Breast Cancer Imaging

This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of "hot topics". The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology.

This book is a comprehensive guide to contrast-enhanced mammography (CEM), a novel advanced mammography technique using dual-energy mammography in combination with intravenous contrast administration in order to increase the diagnostic performance of digital mammography. Readers will find helpful information on the principles of CEM and indications for the technique. Detailed attention is devoted to image interpretation, with presentation of case examples and highlighting of pitfalls and artifacts. Other topics to be addressed include the establishment of a CEM program, the comparative merits of CEM and MRI, and the roles of CEM in screening populations and monitoring of response to neoadjuvant chemotherapy. CEM became commercially available in 2011 and is increasingly being used in clinical practice owing to its superiority over full-field digital mammography. This book will be an ideal source of knowledge and guidance for all who wish to start using the technique or to learn more about it.

This book collates past and current research on one of the most promising emerging modalities for breast cancer detection. Readers will discover how, as a standalone technology or in conjunction with another modality, microwave imaging has the potential to provide reliable, safe and comfortable breast exams at low cost. Current breast imaging modalities include X- ray, Ultrasound, Magnetic Resonance Imaging, and Positron Emission Tomography. Each of these methods suffers from limitations, including poor sensitivity or specificity, high cost, patient discomfort, and exposure to potentially harmful ionising radiation. Microwave breast imaging is based on a contrast in the dielectric properties of breast tissue that exists at microwave frequencies. The book begins by considering the anatomy and dielectric properties of the breast, contrasting historical and recent studies. Next, radar-based breast imaging algorithms are discussed, encompassing both early-stage artefact removal, and data independent and adaptive beamforming algorithms. In a similar fashion, microwave tomographic reconstruction algorithms are reviewed in the following chapter, introducing the reader to both the fundamental and more advanced algorithms. Apart from imaging, the book also reviews research efforts in extracting clinically useful information from the Radar Target Signature of breast tumours, which is used to classify tumours as either benign or malignant. Finally, the book concludes by describing the current state of the art in terms of prototype microwave breast imaging systems, with a particular emphasis on those which have progressed to the clinical evaluation stage. This work is motivated by the fact that breast cancer is one of the leading causes of death amongst women in Europe and the US, and the second most common cancer in the world today. Such an important area of research will appeal to many scholars and practitioners.p>

Authored by some of the world's preeminent authorities in its field, this new book represents today's best single source of guidance on breast imaging! It presents more details for each diagnosis - more representative images - more case data - and more current references than any other reference tool. At the same time, its user-friendly format lets readers access all of this information remarkably quickly! Covers the top imaging diagnoses in breast, including both common and uncommon entities. Provides exquisitely reproduced imaging examples for every diagnosis-plus concise, bulleted summaries of terminology - imaging findings - key facts - differential diagnosis - pathology - clinical issues - a diagnostic checklist - and selected references. Includes an extensive image gallery for each entity, depicting common and variant cases. Offers a vivid, full-color design that makes the material easy to read. Displays a "thumbnail" visual differential diagnosis for each entity.

X-ray mammography screening is the current mainstay for early breast cancer detection. It has been proven to detect breast cancer at an earlier stage and to reduce the number of women dying from the disease. However, it has a number of limitations. These current limitations in early breast cancer detection technology are driving a surge of new technological developments, from modifications of x-ray mammography such as computer programs that can indicate suspicious areas, to newer methods of detection such as magnetic resonance imaging (MRI) or biochemical tests on breast fluids. To explore the merits and drawbacks of these new breast cancer detection techniques, the Institute of Medicine of the National Academy of Sciences convened a committee of experts. During its year of operation, the committee examined the peer-reviewed literature, consulted with other experts in the field, and held two public workshops. In addition to identifying promising new technologies for early detection, the committee explored potential barriers that might prevent the development of new detection methods and their common usage. Such barriers could include lack of funding from agencies that support research and lack of investment in the commercial sector; complicated, inconsistent, or unpredictable federal regulations; inadequate insurance reimbursement; and limited access to or unacceptability of breast cancer detection technology for women and their doctors. Based on the findings of their study, the committee prepared a report entitled Mammography and Beyond: Developing Technology for Early Detection of Breast Cancer, which was published in the spring of 2001. This is a non-technical summary of that report.

This book provides a comprehensive description of the screening and clinical applications of digital breast tomosynthesis (DBT) and offers straightforward, clear guidance on use of the technique. Informative clinical cases are presented to illustrate how to take advantage of DBT in clinical practice. The importance of DBT as a diagnostic tool for both screening and diagnosis is increasing rapidly. DBT improves upon mammography by depicting breast tissue on a video clip made of cross‐sectional images reconstructed in correspondence with their mammographic planes of acquisition. DBT results in markedly reduced summation of overlapping breast tissue and offers the potential to improve mammographic breast cancer surveillance and diagnosis. This book will be an excellent practical teaching guide for beginners and a useful reference for more experienced radiologists.

Now in its 3rd Edition, this bestselling volume in the popular Requisites series, by Drs. Debra M. Ikeda and Kanae K. Miyake, thoroughly covers the fast-changing field of breast imaging. Ideal for residency, clinical practice and certification and MOC exam study, it presents everything you need to know about diagnostic imaging of the breast, including new BI-RADS standards, new digital breast tomosynthesis (DBT) content, ultrasound, and much more. Compact and authoritative, it provides up-to-date, expert guidance in reading and interpreting mammographic, ultrasound, DBT, and MRI images for efficient and accurate detection of breast disease. Features over 1,300 high-quality images throughout. Summarizes key information with numerous outlines, tables, ''pearls,'' and boxed material for easy reference. Focuses on essentials to pass the boards and the MOC exam and ensure accurate diagnoses in clinical practice. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. All-new Breast Imaging-Reporting and Data System (BI-RADS) recommendations for management and terminology for mammography, elastography in ultrasound, and MRI. Step-by-step guidance on how to read new 3D tomosynthesis imaging studies with example cases, including limitations, pitfalls, and 55 new DBT videos. More evidence on the management of high risk breast lesions. Correlations of ultrasound, mammography, and MRI with tomosynthesis imaging. Detailed basis of contrast-enhanced MRI studies. Recent nuclear medicine techniques such as FDG PET/CT, NaF PET.

This issue of Radiologic Clinics of North America focuses on Breast Imaging, and is edited by Dr. Sarah M. Friedewald. Articles will include: Evidence to Support Screening Women in Their 40s; Evidence to Support Screening Women Annually; High Risk Screening and Use of Risk Assessment Models; Breast Tomosynthesis: Clinical Evidence; Breast Tomosynthesis: Practical Considerations; Synthesized Digital Mammography Imaging; Breast Density Legislation and Clinical Evidence; Whole Breast Screening Ultrasound Implemenation; Breast MRI in the Newly Diagnosed Breast Cancer Patient; MRI: Future Imaging Techniques; Breast PET-MR; Update on Pre-Operative Needle Localization Techniques, and more!

This issue of Radiologic Clinics of North America focuses on Breast Imaging and is edited by Dr. Phoebe E. Freer. Articles will include: Management of High-risk Lesions in Breast Cancer; Contrast Mammography and Tomosynthesis; Breast Radiology Advocacy: Responding to the Call-to-Action; Artificial Intelligence and Breast Imaging; Is It the Era for Personalized Breast Cancer Screening?; Understanding the Mammography Audit; MRI Screening of Breast Cancer; Abbreviated MRI for Breast Cancer; Overdiagnosis and Risks of Breast Cancer Screening; MRI Audit of Screening and Diagnostic Breast Imaging; Supplemental Screening for Breast Cancer in Patients at Intermediate and High Risk; and more!