%0 Journal Article %A Bickelhaupt, Sebastian %A Tesdorff, Jana %A Laun, Frederik %A Kuder, Tristan Anselm %A Lederer, Wolfgang %A Teiner, Susanne %A Maier-Hein, Klaus %A Daniel, Heidi %A Stieber, Anne %A Delorme, Stefan %A Schlemmer, Heinz-Peter %T Independent value of image fusion in unenhanced breast MRI using diffusion-weighted and morphological T2-weighted images for lesion characterization in patients with recently detected BI-RADS 4/5 x-ray mammography findings. %J European radiology %V 27 %N 2 %@ 1432-1084 %C Berlin %I Springer %M DKFZ-2017-00024 %P 562 - 569 %D 2017 %X The aim of this study was to evaluate the accuracy and applicability of solitarily reading fused image series of T2-weighted and high-b-value diffusion-weighted sequences for lesion characterization as compared to sequential or combined image analysis of these unenhanced sequences and to contrast- enhanced breast MRI.This IRB-approved study included 50 female participants with suspicious breast lesions detected in screening X-ray mammograms, all of which provided written informed consent. Prior to biopsy, all women underwent MRI including diffusion-weighted imaging (DWIBS, b = 1500s/mm(2)). Images were analyzed as follows: prospective image fusion of DWIBS and T2-weighted images (FU), side-by-side analysis of DWIBS and T2-weighted series (CO), combination of the first two methods (CO+FU), and full contrast-enhanced diagnostic protocol (FDP). Diagnostic indices, confidence, and image quality of the protocols were compared by two blinded readers.Reading the CO+FU (accuracy 0.92; NPV 96.1 %F PUB:(DE-HGF)16 %9 Journal Article %$ pmid:27193776 %R 10.1007/s00330-016-4400-9 %U https://inrepo02.dkfz.de/record/119234