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Introduction Due to the shift towards minimal invasive treatment, accurate tumor size estimation is essential for small breast cancers. The purpose of this study was to determine the reliability of MRI-based tumor size measurements with respect to clinical, histological and radiomics characteristics in small invasive or in situ carcinomas of the breast to select patients for minimal invasive therapy. Materials and methods All consecutive cases of cT1 invasive breast carcinomas that underwent pre-operative MRI, treated in two hospitals betwe