5 instead of 5.0 per 1,000 examinations).¹¹ The flip side of this high sensitivity: MRI also finds more benign changes that need further work-up – which is why it belongs in experienced hands.