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3.0T Bilateral breast - Fletcher Allen Health Care

Braff, Steven, M.D. Burlington, Fletcher Allen Health Care
White, gretchen Burlington, Fletcher Allen Health Care

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ExamCard purpose

ExamCard to assess breast tissue for pathology, mostly for patients who have had unilateral breast cancer.

ExamCard overview

Bilateral breast
Scan 1Survey
Scan 2Reference scan
Scan 3Ax T1W TSE
Scan 4Ax T2W with fat sat
Scan 5Dynamic test
Scan 6THRIVE - dynamic
Scan 7THRIVE - high resolution post-contrast

First two scans are multistack survey and SENSE reference scan.


T1W TSE is to assess anatomy. Axial T2W with fat sat is to assess pathology, bright signal.


An axial 3D dynamic test is for fat suppression. The dynamic THRIVE is to assess the flow pattern of contrast media in breast pathology. This sequence is graphed to see lesion washout rate, which can indicate tumor. The high resolution THRIVE is to better visualize anatomy.

ExamCard images

Survey Ax T1W Ax T2W
Ax T1W
Ax T2W
Dynamic THRIVE High resolution THRIVE
Dynamic THRIVE
High resolution THRIVE

Patient preparation

Position the patient prone, head-first, arms extended superiorly to head.

The SENSE Breast coil is used.

Contrast agent / injection protocol

Gadolinium contrast agent is used.

Post-processing / analysis

Time activity curve to assess lesion's contrast wash-out rate.

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Aug 31, 2006

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Achieva 3.0T
Release 1
Body, Breast

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