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Fig. 1 | Insights into Imaging

Fig. 1

From: How to use the Kaiser score as a clinical decision rule for diagnosis in multiparametric breast MRI: a pictorial essay

Fig. 1

Multiparametric bMRI protocol. A full triparametric bMRI protocol can be acquired in 15 min of magnet time. Patient preparation, including venous catheter placement, should be done outside the scanner room. The (recommended) axial protocol starts with precontrast T2w-TSE, DWI, and STIR (optional) sequences. Here, a mass lesion in a 47-year-old patient with perifocal oedema and central necrosis is easily depicted. Dynamic scanning should include 4–5 min of post-contrast acquisition. The example demonstrates a type III curve, and the resulting Kaiser score is 8 (see Fig. 6), highly suggestive of malignancy. Histopathology revealed an invasive ductal cancer G3

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