Radiologic Clinics Of North America Breast Imaging

Cover\r......Page 1
Contents\r......Page 2
Forthcoming Issues\r......Page 6
Breast Imaging......Page 7
The randomized trials of breast cancer screening: what have we learned?......Page 9
Malm......Page 10
Canadian National Breast Screening Trials......Page 11
Results of the trials......Page 12
Correlation of results with study attributes and other study end points......Page 13
The effect of receiving screening......Page 15
Sensitivity, sojourn time, and overdiagnosis......Page 16
All-cause mortality......Page 18
Discussion......Page 19
References......Page 20
Screening recall rates......Page 23
Relative risks for screening women ages 40 to 49......Page 26
Detection of ductal carcinoma in situ: benefit or harm?......Page 27
Radiation exposure......Page 29
Psychologic effects of screening......Page 30
References......Page 31
Review of usual hyperplasia and ductal carcinoma in situ......Page 36
Atypical ductal hyperplasia......Page 40
Columnar cell hyperplasia with atypia or atypical ductal hyperplasia......Page 41
Lobular carcinoma in situ and atypical lobular hyperplasia......Page 42
References......Page 44
Patient volume......Page 46
Patient flow......Page 47
Patient scheduling......Page 48
Goal 1: detection of a high percentage of early stage breast cancers......Page 49
Strategies for screening mammography interpretation......Page 51
Comparison with prior films......Page 52
Double reading and computer-assisted detection......Page 53
Recent trends......Page 54
Strategies for increasing mammography use......Page 55
References......Page 56
Basic concepts......Page 59
Single-center studies of screening sonography......Page 60
Short-interval follow-up......Page 62
References......Page 64
Evaluation and management of breast masses......Page 66
Circumscribed masses......Page 67
Spiculated masses......Page 71
Commonly encountered problems regarding noncalcified breast lesions......Page 72
Evaluation and management of breast calcifications......Page 74
References......Page 83
Digital mammography......Page 84
Technical advantages of digital mammography......Page 86
Clinical trials comparing film and digital mammography......Page 88
Clinical advantages of digital......Page 90
Advanced applications of digital mammography......Page 91
Computer-aided detection......Page 92
Contrast-enhanced digital mammography......Page 95
References......Page 96
Introduction......Page 98
General principles of fluorodeoxyglucose positron emission tomography......Page 101
Positron emission tomography technique......Page 100
Diagnosis......Page 102
Staging......Page 103
Prognosis and response to therapy......Page 105
Recurrence......Page 106
Single-photon imaging......Page 107
Perfusion agents......Page 108
Initial staging......Page 110
Counting time and significance of detected activity......Page 113
Blue-dye technique for sentinel lymph node detection......Page 111
Radiopharmaceuticals and injection techniques......Page 112
Assessment of response to treatment and toxicity......Page 114
References......Page 116
Summary......Page 115
Palpable and nonpalpable abnormalities......Page 122
Treatment planning for radiation therapy......Page 124
Young, pregnant, and lactating patients......Page 127
Controversial or evolving applications of breast ultrasound in problem solving......Page 131
Characterizing multiple masses......Page 129
References......Page 130
Image-guided breast biopsy and management of high-risk lesions......Page 132
Needle aspiration and fine-needle aspiration biopsy......Page 134
Stereotactically guided biopsy......Page 133
Atypical ductal hyperplasia......Page 135
Radial sclerosing lesion......Page 136
Papillary lesions......Page 137
Complete excision by vacuum-assisted biopsy......Page 138
References......Page 139
Diagnostic accuracy of breast MR imaging......Page 144
Interpretation of breast MR imaging examinations......Page 145
Interpretation guidelines......Page 146
Preoperative staging......Page 147
Effect of MR imaging on surgical management of breast cancer......Page 149
Evaluation of the problematic mammogram......Page 151
Is there an abnormality?......Page 152
Scar versus tumor......Page 154
Other uses for breast MR imaging......Page 155
References......Page 156
Minimal requirements for image-guidance......Page 160
MR imaging-guided lumpectomy......Page 161
Laser interstitial thermal therapy......Page 162
Radiofrequency ablation therapy......Page 163
Microwave ablation therapy......Page 165
Focused ultrasound surgery......Page 166
Cryoablation......Page 168
References......Page 171
Role of the expert......Page 176
Ethics of being an expert......Page 177
American College of Radiology practice guidelines and technical standards......Page 178
Comment......Page 179
Comment......Page 180
Expert opinion......Page 181
Comment......Page 182
Case 5A......Page 183
Comment......Page 184
Comment......Page 185
References......Page 186
Mammography:......Page 188
References......Page 190
Index......Page 192