Evidence-Based and Structured Diagnosis in Breast MRI using the Kaiser Score

Baltzer PAT, Krug KB, Dietzel M (2022)

Publication Type: Journal article

Publication year: 2022

Journal

Röfo: Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren Georg Thieme Verlag

Abstract

Background Breast MRI is the most sensitive method for the detection of breast cancer and is an integral part of modern breast imaging. On the other hand, interpretation of breast MRI exams is considered challenging due to the complexity of the available information. Clinical decision rules that combine diagnostic criteria in an algorithm can help the radiologist to read breast MRI by supporting objective and largely experience-independent diagnosis. Method Narrative review. In this article, the Kaiser Score (KS) as a clinical decision rule for breast MRI is introduced, its diagnostic criteria are defined, and strategies for clinical decision making using the KS are explained and discussed. Results The KS is based on machine learning and has been independently validated by international research. It is largely independent of the examination technique that is used. It allows objective differentiation between benign and malignant contrast-enhancing breast MRI findings using diagnostic BI-RADS criteria taken from T2w and dynamic contrast-enhanced T1w images. A flowchart guides the reader in up to three steps to determine a score corresponding to the probability of malignancy that can be used to assign a BI-RADS category. Individual decision making takes the clinical context into account and is illustrated by typical scenarios. Citation Format Baltzer PA, Krug KB, Dietzel M. Evidence-Based and Structured Diagnosis in Breast MRI using the Kaiser Score. Fortschr Rontgenstr 2022; DOI: 10.1055/a-1829-5985

Authors with CRIS profile

Matthias Dietzel Medizinische Fakultät

Involved external institutions

Universitätsklinikum Köln

Germany (DE) Medizinische Universität Wien

Austria (AT)

How to cite

APA:

Baltzer, P.A.T., Krug, K.B., & Dietzel, M. (2022). Evidence-Based and Structured Diagnosis in Breast MRI using the Kaiser Score. Röfo: Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. https://dx.doi.org/10.1055/a-1829-5985

MLA:

Baltzer, Pascal Andreas Thomas, Kathrin Barbara Krug, and Matthias Dietzel. "Evidence-Based and Structured Diagnosis in Breast MRI using the Kaiser Score." Röfo: Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren (2022).

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