J Korean Soc Radiol.  2018 Nov;79(5):254-258. 10.3348/jksr.2018.79.5.254.

Suggested Protocol for Efficient Medical Image Information Exchange in Korea: Breast MRI

Affiliations
  • 1Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. seonhyeong.choi@samsung.com
  • 2Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
  • 4Department of Radiology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
  • 5Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 6Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

PURPOSE
Establishment of an appropriate protocol for breast magnetic resonance imaging (MRI) in the study of image quality standards to enhance the effectiveness of medical image information exchange, which is part of the construction and activation of clinical information exchange for healthcare informatization.
MATERIALS AND METHODS
The recommended protocols of breast and MRI scans were reviewed and the questionnaire was prepared by a responsible researcher. Then, a panel of 9 breast dedicated radiologists was set up in Korea. The expert panel conducted a total of three Delphi agreements to draw up a consensus on the breast MRI protocol.
RESULTS
The agreed breast MRI recommendation protocol is a 1.5 Tesla or higher device that acquires images with prone position using a breast dedicated coil and includes T2-weighted and pre-contrast T1-weighted images. Contrast enhancement images are acquired at least two times, and include 60-120 seconds between images and after 4 minutes. The contrast enhancement T1-weighted image should be less than 3 mm in thickness, less than 120 seconds in temporal resolution, and less than 1.5 mm² in-plane pixel resolution.
CONCLUSION
The Delphi agreement of the domestic breast imaging specialist group has established the recommendation protocol of the effective breast MRI.


MeSH Terms

Breast*
Consensus
Delivery of Health Care
Korea*
Magnetic Resonance Imaging*
Prone Position
Specialization
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