Although breast magnetic resonance (MR) imaging was initially hindered by the limited availability of coils, protocols, and particularly breast biopsy devices, standardized imaging and specialized equipment necessary to perform high-quality MR imaging of the breast is now readily available. Those performing breast MR imaging should also be capable of performing biopsies, or at least have a close association with a facility that does. Optimal management of patients requires a good understanding of the indications and technique of breast MR imaging biopsies. In this article the indications for breast MR interventional procedures along with the techniques used are described. In addition, the histologic process encountered and recommended strategies for patient management are discussed.
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