{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:21:52Z","timestamp":1790832112561,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2001,5,23]],"date-time":"2001-05-23T00:00:00Z","timestamp":990576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2001,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The purpose of this study was to develop, standardize, and test reproducibility of a lexicon for reporting contrast\u2010enhanced breast magnetic resonance imaging (MRI) examinations. To standardize breast MRI lesion description and reporting, seven radiologists with extensive breast MRI experience developed consensus on technical detail, clinical history, and terminology reporting to describe kinetic and architectural features of lesions detected on contrast\u2010enhanced breast MR images. This lexicon adapted American College of Radiology Breast Imaging and Data Reporting System terminology for breast MRI reporting, including recommendations for reporting clinical history, technical parameters for breast MRI, descriptions for general breast composition, morphologic and kinetic characteristics of mass lesions or regions of abnormal enhancement, and overall impression and management recommendations. To test morphology reproducibility, seven radiologists assessed morphology characteristics of 85 contrast\u2010enhanced breast MRI studies. Data from each independent reader were used to compute weighted and unweighted kappa (\u03ba) statistics for interobserver agreement among readers. The MR lexicon differentiates two lesion types, mass and non\u2010mass\u2010like enhancement based on morphology and geographical distribution, with descriptors of shape, margin, and internal enhancement. Lexicon testing showed substantial agreement for breast density (\u03ba = 0.63) and moderate agreement for lesion type (\u03ba = 0.57), mass margins (\u03ba = 0.55), and mass shape (\u03ba = 0.42). Agreement was fair for internal enhancement characteristics. Unweighted kappa statistics showed highest agreement for the terms <jats:italic>dense<\/jats:italic> in the breast composition category, <jats:italic>mass<\/jats:italic> in lesion type, <jats:italic>spiculated<\/jats:italic> and <jats:italic>smooth<\/jats:italic> in mass margins, <jats:italic>irregular<\/jats:italic> in mass shape, and both <jats:italic>dark septations<\/jats:italic> and <jats:italic>rim enhancement<\/jats:italic> for internal enhancement characteristics within a mass. The newly developed breast MR lexicon demonstrated moderate interobserver agreement. While breast density and lesion type appear reproducible, other terms require further refinement and testing to lead to a uniform standard language and reporting system for breast MRI. J. Magn. Reson. Imaging 2001;13:889\u2013895. \u00a9 2001 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/jmri.1127","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T22:10:13Z","timestamp":1030313413000},"page":"889-895","source":"Crossref","is-referenced-by-count":216,"title":["Development, standardization, and testing of a lexicon for reporting contrast\u2010enhanced breast magnetic resonance imaging studies"],"prefix":"10.1002","volume":"13","author":[{"given":"Debra M.","family":"Ikeda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nola M.","family":"Hylton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Kinkel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary 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