Bibliogr. s. S49

As the number of MRI laboratories equipped with resonance systems featuring magnetic field strengths of more than one Tesla as well as coils dedicated to breast examinations increases, such examinations are being made at increasing frequency. Clinicians expect the summaries to include exhaustive information concerning the topography of detected lesions as well as approximate staging of the disease process, which helps them in making decisions regarding further management. On the other hand, radiographers performing medical check-ups, expect the previous examination summary to include a wide range of information facilitating comparative analysis and evaluation of scan efficacy. Undoubtedly, breast MR offers an opportunity to obtain aforementioned information. However, the indispensable requirement for preparation of such summary is radiographer's awareness of the expectations being raised. We have to face the difficult task of standardizing the summaries, and even more than that, of making our colleagues aware of the importance of each sentence included in or excluded from the summary. This article is an attempt to present the correct form of a medical examination summary which should include data concerning former diagnostic examinations, detailed description of morphology as well as the location of lesions being diagnosed and suspected of malignant character together with the assessment of their relation to the skin and fascia as well as infiltration of fascia and chest wall. The essential requirement is the analysis of the contrast enhancement curve as well as the appraisal of diffusion limitation with numerical ADC values. Assessment of lymph nodes is also required, as is the classification of lesions into appropriate BI RADS in summary conclusions. In order to avoid significant differences in the phrasing of summaries prepared at particular centers as well as by particular individuals, a general scheme forming a basis for the summary should be adopted or else, a list of questions to be answered in order to make the summary complete, comprehensible and unambiguous should be developed. Such procedures would certainly make the radiologist's work easier; it would also ensure radiographers being better understood by fellow radiographers and clinicians.