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Fig. 2 | Insights into Imaging

Fig. 2

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

Fig. 2

Standardised hanging protocol/reading layout for a two-screen solution. Standardised hanging protocols decrease the reading time and increase diagnostic confidence while reducing potential sources of errors. All series should be linked, allowing simultaneous scrolling and zooming. This example shows a 44-year-old high-risk patient. A: ADC map; B: high b-value DWI image; C: pre-contrast T1w (here with superimposed colour-coded enhancement map indicating dominant wash-out, coded in red); D: T2w-TSE; E/F: early contrast-enhanced scan with corresponding subtraction; G/H: delayed contrast-enhanced scan with corresponding subtraction within the dynamic series (E–H); the same windows and centre setting should be used. This step should be performed for subtracted and non-subtracted images separately. An incidental lesion of 5 mm in size is present in the right breast, showing homogeneous enhancement (E, F), followed by early and central wash-out (C, G, H). Intermediate T2w-signal [D, no restricted diffusivity (A, B)]. The lesion corresponds to a Kaiser score of 4 (see Fig. 6); MRI-guided biopsy revealed a benign adenosis B2

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