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046). Diagnostic accuracy was not different between groups with and without suspected AMI (26/28 [93 %] vs. 34/38 [90 %], p = 1.0. However, it was lower in the group without suspicion of AMI when the CT protocol was not optimal for AMI (27/28 [96 %] vs 7/10 [70 %], p = 0.048). The negative influence of not clinically suspecting AMI can be mitigated by using a tailored CT protocol. The negative influence of not clinically suspecting AMI can be mitigated by using a tailored CT protocol. To analyze core processes of the MRI workflow and