Breast MRI enhancement curves

Changed by Jeremy Jones, 18 Sep 2014

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Following administration of Gadolinium there can be three possible enhancement kinetic curves for for a lesion on breast MRI. These are sometimes termed the Kuhl enhancement curves.

  • type I curve: progressive progressive enhancement pattern
    • typically shows a continuous increase in signal intensity throughout time
    • usually considered benign with only a small proportion of (~ 9~9%) of malignant lesions having this pattern
  • type II curve: plateau pattern
    • initial uptake followed by the plateau phase towards the latter part of the study
    • considered concerning for malignancy
  • type III curve: washout pattern
    • has a relatively rapid uptake shows reduction in enhancement towards the latter part of the study
    • considered strongly suggestive of malignancy

See also

  • -<p>Following administration of Gadolinium there can be three possible <strong>enhancement kinetic curves</strong>&#160;for a lesion on <a href="/articles/breast-mri" title="Breast MRI">breast MRI</a>. These are sometimes termed the <strong>Kuhl enhancement curves</strong>.</p><ul><li><strong>type I curve</strong> :&#160;progressive enhancement pattern
  • -<ul><li>typically shows a continuous increase in signal intensity throughout time&#160;</li><li>usually considered benign with only a small proportion of (~ 9%) of malignant lesions having this pattern</li></ul></li><li><strong>type II curve</strong> : plateau pattern
  • -<ul><li>initial uptake followed by the plateau phase towards the latter part of the study</li><li>considered concerning for malignancy</li></ul></li><li><strong>type III curve</strong> : washout pattern
  • -<ul><li>has a relatively rapid uptake shows reduction in enhancement towards the latter part of the study</li><li>considered strongly suggestive of malignancy</li></ul></li></ul><h4>See also</h4><ul><li><a href="/articles/breast-mri" title="Breast MRI">breast MRI</a></li><li><a href="/articles/breast-mri-mass-enhancement" title="breast MRI mass enhancement">breast MRI mass enhancement</a></li><li><a href="/articles/breast-mri-non-mass-enhancement" title="breast MRI non mass enhancement">breast MRI non mass enhancement</a></li></ul>
  • +<p>Following administration of Gadolinium there can be three possible <strong>enhancement kinetic curves</strong> for a lesion on <a href="/articles/breast-mri">breast MRI</a>. These are sometimes termed the <strong>Kuhl enhancement curves</strong>.</p><ul>
  • +<li>
  • +<strong>type I curve</strong>: progressive enhancement pattern<ul>
  • +<li>typically shows a continuous increase in signal intensity throughout time </li>
  • +<li>usually considered benign with only a small proportion of (~9%) of malignant lesions having this pattern</li>
  • +</ul>
  • +</li>
  • +<li>
  • +<strong>type II curve</strong>: plateau pattern<ul>
  • +<li>initial uptake followed by the plateau phase towards the latter part of the study</li>
  • +<li>considered concerning for malignancy</li>
  • +</ul>
  • +</li>
  • +<li>
  • +<strong>type III curve</strong>: washout pattern<ul>
  • +<li>has a relatively rapid uptake shows reduction in enhancement towards the latter part of the study</li>
  • +<li>considered strongly suggestive of malignancy</li>
  • +</ul>
  • +</li>
  • +</ul><h4>See also</h4><ul>
  • +<li><a href="/articles/breast-mri">breast MRI</a></li>
  • +<li><a href="/articles/breast-mri-mass-enhancement">breast MRI mass enhancement</a></li>
  • +<li><a href="/articles/breast-mri-non-mass-enhancement">breast MRI non mass enhancement</a></li>
  • +</ul>

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