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A.C. received speaker\u2019s fees from BD\u2014Becton Dickinson. N.H. receives research funding via a National Breast Cancer Foundation (NBCF Australia) Breast Cancer Research Leadership Fellowship. F.J.G. received research grants from General Electric Healthcare, GSK and Hologic, and had research collaborations with Volpara and Bayer AG. She is an NIHR senior investigator and receives funding from the Cambridge BRC. M.B.I.L. received research grants from and is a member of the speakers\u2019 bureau of General Electric Healthcare. K.P. declares being part of speakers\u2019 bureaus for the European Society of Breast Imaging (active), Bayer AG (ended), Siemens Healthineers (ended), DKD 2019 (ended), and Olea Medical (ended); consulting for Genentech, Merantix Healthcare, AURA Health Technologies, and Guerbet. D.S. is affiliated with Kiwifarm S.r.l., La Morra, Italy. P.C. and K.P. are part of the Scientific Editorial Board of European Radiology (Section: Breast), and R.G. is the Deputy Editor of European Radiology. R.M.M. is a member of the Advisory Editorial Board of European Radiology (European Society of Breast Imaging). As such, none of them had any role in handling this manuscript and none of them took part in the decision processes. All other authors declare that they have no conflict of interest related to the present work, and that they have nothing to disclose.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The first three authors (A.C., G.D.L, and N.H.) have significant statistical expertise.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statistics and biometry"}},{"value":"Written informed consent was obtained from all patients in this study, unless waived by local Ethics Committees.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"This study was approved by the Ethics Committee of the coordinating centre on January 29, 2013 (protocol number 2784) and thereafter by local Ethics Committees of participating centres.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This paper is a targeted subgroup analysis of 547 patients that were previously included in the main paper of the MIPA study (Sardanelli et al, []) and in the paper comparing patients with different MRI referrals (Cozzi et al, []). Preliminary and\/or partial results from the MIPA study have been presented as oral communications at the National Congress of the Italian Society of Radiology (SIRM) in 2016, at the Congress of the European Society of Breast Imaging (EUSOBI) in 2016, 2017, and 2024, at the 2018 International Society for Magnetic Resonance in Medicine (ISMRM) Workshop on Breast MRI, and at the European Congress of Radiology in 2017, 2018, 2019, 2022, and 2024.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Study subjects or cohorts overlap"}},{"order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Methodology"}}]}}