Clinical Image Review Categories: Breast MRI (Revised 12-12-19)
Modified on: Fri, 13 Dec, 2019 at 11:19 AM
At least 2 ACR radiologist reviewers will score the 5 categories listed below (click on a category to link to articles detailing the relevant review parameters:
Breast MRI Accreditation: Clinical Image Review Categories |
|
|
|
|
|
Requirements are summarized in the table below. Facilities not submitting the required sequences or submitting cases that do not meet the following criteria will fail accreditation.
Required Sequences
| Image Quality Criteria |
Category A: Pulse Sequences & Image Contrast | Category B: Positioning & Anatomic Coverage | Category D: Spatial & Temporal Resolution |
T2-Weighted/Bright Fluid Series | - Adequate SNR/not too grainy
- Sufficient bright fluid contrast
| - Adequate breast tissue inside coil
- Breast properly positioned within coil
- Properly positioned nipple
- Image set covers both breasts, from axillary tails to inframammary folds
- Minimal or no skin folds
| N/A |
Pre-Contrast T1 | - Adequate SNR/not too grainy
| - Slice thickness ≤ 3 mm
- Gap ≤ 0 mm
- In-plane pixel (phase) ≤ 1 mm
- In-plane pixel (frequency) ≤ 1 mm
- Early phase post-contrast T1-weighted series completed within 4 minutes of the end of the contrast injection
|
Early Phase Post-Contrast T1 | - Adequate SNR/not too grainy
- If fat suppression is not evident, subtracted images also must be provided
- Technical factors match pre-contrast T1
- IV contrast is evident
|
Delayed Phase Post-Contrast T1 |
Facilities applying for accreditation are not required to submit phantom images for accreditation review at this time; however, the ACR may require phantom image submission as this accreditation program matures.
Revision History for this Article |
Date | Section | Description of Revision(s) |
12-12-19 | All | Article created; FAQs incorporated; No criteria changes |
Did you find it helpful?
Yes
No
Send feedback Sorry we couldn't be helpful. Help us improve this article with your feedback.
