1. Breast MRI – How we got Here
ACR releases Breast MRI Guidelines
Several independent studies released supporting efficacy of Breast MRI
ACR/SBI Recommends Breast MRI Screening for “High Risk Patients”
Breast MRI volumes steadily increase

2. What is the Need?
MRI exam produces ~ 800 to 2,500 images  Need for Organization of Images
Exams display ready to read  Workflow efficiency
Post-processing capability  Automation of routine tasks
Image manipulation  3D Modality unlocks great potential
MRI Biopsies  Streamline/Simplify a sophisticated procedure

3. Hanging Protocols
Users can be outfitted with up to 12 selectable viewing options tailored to their preferences
Cases open into viewing arrangements (Hanging Protocols) ready to read

4. Post Processing of Images
Subtraction Images
Kinetic Assessment
Multi Planar Reformatting
ONCAD Morphology Analysis (Option)
Maximum Intensity Projections
Color Overlay
ADC Overlay
Motion Correction

5. Segment Findings Auto 3D segmentation of structures
Morphological surface rendering of segmented areas
Creation of landmark distances
Volume, lesion composition, and histogram statistical outputs
Propagate segmentation results onto multiple image series

6. Structured Reporting
Result images and statistics automatically captured and incorporated into standardized reports
Report templates can be customized with Hospital or Imaging Center’s logos
Report Images can be printed or saved to the patient’s file

7. Implementation – Data Flow

8. Interventional Planning
Visualization of needles and interventional instruments
Integration with breast vacuum assisted biopsy systems
Library of interventional instruments for site specific, customized workflow
Support for popular breast biopsy imaging coils

9. Interventional Planning
Confirm the equipment selections

10. Interventional Planning
Identify the Fiducial Marker
Scroll through the images until the fiducial marker appears and double click on the marker.

11. Interventional Planning
Identify the target area for intervention
Navigate to image showing the lesion and double click on the target area

12. Interventional Planning
Options to save and print targeting results
Visual indication of the equipment targeting setup
Target coordinates listed in the overview panel
Needle trajectory visualized

13. Additional Features Support for PACS system integration
Oblique image reformatting
All time point analysis
Lesion diameter measurements
ADC/high b-value calculation
Lesion volume analysis
ADC color maps
Movie and Image file export for presentations
Pharmacokinetic modeling
Chest wall/Cardiac mask