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Preoperative assessment of tumour extent is crucial in the management of breast cancer. MRI is currently indicated in cases of invasive lobular carcinoma on histology, a dense breast parenchymal pattern on 2D digital mammography (2DDM) or if there is a discrepancy between the clinical and radiological extent of disease. We compared the imaging characteristics of multifocal breast cancers on MRI, digital breast tomosynthesis (DBT), ultrasound and 2DDM to demonstrate the accuracy of each modality in the assessment of multifocal cancers.

Comparison of MRI and digital breast tomosynthesis in the preoperative evaluation of multifocal breast cancer