breast MRI enhancement curves

Breast MRI
enhancement curves • High grade ductal carcinoma in situ: MRI findings - Ganzer Fall bei Radiopaedia
O'Donnell, C. High grade ductal carcinoma in situ: MRI findings. Case study, Radiopaedia.org. (accessed on 04 Nov 2022) https://doi.org/10.53347/rID-38489 • CC by-nc-sa 3.0 (modified)
Mucinous
carcinoma of the breast. The nodule shows a curve type I.
www.eurorad.org • CC by-nc-sa-4.0
Radiopaedia • CC-by-nc-sa 3.0 • de

Following administration of gadolinium, there can be three possible enhancement (time intensity) kinetic curves for a lesion on breast MRI (these are also applied in other organs such as prostate MRI). These are sometimes termed the Kuhl enhancement curves.

  • type I curve: progressive or persistent enhancement pattern
    • typically shows a continuous increase in signal intensity throughout time 
    • usually considered benign with only a small proportion of (~9%) of malignant lesions having this pattern
  • type II curve: plateau pattern
    • initial uptake followed by the plateau phase towards the latter part of the study
    • considered concerning for malignancy
  • type III curve: washout pattern
    • has a relatively rapid uptake shows reduction in enhancement towards the latter part of the study
    • considered strongly suggestive of malignancy
Siehe auch:
Assoziationen und Differentialdiagnosen zu Mamma MRT Kontrastmitteldynamik:
maligner
Phylloidestumor
surgicalcasereports.springeropen.com • CC-by-4.0
Juvenile
Papillomatose der Mamma
www.eurorad.org • CC by-nc-sa-4.0
invasives
muzinöses Mammakarzinom
www.eurorad.org • CC by-nc-sa-4.0
Mammakarzinom
Sonographie
Wikipedia • CC BY-SA 4.0
extraskelettales
Osteosarkom der Mamma
surgicalcasereports.springeropen.com • CC-by-4.0
Phylloidestumor
 
Wikipedia • CC BY-SA 3.0
tubular
carcinoma of breast
www.eurorad.org • CC by-nc-sa-4.0
fibrosarcoma
of the breast
surgicalcasereports.springeropen.com • CC-by-4.0
Granularzelltumor
der Mamma
insightsimaging.springeropen.com • CC-by-4.0
Fibromatose
der Mamma
www.eurorad.org • CC by-nc-sa-4.0
Morbus Paget
der Mamille
www.eurorad.org • CC by-nc-sa-4.0
intraductales
Papillom der Mamma
insightsimaging.springeropen.com • CC-by-4.0
Metastasen
bei Mammakarzinom
Wikipedia • CC BY-SA 4.0