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Review
. 2014 Oct 1;10(4):197-200.
doi: 10.5152/tjbh.2014.2142. eCollection 2014 Oct.

The Efficiency of Diffusion Weighted MRI and MR Spectroscopy On Breast MR Imaging

Affiliations
Review

The Efficiency of Diffusion Weighted MRI and MR Spectroscopy On Breast MR Imaging

Canan Altay et al. J Breast Health. .

Abstract

The main purpose of breast magnetic resonance imaging (MRI) in radiologically routine is to establish an imaging protocol that will create high quality images with a short period of time. Fort this purpose, an imaging protocol should include a conventional breast MRI and contrast enhanced sequences. Proton MR spectroscopy (MRS) and diffusion weighted imaging (DWI) are important MR techniques for evaluation to complicated breast lesions. In this article, we will evaluate that technical properties of the MRS and DWI as additional MR imaging.

Keywords: Breast; MR spectroscopy; diffusion weighted MRI.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1
a–g. A giant fibroadenoma in a forty-nine-year-old woman; A high-density BI-RADS IV lesion with lobulated contours is observed at the junction of the upper outer-inner quadrant in the right CC mammography (a). The breast ultrasonographic examination revealed a hypoechoic lesion with macrolobulated contours (b). Conventional breast MRI examination, fat-suppressed TSE T2-weighted image (c), post-contrast digital subtraction T1-weighted images (d) show a lobulated lesion in right breast outer quadrant with significantly higher intensity as compared to normal breast tissue (arrows). On dynamic MR imaging (e), a type 1 (benign pattern) kinetic curve is obtained by sampling of the lesion (L1). Although the lesion located at the right breast showed higher intensity than normal breast tissue on DWI (yellow arrows), (f), there was no diffusion difference when compared to normal breast tissue by ADC map (g)
Figure 2
Figure 2
a, b. A forty-three-year-old woman with invasive lobular carcinoma on the left breast; Conventional breast MRI examination, post-contrast digital subtraction sagittal T1-weighted images (a) multifocal, lobulated masses are present in the outer quadrant of the left breast that show significantly higher intensity as compared to normal breast tissue (arrows). A choline peak is observed at 3.2ppm (arrow) on the single voxel MR spectroscopy view of the same patient (b)

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