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Fig. 2D —49-year-old woman with mammographically occult contralateral
breast cancer detected on MRI. Computer-assisted diagnosis (CAD) overlay
(CADstream, Confirma) shows lesion as having significant enhancement and mixed
pattern of washout, plateau, and persistent delayed enhancement. If pixel
value on delayed series decreases by more than 10% of its immediate
contrast-enhanced value, that pixel is color-coded red on monitor, indicating
washout of contrast material. If pixel value increases by more than 10%, it is
color-coded blue on monitor, indicating persistent enhancement. If pixel value
does not change in either direction by more than 10%, it is color-coded green
for plateau enhancement.
