Why is breast MRI so controversial?

Advances in dynamic contrast-enhanced (DCE) breast MRI over the past decade have led to significant improvements in the detection of early breast cancer and higher accuracy in the detection of multifocal and multicentric disease. This has resulted in the increased application of breast MRI in the diagnosis and management of breast cancer globally. Nonetheless, the true role of DCE breast MRI in the management of breast cancer patients remains controversial. This article discusses the strengths and limitations of DCE breast MRI by reviewing existing and emerging data from the past decade.