Constance Lehman, MD, PhD, FACR, is Director of Breast Imaging and Co-director of AVON Breast Center at Massachusetts General Hospital in Boston.
She received her MD and PhD from Yale School of Medicine, and completed her residency and fellowship at University of Washington Medical Center.
1. American College of Radiology. Diagnostic Radiology:
Magnetic Resonance Imaging (MRI) Practice Parameters
and Technical Standards. Available at: http://www.acr.org/
2. Lakoma A, Kim ES, Minimally invasive surgical management
of benign breast lesions. Gland Surg, 2014 May; 3( 2) 142-148.
“The technologist said to send her over,
they could ;t her in between patients,”
Dr. Lehman says. “With a less than
10-minute exam, we can do that; with
a 45-minute to 1-hour exam, we often
As it turned out, the patient’s tumor
was responding and was almost
completely dissolved. “She had the
information she needed at the right
time and she left our center in a really
di;erent place, knowing she was going
home to her family to let them know
the treatment is working.”
The impact at MGH has been signi;cant,
from advancing patient care to
implementing change management.
Dr. Lehman says that it is important, as
with any change in technology, to make
sure everyone is trained, educated,
and on board with it, since it gives
the clinician the ability to visualize
breast tissue which may not be
imaged using other techniques such
as mammography or ultrasound. This
can aid in planning the next steps in
Figure 2. Isotropic voxel imaging with VIBRANT enables high-resolution multiplanar
reconstruction in any direction without loss of spatial resolution and in a scan
time of 2:04 min per acquisition. Shown here are (A) Sagittal post-contrast and
(B) maximum intensity projection reformat
Figure 1. The rapid breast imaging protocol at MGH incorporates a (A) Cube T2
fat suppressed, and a dynamic VIBRANT fat suppressed T1 series consisting of
a (B) pre, initial and (C) delayed post-contrast with a fat suppressed T1 image.