scholarly journals Enhancement Patterns in Contrast Mammography – A Pictorial Essay

2021 ◽  
Vol 11 ◽  
pp. 63
Author(s):  
Gesine Peters ◽  
Anne Margaret Lynch ◽  
Johannes Peters
Keyword(s):  
Cancer Detection ◽  
Breast Imaging ◽  
New Technology ◽  
Breast Mri ◽  
Enhancement Pattern ◽  
Contrast Enhanced ◽  
Comparable Performance ◽  
Pictorial Essay

Contrast-enhanced mammography (CEM) is a new technology in breast imaging and cancer detection. It has been shown to have a comparable performance to breast MRI. Currently, there is no independent BI-RADS lexicon available for CEM. This pictorial essay will demonstrate the use of breast MRI descriptors according to the BI-RADS breast MRI lexicon, to describe enhancement patterns for recombined CEM images. The authors recommend using enhancement pattern descriptors already in use for breast MRI when reporting CEM studies, to promote uniformity of interpretation and reporting.

Pearls and Pitfalls of Contrast-Enhanced Mammography

2019 ◽  
Vol 1 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Jordana Phillips ◽  
Valerie J Fein-Zachary ◽  
Priscilla J Slanetz
Keyword(s):  
Imaging Modality ◽  
Breast Mri ◽  
Successful Implementation ◽  
Newly Diagnosed ◽  
Disease Extent ◽  
Diagnostic Problem Solving ◽  
Contrast Enhanced ◽  
Comparable Performance ◽  
Mri Protocol ◽  
Monitoring Response

Abstract Contrast-enhanced mammography (CEM) is a promising new imaging modality that uses a dual-energy acquisition to provide both morphologic and vascular assessment of breast lesions. Although no official BI-RADS lexicon exists, interpretation entails using the mammographic BI-RADS lexicon in combination with that for breast MRI. CEM has comparable performance to breast MRI, with sensitivity of 93–100% and specificity of 80–94%. Currently FDA approved for diagnostic imaging, this technology can be helpful in determining disease extent in patients with newly diagnosed breast malignancy, monitoring response to neoadjuvant therapy, identifying mammographically occult malignancies, and diagnostic problem-solving. Studies are ongoing about its role in screening, especially in women with dense breasts or at elevated risk. There are some challenges to successful implementation into practice, but overall, patients tolerate the study well, and exam times are less than the full breast MRI protocol.

Imaging Approaches and Findings in the Reconstructed Breast: A Pictorial Essay

2011 ◽  
Vol 62 (1) ◽  
pp. 60-72 ◽  
Author(s):  
Anabel M. Scaranelo ◽  
Bridgette Lord ◽  
Riham Eiada ◽  
Stefan O. Hofer
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Detection ◽  
Reconstructive Surgery ◽  
Genetic Screening ◽  
Breast Imaging ◽  
Breast Cancer Detection ◽  
Imaging Findings ◽  
Pictorial Essay ◽  
Reconstructed Breast

Advances in breast imaging over the last 15 years have improved early breast cancer detection and management. After treatment for breast cancer, many women choose to have reconstructive surgery. In addition, with the availability of widespread genetic screening for breast cancer, an increasing number of women are choosing prophylactic mastectomies and subsequent breast reconstruction. The purpose of this pictorial essay is to present the spectrum of imaging findings in the reconstructed breast.

scholarly journals 3–5 BI-RADs Microcalcifications: Correlation between MRI and Histological Findings

ISRN Oncology ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Valeria Fiaschetti ◽  
Chiara Adriana Pistolese ◽  
Tommaso Perretta ◽  
Elsa Cossu ◽  
Chiara Arganini ◽  
...  
Keyword(s):  
Predictive Value ◽  
Breast Imaging ◽  
Breast Mri ◽  
Data Systems ◽  
Mri Findings ◽  
Day Range ◽  
Contrast Enhanced ◽  
Malignant Lesions ◽  
Stereotactic Vacuum Assisted Biopsy ◽  
Sensitivity Specificity

Purpose. To evaluate the correlation between MRI and histopathological findings in patients with mammographically detected 3–5 BI-RAD (Breast Imaging Reporting And Data Systems) microcalcifications and to allow a better surgical planning. Materials and Method. 62 female Patients (age ) with screening detected 3–5 BI-RAD microcalcifications underwent dynamic 3 T contrast-enhanced breast MRI. After 30-day (range 24–36 days) period, 55 Patients underwent biopsy using stereotactic vacuum-assisted biopsy (VAB), 5 Patients underwent stereotactic mammographically guided biopsy, and 2 Patients underwent MRI-guided VAB. Results. Microhistology examination demonstrated 36 malignant lesions and 26 benign lesions. The analysis of MRI findings identified 8 cases of MRI BI-RADS 5, 23 cases of MRI BI-RADS 4, 11 cases of MRI BI-RADS 3, 4 cases type A and 7 cases type B, and 20 cases of MRI BI-RADS 1-2. MRI sensitivity, specificity, positive predictive value, and negative predictive value were 88.8%, 76.9%, 84.2%, and 83.3%, respectively.

Water-selective spectral–spatial contrast-enhanced breast MRI for cancer detection in patients with extracapsular and injected free silicone

2006 ◽  
Vol 24 (10) ◽  
pp. 1363-1367 ◽  
Author(s):  
Julia Po ◽  
Daniel J.A. Margolis ◽  
Charles H. Cunningham ◽  
Robert J. Herfkens ◽  
Debra M. Ikeda ◽  
...  
Keyword(s):  
Cancer Detection ◽  
Breast Mri ◽  
Contrast Enhanced

Magnetic Resonance Imaging of the Breast

2001 ◽  
Vol 8 (5) ◽  
pp. 399-406 ◽  
Author(s):  
Christopher P. Goscin ◽  
Claudia G. Berman ◽  
Robert A. Clark
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Studies ◽  
Breast Imaging ◽  
Breast Mri ◽  
Resonance Imaging ◽  
Valuable Adjunct ◽  
Interpretation Criteria ◽  
Contrast Enhanced

Background Magnetic resonance imaging (MRI) has the potential to become a useful adjunct in breast imaging. Contrast-enhanced breast MRI has demonstrated a high sensitivity in the detection of invasive breast cancer. In clinical studies, breast MRI has often altered the course of patient care. Although promising results have been generated, MRI of the breast is currently in a development stage. Methods The authors reviewed the literature on the potential indications, sensitivity, specificity, and limitations of MRI of the breast. Results Reported advantages of MRI of the breast over conventional imaging techniques include improved staging and treatment planning, enhanced evaluation of the augmented breast, better detection of recurrence, and improved screening of high-risk women. Contrast-enhanced breast MRI is a sensitive modality for detecting breast cancer, but its variable specificity is a major limitation. Conclusions MRI of the breast is emerging as a valuable adjunct to mammography and sonography for specific clinical indications. Additional clinical studies that define indications, interpretation criteria, imaging parameters, and cost effectiveness are needed. A multi-institutional study designed to address these issues is in progress.

Diagnostic Breast Imaging and Breast Cancer Staging

2019 ◽  
Author(s):  
Nidhi Sharma
Keyword(s):  
Breast Cancer ◽  
Cancer Detection ◽  
Breast Imaging ◽  
Breast Mri ◽  
Cancer Staging ◽  
The United States ◽  
Patient Treatment ◽  
Architectural Distortion ◽  
Diagnostic Modality ◽  
Cancer Breast

This review is geared to provide surgeons practical insight on breast imaging, intended to improve breast cancer detection and staging. Breast cancer is a leading cause of death in women in the United States. The American Joint Committee on Cancer staging system provides a tumor-node-metastasis classification that helps in determining prognosis and patient treatment. There is an increasing role of radiologists in ascertaining the correct cancer stage. Screening mammography is the basic tool and most widely used modality to detect breast cancer. The diagnostic work-up of a patient recalled from screening is the next step in assessing the artifacts and benign findings from more suspicious lesions. Additional mammographic views, tomosynthesis, and ultrasonography play an important role in determining if the finding represents a true lesion and if so, to localize and determine its level of suspicion to be cancer. Breast MRI is used both as a screening tool and a diagnostic modality to help in cancer detection and treatment planning. Recognizing patterns of benign masses, malignant calcifications, architectural distortion, and masses via a multimodality approach is the essential first step in further diagnosis. A quick overview of common interventional breast procedures may serve as a practical reference for the readers. This review contains 10 figures, 8 tables, and 39 references. Key Words: breast cancer, breast MRI, breast ultrasonography, fibroadenoma, invasive ductal staging, male breast, mammograms, postoperative breast, screening

Breast Imaging Reporting and Data System (BI-RADS)

2018 ◽  
Author(s):  
Carl D’Orsi
Keyword(s):  
Cancer Detection ◽  
Breast Imaging ◽  
False Negative ◽  
Breast Mri ◽  
Breast Ultrasound ◽  
Cancer Detection Rate ◽  
Data System ◽  
True Positive ◽  
True Negative ◽  
Predictive Values

This chapter, devoted to the Breast Imaging Reporting and Data System (BI-RADS), describes the standardized language applied to findings in mammography, breast ultrasound, and breast MRI. BI-RADS terms most frequently used are described, and most are illustrated by figures. In addition, the rules for a facility and radiologist audit are described, with definitions of true positive (TP), false positive (FP), true negative (TN), and false negative (FN) findings. Sensitivity (Se), specificity (Sp), positive predictive values 1, 2, and 3 (PPV1, 2, 3), and cancer detection rate are defined. An example of an audit is provided to clarify the use of these metrics.

Does insurance mix impact utilization of published care practices and guidelines among breast imaging sites?

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 150-150
Author(s):  
Anne Marie Murphy ◽  
Christine B. Weldon ◽  
Julia Rachel Trosman ◽  
Julian C. Schink ◽  
David Ansell ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Detection ◽  
Breast Imaging ◽  
Response Rate ◽  
Private Insurance ◽  
Breast Mri ◽  
Test Results ◽  
Exact Test ◽  
Diagnostic Practices ◽  
Care Practices

150 Background: Significant variation exists across Metropolitan Chicago in the quality and timeliness measures for breast cancer detection (Rauscher GH 2014). We examined utilization of published care practices and guidelines at breast imaging sites in Chicago and compared them based on insurance mix. Methods: We conducted an IRB approved web survey of all 58 breast imaging sites in Chicago. Using guidelines (NCCN, NAPBC, ACR) and peer-reviewed literature (38 studies) we developed a survey of breast diagnostic practices. Results analyzed using simple frequencies and Fisher's exact test. Results: We achieved a response rate of 91% (53/58 sites): 27 sites with over 40% privately insured (PI) patients and 26 sites with over 60% Medicare, Medicaid, charity and self pay (MM) patients (IDPH 2012). Utilization of practices vary (Table). The use of breast MRI for diagnostic patients is 81% (17/21) of PI vs. 47% (8/17) of MM sites, p=0.04. Image guided biopsy is used by 81% (17/21) of PI vs. 25% (3/12) of MM sites, p=0.03. Clip placement at biopsy is done at 86% (18/21) of PI vs. 50% (6/12) of MM sites, p=0.04. Conclusions: Sites with higher rates of private insurance show better utilization of three published breast cancer diagnostic care practices. However, improvement is needed across sites, regardless of insurance mix, to provide care to all patients that is up-to-date on published breast cancer screening and diagnostic practices. [Table: see text]

Contrast-enhanced breast mri for cancer detection using a commercially available system—a perspective

1998 ◽  
Vol 22 (3) ◽  
pp. 162-179 ◽  
Author(s):  
Julian Safir ◽  
Joseph L Zito ◽  
Mark E Gershwind ◽  
David Faegenburg ◽  
Corinne E Tobin ◽  
...  
Keyword(s):  
Cancer Detection ◽  
Breast Mri ◽  
System A ◽  
Contrast Enhanced

Diagnostic Breast Imaging and Breast Cancer Staging

2019 ◽  
Author(s):  
Nidhi Sharma
Keyword(s):  
Breast Cancer ◽  
Cancer Detection ◽  
Breast Imaging ◽  
Breast Mri ◽  
Cancer Staging ◽  
The United States ◽  
Patient Treatment ◽  
Architectural Distortion ◽  
Diagnostic Modality ◽  
Cancer Breast

This review is geared to provide surgeons practical insight on breast imaging, intended to improve breast cancer detection and staging. Breast cancer is a leading cause of death in women in the United States. The American Joint Committee on Cancer staging system provides a tumor-node-metastasis classification that helps in determining prognosis and patient treatment. There is an increasing role of radiologists in ascertaining the correct cancer stage. Screening mammography is the basic tool and most widely used modality to detect breast cancer. The diagnostic work-up of a patient recalled from screening is the next step in assessing the artifacts and benign findings from more suspicious lesions. Additional mammographic views, tomosynthesis, and ultrasonography play an important role in determining if the finding represents a true lesion and if so, to localize and determine its level of suspicion to be cancer. Breast MRI is used both as a screening tool and a diagnostic modality to help in cancer detection and treatment planning. Recognizing patterns of benign masses, malignant calcifications, architectural distortion, and masses via a multimodality approach is the essential first step in further diagnosis. A quick overview of common interventional breast procedures may serve as a practical reference for the readers. This review contains 10 figures, 8 tables, and 39 references. Key Words: breast cancer, breast MRI, breast ultrasonography, fibroadenoma, invasive ductal staging, male breast, mammograms, postoperative breast, screening

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