Evidence map›Paper›PMID 39455455›Full record

ArticleEuropean radiology2025

Impact of non-contrast-enhanced imaging input sequences on the generation of virtual contrast-enhanced breast MRI scans using neural network.

Andrzej Liebert, Hannes Schreiter, Lorenz A Kapsner, Jessica Eberle, Chris M Ehring, Dominique Hadler, Luise Brock, Ramona Erber, Julius Emons, Frederik B Laun and 4 more

Abstract read
In one paragraph

Article in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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  9. Clinical Application of Artificial Intelligence in Breast MRI.Journal of the Korean Society of Radiology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Andrzej Liebert *Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany. andrzej.liebert@uk-erlangen.de.ORCID http://orcid.org/0000-0002-8450-3021
Hannes Schreiter *Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Lorenz A KapsnerInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Jessica EberleInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Chris M EhringInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Dominique HadlerInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Luise BrockInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Ramona ErberInstitute of Pathology, Universitätsklinikum Erlangen, Erlangen, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Julius EmonsDepartment of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Frederik B LaunInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Michael UderInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Evelyn WenkelMedizinische Fakultät, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Sabine OhlmeyerInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Sebastian BickelhauptInstitute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.

Funding

Bayerisches Staatsministerium für Wissenschaft und Kunst bidt Graduate Center for Postdocs
6 · The paper itself

Abstract

objectiveTo investigate how different combinations of T1-weighted (T1w), T2-weighted (T2w), and diffusion-weighted imaging (DWI) impact the performance of virtual contrast-enhanced (vCE) breast MRI. MATERIALS AND

methodsThe IRB-approved, retrospective study included 1064 multiparametric breast MRI scans (age: 52 ± 12 years) obtained from 2017 to 2020 (single site, two 3-T MRI). Eleven independent neural networks were trained to derive vCE images from varying input combinations of T1w, T2w, and multi-b-value DWI sequences (b-value = 50-1500 s/mm

resultsThe independent test set consisted of 187 cases. The quantitative metrics significantly improved in target findings when multi-b-value DWI sequences were included during vCE training (p < 0.05). Non-significant effects (p > 0.05) were observed for the quantitative metrics on the full breast volume when comparing input combinations including T1w. Using T1w and DWI acquisitions during vCE training is necessary to achieve high satisfaction with contrast/SNR and good conspicuity of the enhancing findings. The input combination of T1w, T2w, and DWI sequences with three b-values showed the best qualitative performance.

conclusionvCE breast MRI performance is significantly influenced by input sequences. Quantitative metrics and visual quality of vCE images significantly benefit when multi b-value DWI is added to morphologic T1w-/T2w sequences as input for model training. KEY POINTS: Question How do different MRI sequences impact the performance of virtual contrast-enhanced (vCE) breast MRI? Findings The input combination of T1-weighted, T2-weighted, and diffusion-weighted imaging sequences with three b-values showed the best qualitative performance. Clinical relevance While in the future neural networks providing virtual contrast-enhanced images might further improve accessibility to breast MRI, the significant influence of input data needs to be considered during translational research.

Indexed as

Breast NeoplasmsImage Interpretation, Computer-AssistedMagnetic Resonance ImagingNeural Networks, ComputerAdultAgedBreastContrast MediaDiffusion Magnetic Resonance ImagingFemaleHumansImage EnhancementMiddle AgedRetrospective StudiesContrast MediaArtificial intelligenceBreast imagingMagnetic resonance imagingNeural network

Identifiers

PMID39455455
PMCPMC12021982

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.