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Breast Magnetic Resonance Imaging with Intravenous Contrast

Published: August 9, 2026Updated: August 16, 2026

MRI of the breast using intravenous contrast to create detailed images and help evaluate breast tissue, masses, and surrounding structures.

Quick summary

["This imaging test uses MRI and IV contrast to evaluate the breasts and identify suspicious tissue that may need further testing."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
36149-3
Short code
MR Brst W contr IV
Synonyms
MR Brst W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mr
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Breast MRI is an imaging test that uses strong magnetic fields and radio waves to create detailed pictures of the breasts. For this test, a gadolinium-based contrast material is given through a vein to help certain breast tissues appear more clearly.

Why might I need this test?

Breast MRI may be used to evaluate a lump, nipple discharge, or an area of concern found on mammography or ultrasound. It may also be used for people at higher risk of breast cancer, to look for cancer that is not visible on standard mammography, or to assess breast implants.

How is the test performed?

You will lie on a table inside the MRI scanner while images are taken. An IV line will be used to inject the contrast, and the scan usually includes images before and after the contrast is given. The procedure generally takes 30 to 60 minutes and is painless, although the scanner can feel confined and noisy.

How do I prepare for the test?

Tell the imaging team about all implants, metal medical devices, prior contrast reactions, kidney disease, and pregnancy or breastfeeding. Remove jewelry, hairpins, watches, and other items with metal. Follow the facility's instructions about medications and eating or drinking before the appointment.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal MRI findings can reflect a benign condition, such as a cyst or fibroadenoma, but some areas of enhancement or mass formation may be concerning for cancer. MRI results are interpreted by a radiologist and considered together with your medical history, examination, mammogram, ultrasound, and prior images. Additional imaging, follow-up, or a biopsy may be recommended.

Short name

Breast MRI with IV contrast

Frequently asked questions

Is breast MRI the same as a mammogram?
No. A mammogram uses low-dose X-rays, while breast MRI uses magnetic fields, radio waves, and IV contrast. The tests can provide different information and are sometimes used together.
Is the IV contrast used in breast MRI safe?
Gadolinium-based contrast is generally well tolerated, but rare allergic-like reactions and kidney-related concerns can occur. Tell the imaging team about prior contrast reactions, severe kidney disease, pregnancy, or breastfeeding before the scan.
Does breast MRI reliably show whether a lump is cancer?
MRI can identify and characterize suspicious areas, but an abnormal MRI does not always mean cancer. A biopsy or other follow-up may be needed to confirm the diagnosis.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy