Dr Fleur Kilburn-Toppin is Director of Breast Screening and a Consultant Radiologist in the Cambridge, having graduated from Cambridge University in 2006. She is a Fellow, Medical Lecturer and Director of Studies in both Anatomy and Clinical Medicine at St John’s College, University of Cambridge and is the Sub-Specialty Training lead for Breast imaging for the East of England Imaging Academy Health Education England. She is on the Executive Board and Educational committee for the European Society for Breast imaging and is an examiner for the European Diploma in Breast Imaging. She is the current Chair for the E-Learning editorial board for the European Congress of Radiology.
Her research interests are on a variety of aspects of breast imaging, and she has published on a range on breast imaging topics and written multiple book chapters on breast imaging. She is on the Editorial board for Acta Radiologica and has advised on national and international guidelines for breast imaging, including the ECR referral Guidelines Subcommittee. Dr Kilburn-Toppin was the Visiting Professor for the Royal College of Radiology and British Society of Breast Radiology in 2023.
Title: Pre-operative MRI and DCIS
Pre-operative MRI in patients with breast cancer remains a controversial issue, with variable indications in international guidelines, including multifocality, lobular cancer, younger age and occult malignancy on mammography. Whilst MRI is superior to mammography and ultrasound for assessment of tumour size, as well as better detection of additional lesions, it’s use has been queried as to whether it improves patient outcomes or simply leads to more mastectomies. Similarly, whilst MRI is more sensitive than mammography for the detection of DCIS, clinical use of preoperative MRI for DCIS remains variable, and is currently not recommended in most guidelines. In this talk the evidence for pre-operative staging with MRI in different patient groups including DCIS will be discussed, along with a review of the long term outcome effects.