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The number of data points collected in one, two or all three directions. Normally used for the 2D in plane sampling. The display matrix may be different from the acquisition matrix, although the latter determines the resolution. Measurement time may be saved by not acquiring raw data lines corresponding to high resolution. Not measured rows are filled with zeroes prior to the image calculation. A square image is the result of an interpolation in phase encoding direction.
See also Zero Filling.
Image Guidance
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(MR mammography) Magnetic resonance imaging of the breast is particularly useful in evaluation of newly diagnosed breast cancer, in women whose breast tissue is mammographically very dense and for screening in women with a high lifetime risk of breast cancer because of their family history or genetic disposition.
Breast MRI can be performed on all standard whole body magnets at a field strength of 0.5 T - 1.5 Tesla. Powerful gradient strengths over 15 mT/m will help to improve the balance between spatial resolution, scanning speed, and volume coverage. The use of a dedicated bilateral breast coil is obligatory.
Malignant lesions release angiogenic factors that increase local vessel density and vessel permeability. Breast cancer is detectable due to the strong enhancement in dynamic breast imaging that peaks early (about 1-2 min.) after contrast medium injection. If breast cancer is suspected, a breast biopsy may be necessary to secure the diagnosis. See also Magnetic Resonance Imaging MRI, Biopsy and MR Guided Interventions.
Requirements in breast MRI procedures:
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Both breasts must be measured without gaps.
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For the best possible detection of enhancement fat signal should be eliminated either by image subtraction or by
spectrally selective fat saturation.
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Thin slices are necessary to assure absence of partial
volume effects.
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Imaging should be performed with a spatial
resolution in plane less than 1 mm.
For Ultrasound Imaging (USI) see Breast Ultrasound at Medical-Ultrasound-Imaging.com.
See also the related poll result: ' MRI will have replaced 50% of x-ray exams by' | | | | | | | | | | | • View the DATABASE results for 'Breast MRI' (13).
| | | • View the NEWS results for 'Breast MRI' (41).
| | | | Further Reading: | | Basics:
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News & More:
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Technology advances in breast cancer screenings lead to early diagnosis Friday, 6 October 2023 by ksltv.com | | |
Are synthetic contrast-enhanced breast MRI images as good as the real thing? Friday, 18 November 2022 by healthimaging.com | | |
Abbreviated breast MRI protocols not as cost-effective as promised, new study shows Wednesday, 20 July 2022 by healthimaging.com | | |
Deep learning poised to improve breast cancer imaging Thursday, 24 February 2022 by www.eurekalert.org | | |
Pre-Operative Breast MRI Can Help Identify Patients Likely to Experience Nipple-Sparing Mastectomy Risks Wednesday, 7 April 2021 by www.diagnosticimaging.com | | |
Breast cancer screening recalls: simple MRI measurement could avoid 30% of biopsies Monday, 1 March 2021 by www.eurekalert.org | | |
A Comparison of Methods for High-Spatial-Resolution Diffusion-weighted Imaging in Breast MRI Tuesday, 25 August 2020 by pubs.rsna.org | | |
Pre-Operative Breast MRI Diagnoses More Cancers in Women with DCIS Thursday, 9 July 2020 by www.diagnosticimaging.com | | |
Breast MRI and tumour biology predict axillary lymph node response to neoadjuvant chemotherapy for breast cancer Thursday, 26 December 2019 by cancerimagingjournal.biomedcentral.com | | |
Breast MRI Coding Gets an Overhaul in 2019 Wednesday, 9 January 2019 by www.aapc.com | | |
How accurate are volumetric software programs when compared to breast MRI? Thursday, 27 July 2017 by www.radiologybusiness.com | | |
Additional Breast Cancer Tumors Found on MRI After Mammography May Be Larger, More Aggressive Wednesday, 9 December 2015 by www.oncologynurseadvisor.com | | |
Preoperative MRI May Overdiagnose Contralateral Breast Cancer Wednesday, 2 December 2015 by www.cancertherapyadvisor.com | | |
BI-RADS and breast MRI useful in predicting malignancy Wednesday, 30 May 2012 by www.oncologynurseadvisor.com |
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(CE MRA) Contrast enhanced MR angiography is based on the T1 values of blood, the surrounding tissue, and paramagnetic contrast agent.
T1-shortening contrast agents reduces the T1 value of the blood (approximately to 50 msec, shorter than that of the surrounding tissues) and allow the visualization of blood vessels, as the images are no longer dependent primarily on the inflow effect of the blood.
Contrast enhanced MRA is performed with a short TR to have low signal (due to the longer T1) from the stationary tissue, short scan time to facilitate breath hold imaging, short TE to minimize T2* effects and a bolus injection of a sufficient dose of a gadolinium chelate.
Images of the region of interest are performed with 3D spoiled gradient echo pulse sequences. The enhancement is maximized by timing the contrast agent injection such that the period of maximum arterial concentration corresponds to the k-space acquisition. Different techniques are used to ensure optimal contrast of the arteries e.g., bolus timing, automatic bolus detection, bolus tracking, care bolus.
A high resolution with near isotropic voxels and minimal pulsatility and misregistration artifacts should be striven for. The postprocessing with the maximum intensity projection ( MIP) enables different views of the 3D data set.
Unlike conventional MRA techniques based on velocity dependent inflow or phase shift techniques, contrast enhanced MRA exploits the
gadolinium induced T1-shortening effects. CE MRA reduces or eliminates most of the artifacts of time of flight angiography or phase contrast angiography. Advantages are the possibility of in plane imaging of the blood vessels, which allows to examine large parts in a short time and high resolution scans in one breath hold.
CE MRA has found a wide acceptance in the clinical routine, caused by the
advantages:
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3D MRA can be acquired in any plane, which means that
greater vessel coverage can be obtained at high
resolution with fewer slices (aorta, peripheral vessels);
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the possibility to perform a time resolved examination
(similarly to conventional angiography);
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no use of ionizing radiation; paramagnetic agents have a beneficial safety.
| | | | | | • View the DATABASE results for 'Contrast Enhanced Magnetic Resonance Angiography' (14).
| | | • View the NEWS results for 'Contrast Enhanced Magnetic Resonance Angiography' (2).
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Keyhole imaging is used for dynamic imaging with contrast medium. The advantage is that the keyhole technique increases temporal resolution without a loss of spatial resolution by limited data acquisition. Keyhole Fourier imaging updates the low spatial frequencies of the original full, high- resolution data set. The high spatial frequency content of the image is constant in time so that its updating would be unnecessary. The high spatial frequency data is acquired from a baseline image, for example, before injection of a contrast agent.
After contrast injection, only the lower spatial frequency data is acquired because, there is no change in the tissue that is responsible for the higher frequency spatial variation in the image. | | | | • View the DATABASE results for 'Keyhole' (8).
| | | • View the NEWS results for 'Keyhole' (1).
| | | | Further Reading: | Basics:
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In parallel MR imaging, a reduced data set in the phase encoding direction(s) of k-space is acquired to shorten acquisition time, combining the signal of several coil arrays. The spatial information related to the phased array coil elements is utilized for reducing the amount of conventional Fourier encoding.
First, low- resolution, fully Fourier-encoded reference images are required for sensitivity assessment. Parallel imaging reconstruction in the Cartesian case is efficiently performed by creating one aliased image for each array element using discrete Fourier transformation. The next step then is to create an full FOV image from the set of intermediate images.
Parallel reconstruction techniques can be used to improve the image quality with increased signal to noise ratio, spatial resolution, reduced artifacts, and the temporal resolution in dynamic MRI scans.
Parallel imaging algorithms can be divided into 2 main groups:
Image reconstruction produced by each coil ( reconstruction in the image domain, after Fourier transform): SENSE ( Sensitivity Encoding), PILS (Partially Parallel Imaging with Localized Sensitivity),
ASSET.
Reconstruction of the Fourier plane of images from the frequency signals of each coil ( reconstruction in the frequency domain, before Fourier transform): GRAPPA. Additional techniques include SMASH, SPEEDER™,
IPAT (Integrated Parallel Acquisition Techniques - derived of GRAPPA a k-space based technique) and mSENSE (an image based enhanced version of SENSE).
| | | | | | • View the DATABASE results for 'Parallel Imaging Technique' (12).
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