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

• Park JH
• Choi SH
• Kim S
• Yong HS
• Woo H
• Jin KN
• Jeong WK
• Shin NY
• Choi MH
• Jung SE

• KMID: 2422901
• DOI: http://doi.org/10.3348/jksr.2018.79.5.254

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

Reference

1. Jung SE. CT examination and retest Guidelines. Korean Society of Radiology;2013.

2. Hwang J, Paik SH, Park JS, Lee H. Clinical significance of short-term repeat computed tomography examination on the same anatomic region. J Korean Soc Radiol. 2017; 77:157–165.

3. Americal College of Radiology (ACR). Accreditation Breast MRI. Accessed Jul 15, 2017. Available at: https://www.acr.org/Quality-Safety/Accreditation/BreastMRI.

4. Sardanelli F, Boetes C, Borisch B, Decker T, Federico M, Gilbert FJ, et al. Magnetic resonance imaging of the breast: recommendations from the EUSOMA working group. Eur J Cancer. 2010; 46:1296–1316.

5. Mann RM, Balleyguier C, Baltzer PA, Bick U, Colin C, Cornford E, et al. Breast MRI: EUSOBI recommendations for women's information. Eur Radiol. 2015; 25:3669–3678.

6. Bae MS, Lee SH, Chu AJ, Shin SU, Ryu HS, Moon WK. Preoperative MR imaging in women with breast cancer detected at screening US. Radiology. 2017; 282:681–689.

7. Kuhl CK. Current status of breast MR imaging. part 2. Clinical applications. Radiology. 2007; 244:672–691.

8. Abramovici G, Mainiero MB. Screening breast MR imaging: comparison of interpretation of baseline and annual follow-up studies. Radiology. 2011; 259:85–91.

9. Hendrick RE. High-quality breast MRI. Radiol Clin North Am. 2014; 52:547–562.

10. Kuhl C. The current status of breast MR imaging. part I. Choice of technique, image interpretation, diagnostic accuracy, and transfer to clinical practice. Radiology. 2007; 244:356–378.