Breast Imaging Essentials, An Issue of Radiologic Clinics of North America

1st Edition, Volume 62-4 - May 22, 2024
Editors: Yiming Gao, Samantha L. Heller
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 0 8 7 - 8
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 0 8 8 - 5

In this issue of Radiologic Clinics, guest editors Drs. Yiming Gao and Samantha L. Heller bring their considerable expertise to the topic of Breast Imaging Essential… Read more

Breast Imaging Essentials, An Issue of Radiologic Clinics of North America

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In this issue of Radiologic Clinics, guest editors Drs. Yiming Gao and Samantha L. Heller bring their considerable expertise to the topic of Breast Imaging Essentials. Top experts in the field cover key topics such artificial intelligence (AI) and breast imaging; mammography with or without MRI; the latest updates in the BRCA gene and breast imaging; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
CME Accreditation Page
Preface
Basics Revisited
Interval Cancers in Understanding Screening Outcomes
Key points
Introduction
Risk factors for interval breast cancers
Strategies to reduce interval cancers
Interval cancer rate as surrogate marker for assessing newer technologies
Candidate screening techniques for reducing the interval cancer rate
Summary
Clinics care points
Tumor Doubling Time and Screening Interval
Key points
Introduction
Screening basics—understanding the timeline for breast cancer growth
Tumor doubling time
Serial mammograms as a method to estimate breast cancer doubling time
Breast ultrasound as a method to estimate breast cancer doubling time
Is TVDT different for breast cancer gene mutation carriers compared to average risk patients?
Has there been a change in TVDT over time?
Impact of tumor volume doubling time on screening interval
Annual, biennial, or triennial screening in average risk women—benefits and risks
Summary
Clinics care points
Fibrocystic Change
Key points
Introduction
Incidence and presentation
Normal anatomy and imaging technique
Diagnostic criteria
Differential diagnosis
Clinical applications
Case study presentation
Summary
Clinics care points
Understanding Risk
Breast Density: Where Are We Now?
Key points
Introduction
Assessment of breast density
Factors that influence breast density
Clinical implications
Supplemental screening based on breast density
Future directions
Summary
Clinics care points
Background Parenchymal Enhancement: A Comprehensive Update
Key points
Introduction
Physiology of breast parenchymal enhancement
Hormonal and metabolic impact on breast parenchymal enhancement
Qualitative and quantitative measurement
Influence of contrast timing on parenchymal enhancement
Timing of screening breast MR imaging and breast parenchymal enhancement
Typical and atypical appearances of breast parenchymal enhancement on breast MR imaging
Association of breast parenchymal enhancement with breast cancer risk
Breast parenchymal enhancement as a predictor of treatment outcomes
Artificial intelligence and breast parenchymal enhancement
Future directions and summary
Clinics care points
Artificial Intelligence for Breast Cancer Risk Assessment
Key points
Introduction
Summary
Clinics care points
Hereditary Breast Cancer: BRCA Mutations and Beyond
Key points
Overview
Genetic testing
Penetrance of gene mutations
Imaging in hereditary breast cancer
Current screening guidelines
Summary
Clinics care points
Practice Advances
Contrast-enhanced Mammography versus MR Imaging of the Breast
Key points
Introduction
Breast MR imaging: imaging protocol and acquisition
Contrast-enhanced mammography: imaging protocol and acquisition
Image interpretation and BI-RADS lexicon
Background parenchymal enhancement and menstrual cycle
Clinical applications: comparison of value of contrast-enhanced mammography and breast MR imaging for diagnostic workup
High-risk and intermediate-risk screening
Further considerations: availability, cost, contrast, radiation exposure, compression, claustrophobia, and noise
Summary
Clinics care points
Non-contrast Breast MR Imaging
Key points
Introduction
Diffusion-weighted imaging
Clinical application of diffusion-weighted imaging
Emerging alternative non-contrast MR imaging techniques
Summary
Clinics care points
Nonsurgical Management of High-Risk Lesions
Key points
Introduction
Overdiagnosis/overtreatment
Nonsurgical management: vacuum-assisted excision
Current guidelines for managing B3 lesions
Surveillance
Risk reducing therapy
Summary
Clinics care points
Practice Challenges
Auditing Abbreviated Breast MR Imaging: Clinical Considerations and Implications
Key points
Introduction
Technique
Implementation
Auditing MR Imaging
Auditing abbreviated breast MR
Summary
Clinics care points
Clinical Integration of Artificial Intelligence for Breast Imaging
Key points
Introduction
Key definitions
Imagining AI in breast screening: what could a successful integration look like?
Preparing for implementation: understanding your end-to-end workflow
Implementation: Realizing the Vision
Avoiding harm: monitoring, governance, and trust after implementation
Case Study: Initial Evaluation of Phased Introduction of Image Interpretation Artificial Intelligence into a UK Breast Screening Program
Summary
Clinics care points
Patient Communication Innovations in Breast Imaging
Key points
Introduction
Patient access to health information
Innovations in reporting
Beyond the radiology report: challenges and innovations in direct communication
Empowering patients through education
Radiologist education
Auditing the patient experience
Summary
Clinics care points
Supplementary data

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Breast Imaging Essentials, An Issue of Radiologic Clinics of North America

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Yiming Gao

Samantha L. Heller