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Potential MRI Interpretation Model: Differentiation of Benign from Malignant Breast Masses

Ansgar Malich1,2, Dorothee R. Fischer2, Susanne Wurdinger2, Joachim Boettcher2, Christiane Marx2, Mirjam Facius2 and Werner A. Kaiser2

1 Present address: Department of Diagnostic Radiology, Suedharz-Hospital Nordhausen, Dr. Robert-Koch Str. 39, 99734 Nordhausen, Germany.
2 Institute of Diagnostic and Interventional Radiology, Friedrich-Schiller-University Jena, 07747 Jena, Germany.



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  		Fig. 1A —60+-year-old woman. Breast cancer (invasive ductal cancer) with spiculated shape and blooming phenomenon (right upper lateral quadrant) and rounded shape without blooming (left upper lateral quadrant). Subtraction images obtained 1 and 7 min postcontrast, respectively.

 


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  		Fig. 1B —60+-year-old woman. Breast cancer (invasive ductal cancer) with spiculated shape and blooming phenomenon (right upper lateral quadrant) and rounded shape without blooming (left upper lateral quadrant). Subtraction images obtained 1 and 7 min postcontrast, respectively.

 


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  		Fig. 2 —60+-year-old woman. Hook sign. T2-weighted image of spiculated breast cancer with hooklike connection of malignant lesion to pectoral muscle.

 


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  		Fig. 3 —60+-year-old woman. Perifocal edema surrounding lesion is hypointense on T2-weighted image (histology is invasive ductal cancer).

 


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  		Fig. 4 —60+-year-old woman. Diffuse malignancy-induced edema on T2-weighted imaging.

 


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  		Fig. 5 —60+-year-old woman. Postcontrast T1-weighted image of nonenhancing septations histologically verified as a benign phylloides tumor.

 

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