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Aetna considers magnetic resonance imaging (MRI), with or without contrast materials, of the breast medically necessary for members who have had a recent (within the past year) conventional mammogram and/or breast sonogram, in any of the following circumstances where MRI of the breast may affect their clinical management: For individuals who received radiation treatment to the chest between ages 10 and 30 years, such as for Hodgkin disease, Wilm's tumors; or To assess tumor location, size, and extent before and/or after neoadjuvant chemotherapy in persons with locally advanced breast cancer, for determination of eligibility for breast conservation therapy; or To detect implant rupture in symptomatic members; or To detect suspected local tumor recurrence in members with breast cancer who have undergone mastectomy and breast reconstruction with an implant; or To detect local tumor recurrence in individuals with breast cancer who have radiographically dense breasts or old scar tissue from previous breast surgery that compromises the ability of combined mammography and ultrasonography; or To detect the extent of residual cancer in the recently post-operative breast with positive pathological margins after incomplete lumpectomy when the member still desires breast conservation and local re-excision is planned; or To guide localization of breast lesions to perform needle biopsy when suspicious lesions exclusively detected by contrast-enhanced MRI can not be visualized with mammography or ultrasonography; or To localize the site of primary occult breast cancer in individuals with adenocarcinoma suggestive of breast cancer discovered as axillary node metastasis or distant metastasis without focal findings on physical examination or on mammography/ultrasonography; or To map the extent of primary tumors and identify multi-centric disease in persons with localized breast cancer (stage I or II, T0-1 N0-1 M0) prior to surgery (lumpectomy versus mastectomy); or Contralateral breast examination for members with breast malignancy; or Lesion characterization (nipple retraction, Unilateral drainage from the nipple that is bloody or clear) when all other imaging examinations, such as ultrasound and mammography, and physical examination are inconclusive for the presence of breast cancer , cited: Visualization Methods in High Performance Computing and Flow Simulation: Proceedings of the International Workshop on Visualization, Paderborn http://biomagno.com/ebooks/visualization-methods-in-high-performance-computing-and-flow-simulation-proceedings-of-the.

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