Overview This chapter will review the science behind screening mammography including a summary of different screening guidelines and discussion of controversies surrounding screening recommendations. The second part of this chapter will review how to systematically approach screening mammography interpretation. Why…
Overview This chapter discusses screening guidelines for women at average risk and elevated risk, and supplemental screening tools beyond full-field digital mammography (FFDM). Breast cancer is the most commonly diagnosed nonskin cancer and is the second leading cause of cancer…
Overview This chapter discusses determining breast cancer risk, population subgroups at higher risk, and models to evaluate breast cancer risk. Early detection and treatment of breast cancer reduces breast cancer–related mortality. Evaluating and predicting an individual woman’s risk of developing…
Overview This chapter covers normal breast anatomy and correlation between imaging and pathology, including management of benign lesions, high-risk lesions, and malignancies. Knowledge of breast anatomy and pathology is critical for accurate image interpretation. Understanding the spectrum of benign and…
Overview This chapter covers the fundamentals of breast MRI, including indications, technical considerations and MRI artifacts, MRI interpretation and reporting, and the basics of MRI-guided breast interventions. Indications Breast magnetic resonance imaging (MRI) has higher sensitivity for detecting breast cancer…
Overview This chapter covers percutaneous mammographic- and ultrasound-guided breast needle biopsies, preoperative needle/wire and wireless localization, specimen radiography, and pathology correlation. Magnetic resonance imaging (MRI)-guided breast procedures are covered in Chapter 8: Breast MRI Indications, Interpretation, Interventions . Image-Guided Breast…
Overview This chapter covers the basics of digital breast tomosynthesis (DBT), including acquisition, display, and interpretation techniques. Additionally, dose-related concerns and synthesized imaging will be explained . Digital breast tomosynthesis (DBT) was developed to improve on the limitations of traditional…
Overview This chapter covers screening and diagnostic indications for breast ultrasound and Breast Imaging Reporting and Data System (BI-RADS) interpretation. Additional topics covered include ultrasound technique for optimizing image quality, basic ultrasound physics, and artifacts . Indications Breast ultrasound can…
Overview This chapter covers mammographic appearance of benign, probably benign, and malignant breast calcifications. It reviews the list of typically benign breast calcifications. Analysis of breast calcifications using Breast Imaging Reporting and Data System (BI-RADS) morphology and distribution to determine…
Overview This chapter discusses the mammographic evaluation of breast masses, asymmetries, and architectural distortion. We will introduce the Breast Imaging Reporting and Data System (BI-RADS) descriptors as a tool to categorize these noncalcified lesions within the breast along with suggested…