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May 10, 2022
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(A) Ultrafast MR image obtained 14 seconds after aortic enhancement shows 0.4-cm focus (arrow) in the left breast at 3-o’clock position, 4.5 cm from index cancer (not shown). (B) Ultrafast MR image obtained 23 seconds after aortic enhancement shows wash-in (arrow) of background parenchymal enhancement (BPE). (C) and (D) On first standard postcontrast subtraction MR images, focus (arrow, C) and BPE (arrow, D) are indistinguishable. MRI-guided biopsy of focus yielded grade 2 invasive lobular carcinoma. Image courtesy of the ARRS.
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Ultrafast breast MRI determines malignant from benign markers
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(A) Ultrafast MR image obtained 14 seconds after aortic enhancement shows 0.4-cm focus (arrow) in the left breast at 3-o’clock position, 4.5 cm from index cancer (not shown). (B) Ultrafast MR image obtained 23 seconds after aortic enhancement shows wash-in (arrow) of background parenchymal enhancement (BPE). (C) and (D) On first standard postcontrast subtraction MR images, focus (arrow, C) and BPE (arrow, D) are indistinguishable. MRI-guided biopsy of focus yielded grade 2 invasive lobular carcinoma. Image courtesy of the ARRS.
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