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

Ji Hee Park; Seon-Hyeong Choi; Sungjun Kim; Hwan Seok Yong; Hyunsik Woo; Kwang Nam Jin; Woo Kyoung Jeong; Na-Young Shin; Moon Hyung Choi; Seung Eun Jung

doi:10.3348/jksr.2018.79.5.254

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Park, Choi, Kim, Yong, Woo, Jin, Jeong, Shin, Choi, and Jung: Suggested Protocol for Efficient Medical Image Information Exchange in Korea: Breast MRI

Breast Radiology

Original Article

Journal of the Korean Society of Radiology 2018; 79(5): 254-258.

Published online: 25 October 2018

DOI: https://doi.org/10.3348/jksr.2018.79.5.254

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

Ji Hee Park, MD¹, Seon-Hyeong Choi, MD¹, Sungjun Kim, MD², Hwan Seok Yong, MD³, Hyunsik Woo, MD⁴, Kwang Nam Jin, MD⁴, Woo Kyoung Jeong, MD⁵, Na-Young Shin, MD⁶, Moon Hyung Choi, MD⁶, Seung Eun Jung, MD⁶

¹Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

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.

Corresponding author: Seon-Hyeong Choi, MD. Department of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, 29 Saemunan-ro, Jongno-gu, Seoul 03181, Korea. Tel. 82-2-2001-1880, Fax. 82-2-2001-1883, seonhyeong.choi@samsung.com

Received 6 March 2018 Revised 24 July 2018 Accepted 7 August 2018

The Korean Society of Radiology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Breast, Magnetic Resonance Imaging, Reference Standards

Figures and Tables

Table 1

T1WI: T1 weighted image

Table 2

T1WI: T1 weighted image

Table 3

References

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Supplementary Materials

The online-only Data Supplement is available with this article at https://doi.org/10.3348/jksr.2018.79.5.254.

Supplementary Table 1

Supplementary Table 2

Result of 1st, 2nd, and 3rd (final) Breast MRI Protocol Questionnaire

Supplementary Table 3

Breast MRI Recommended Protocol Summary

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