Influence of virtual dynamic contrast enhanced breast MRI on lesion size, BI-RADS scores and reader confidence - Summary - MDSpire
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Effects of Virtual Dynamic Contrast-Enhanced Breast MRI on Lesion Size, BI-RADS Assessment, and Reader Confidence

  • By

  • Andrzej Liebert

  • Hannes Schreiter

  • Lorenz A. Kapsner

  • Jessica Eberle

  • Chris M. Ehring

  • Dominique Hadler

  • Sabine Ohlmeyer

  • Frederik B. Laun

  • Ramona Erber

  • Julius Emons

  • Michael Uder

  • Evelyn Wenkel

  • Sebastian Bickelhaupt

  • October 17, 2026

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Objective:

To assess whether a previously described method for generating virtual dynamic contrast-enhanced (vDCE) breast MRI transfers to a scanner not used for model training, and to evaluate BI-RADS-based diagnostic assessment against multiparametric DCE-MRI.

Approach:
  • Study design and cohort: Retrospective study of clinically indicated breast MRI examinations at University Hospital Erlangen. The original cohort included 540 women scanned from January 2017 to June 2020.
  • Data sets: Data from one 3-T scanner were divided into training (n=377), validation (n=81), and holdout test sets. A secondary test set included examinations from another 3-T scanner; after exclusions, the test sets contained 76 and 47 cases, respectively.
  • Imaging protocol: Eligible examinations included T2-weighted fat-saturated imaging, multi-b-value diffusion-weighted imaging, and T1-weighted DCE imaging with a pre-contrast acquisition and five successive 60-second post-contrast acquisitions.
Interpretation:

The provided context describes the study rationale and methods but does not report results on lesion size, BI-RADS assessment, reader confidence, or diagnostic performance.

Limitations:
  • The supplied context does not include study results or the full methods.
  • The investigation was retrospective and conducted at a single institution.
Conclusion:

The study evaluates vDCE generation and BI-RADS-based assessment, including transfer to a second scanner; findings cannot be summarized from the provided material.

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