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Diffusion-weighted MR imaging with background body signal suppression (DWIBS) for the diagnosis of malignant and benign breast lesions

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Abstract

The purpose of this study was to evaluate the efficacy of diffusion-weighted MR imaging with background body signal suppression (DWIBS) and a conventional DWI (cDWI) sequence for the detection of breast lesions. Fifty consecutive patients with suspected breast lesions underwent DWIBS and cDWI at 1.5 T. The routine protocol consisted of a short TI inversion recovery (STIR) sequence and a dynamic contrast-enhanced T1-weighted sequence. Apparent diffusion coefficient (ADC) and exponential ADC (eADC) values of the lesions were calculated. Receiver operating characteristic (ROC) analyses and qualitative evaluation of lesion detectability and conspicuity were performed. Thirty-six lesions were detected in 30 patients by using the routine protocol. DWIBS detected 34 lesions (94%) and cDWI detected 26 lesions (72%). The conspicuity of fibroadenomas was significantly (P = 0.007) better for DWIBS. ADC and eADC values of tumour were significantly different between DWIBS and cDWI. DWIBS is superior to cDWI in the visualization of malignant and benign lesions in the breast.

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Authors and Affiliations

  1. MR Physics Group, Department of Radiology, Landesklinikum St. Poelten, St. Poelten, Austria

    Andreas Stadlbauer & Erich Salomonowitz

  2. Department of Neurosurgery, University of Erlangen-Nuremberg, Erlangen, Germany

    Andreas Stadlbauer

  3. Department of Radiology, Hanusch Krankenhaus, Vienna, Austria

    Reinhard Bernt & Jörg Haller

  4. Department of Radiology, Medical University, Vienna, Austria

    Stephan Gruber, Wolfgang Bogner & Katja Pinker

  5. European MRI Consultancy (EMRIC), Strasbourg, France

    Wilma van der Riet

  6. Department of Radiology, Landesklinikum St. Poelten, Propst Fuehrer Strasse 4, 3100, St. Poelten, Austria

    Erich Salomonowitz

Authors
  1. Andreas Stadlbauer
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  2. Reinhard Bernt
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  3. Stephan Gruber
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  4. Wolfgang Bogner
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  5. Katja Pinker
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  6. Wilma van der Riet
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  7. Jörg Haller
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  8. Erich Salomonowitz
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Correspondence to Erich Salomonowitz.

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Stadlbauer, A., Bernt, R., Gruber, S. et al. Diffusion-weighted MR imaging with background body signal suppression (DWIBS) for the diagnosis of malignant and benign breast lesions. Eur Radiol 19, 2349–2356 (2009). https://doi.org/10.1007/s00330-009-1426-2

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  • DOI: https://doi.org/10.1007/s00330-009-1426-2

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