Evidence map›Paper›PMID 39010211›Full record

ArticleMagnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine2025

Influence of Gadolinium-based Contrast Media and Inter-reader Variation on the Estimation of Intravoxel Incoherent Motion (IVIM) Parameters in Breast MR Imaging.

Barbara J Fueger, Raoul Varga, Panagiotis Kapetas, Nina Pötsch, Thomas H Helbich, Pascal A T Baltzer, Paola Clauser

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Article in Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Barbara J FuegerDepartment of Biomedical Imaging and Image-guided Biopsy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
Raoul VargaDepartment of Biomedical Imaging and Image-guided Biopsy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
Panagiotis KapetasDepartment of Biomedical Imaging and Image-guided Biopsy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
Nina PötschDepartment of Biomedical Imaging and Image-guided Biopsy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
Thomas H HelbichDepartment of Biomedical Imaging and Image-guided Biopsy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
Pascal A T BaltzerDepartment of Biomedical Imaging and Image-guided Biopsy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.
Paola ClauserDepartment of Biomedical Imaging and Image-guided Biopsy, Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGadolinium-based contrast media (GBCM) may affect apparent diffusion coefficient measurements on diffusion-weighted imaging. We aimed at investigating the effect of GBCM and inter-reader variation on intravoxel incoherent motion (IVIM) parameters in breast lesions.

methodsA total of 89 patients referred to 3T breast MRI with at least one histologically verified lesion were included. IVIM data were acquired using a single-shot echo planar imaging sequence before and after GBCM administration. D (true diffusion coefficient), D* (pseudo-diffusion coefficient) and f (perfusion fraction) were calculated and measured by two readers (R1, R2). Inter-reader and intra-reader agreements were assessed by intraclass correlation coefficients (ICCs) and Bland-Altman plots.

resultsD was comparable before and after GBCM administration and between readers. D* and f decreased after GBCM administration and showed a lower agreement between readers. Intra-reader agreement before and after GBCM administration was almost perfect for D for both R1 and R2 (ICC 0.955 and 0.887). The intra-reader agreement was substantial to moderate for D* (ICC R1 0.708, R2 0.583) and moderate for f (ICC R1 0.529 and R2 0.425). Inter-reader agreement before GBCM administration was almost perfect for D (ICC 0.905), substantial for D* (ICC 0.733), and moderate for f (ICC 0.404); after contrast media administration, it was almost perfect for D (ICC 0.876) and substantial for D* (ICC 0.654) and f (ICC 0.606). Bland-Altman plots revealed no significant bias.

conclusionAdministration of GBCM seems to have a stronger effect on D* and f values than on D values. This should be considered when applying IVIM in clinical practice.

Indexed as

Breast NeoplasmsContrast MediaDiffusion Magnetic Resonance ImagingGadoliniumMagnetic Resonance ImagingAdultAgedBreastEcho-Planar ImagingFemaleHumansImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedMiddle AgedMotionObserver VariationContrast MediaGadoliniumbreastdiffusion magnetic resonance imaginggadoliniummagnetic resonance imaging

Identifiers

PMID39010211
PMCPMC12406162

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.