THE DIAGNOSTIC WORKUP: THE TEAM APPROACH
|
|
|
- Leslie Peters
- 5 years ago
- Views:
Transcription
1 X-Ray Associates of New Mexico, P.C. THE DIAGNOSTIC WORKUP: THE TEAM APPROACH MICHAEL N. LINVER, MD, FACR DAWN DERENBURGER, RTRM
2 Disclosure There are no conflicts of interest or relevant financial interests in making this presentation and have indicated that my presentation does not include discussion of an unlabeled use of a commercial product, or an investigational use not yet approved for any purpose.
3 Objectives Identify characteristics of quality standards for optimal positioning Discuss methods for resolving imaging challenges Demonstrate appropriate uses of additional views for lesion localization Explain methodology and utilzation of triangulation theory
4 MODERN ESSENTIALS (BREAST IMAGING) Ultrasound Mammography (and now TOMO) MRI
5
6 THE BUILDING BLOCKS The key to a good diagnostic exam depends on excellence of the standard CC and MLO.
7 CHARACTERISTICS OF A GOOD CC PNL measurement within 1 cm of PNL measurement on MLO Cleavage demonstrated Visualization of pectoralis muscle (20%) * Nipple centered and in profile (if possible)
8 CHARACTERISTICS OF A GOOD MLO Visualization of the entire breast within the perimeter. Visualization of pectoralis muscle Nipple in profile (if possible) Breast in up and out position Visualization of IMF
9 VISUALIZATION OF THE PECTORALIS MUSCLE Down to the level of the PNL Convex or straight Wide margin at axilla Radiolucent
10 THE GOOD MAMMOGRAM Posterior Nipple Line (PNL) Right Left CC VIEWS
11 THE GOOD MAMMOGRAM Posterior Nipple Line (PNL) Right Left MLO VIEWS
12 THE GOOD MAMMOGRAM Posterior Nipple Line (PNL) Right Left PNL S= WITHIN 1 CM OF EACH OTHER
13 POSTERIOR NIPPLE LINE mlo cc No more than 1 cm difference between the 2 measurements
14 THE MLO VIEW, AND ADVENTURES IN TRIANGULATION mlo
15 IF AREA OF CONCERN SEEN WELL ON CC VIEW ONLY: WHERE COULD IT BE LOCATED ON THE MLO VIEW?
16 USING DISTANCE FROM NIPPLE cc mlo NO!
17 USING DISTANCE FROM NIPPLE cc mlo YES!
18 A-P LOCATION ISSUES cc mlo?
19 A-P LOCATION ISSUES cc mlo YES!
20 A-P LOCATION ISSUES cc mlo NO!
21 SCREENING MAMMOGRAM cc? mlo
22 LOOKS LIKE A CANCER! cc mlo
23 SCREENING MAMMOGRAM cc? mlo WHERE IS IT ON THE MLO VIEW?
24 SCREENING MAMMOGRAM cc? mlo NO!
25 SCREENING MAMMOGRAM mlo? lateral-medial?
26 SCREENING MAMMOGRAM cc lateral-medial YES!
27 QUADRANT LOCATION ISSUES
28 IMAGE vs. BREAST PLANE Rmlo IMAGE PLANE BREAST PLANE
29 IMAGE vs. BREAST PLANE Rmlo IMAGE PLANE BREAST PLANE
30 Perceived vs. true halves mlo
31 Perceived vs. true halves mlo
32 VALUE OF KNOWING THE PLANE OF THE LESION Limits area where the lesion can be within the breast Defines a path for directing your search: Sonography Palpation mlo
33 MAMMOGRAPHY LOCALIZER: An ios app for the iphone! Developed by Dr. John Bisges, University of Mississippi (As shown on AuntMinnie.com)
34 90 degree lat. mlo TRIANGULATION cc Lead sinks, Muffins rise Medial lesions (Muffins) rise
35 90 degree lat. mlo TRIANGULATION cc Lead sinks, Muffins rise Medial lesions (Muffins) rise
36 90 degree lat. mlo TRIANGULATION cc Lead sinks, Muffins rise Lateral lesions (Lead) sinks
37 90 degree lat. mlo TRIANGULATION cc Lead sinks, Muffins rise Lateral lesions (Lead) sinks
38 Superior or inferior orientation to the nipple: LM or ML
39 ML LM
40
41
42 Why do the LM? When you did the MLO you showed the lateral breast in better detail. The LM shows the medial breast in better detail. The LM takes advantage of the lateral mobile border of the breast There is no issue of the contralateral breast impeding the path of the compression paddle The hardest part of the breast to image (and the area most often missing on the MLO) is the posterior medial breast. If done properly (off-setting the IR into the contralateral breast) you will be able to get deeper against the chest wall.
43 ANOTHER TRIANGULATION mediolateral CASE mlo cc?? WHAT DO YOU DO NEXT?
44 CC MLO?
45 ROLL VIEW Roll top laterally while rolling bottom medially, or vice versa CC
46 ROLL VIEW? ASYMMETRY DISAPPEARS: SUMMATION ARTIFACT! CC Rolled CC
47 HOW TO DO A ROLL VIEW Top rolled medial? Top rolled lateral? Both?
48
49
50
51 Labeling Roll views are always labeled according the direction that the top of the breast is rolled RCCRL RCCRM
52 DETERMINING LESION LOCATION, IF ASYMMETRY PERSISTS ON THE ROLL VIEW
53 ROLL VIEW Cranial lesion! BB placed on top CC Top of breast rolled laterally
54 ROLL VIEW Caudal lesion! BB placed on top CC Top of breast rolled laterally
55 TANGENTIAL VIEWS Prove that superficial suspicious calcifications are located in the skin Enhance visualization of palpable and/or obscured masses that may otherwise be superimposed on glandular breast tissue Localizing a lesion that is seen on only one standard view
56 TANGENTIAL VIEWS Prove that superficial suspicious calcifications are located in the skin Enhance visualization of palpable and/or obscured masses that may otherwise be superimposed on glandular breast tissue Localizing a lesion that is seen on only one standard view
57 Tangential views for the verification of skin calcifications
58 Tangential views for the verification of skin calcifications
59 Tangential views for the verification of skin calcifications
60 SCREENING MAMMOGRAM
61 ?
62 ? METALLIC BB PLACED USING ALPHA- NUMERIC GRID IN FENESTRATED PADDLE
63 ? METALLIC BB PLACED USING ALPHA- NUMERIC GRID IN FENESTRATED PADDLE
64 TANGENTIAL VIEW CALCIFICATIONS ARE IN THE SKIN!
65 TOMOSYNTHESIS FOR EVALUATION OF SKIN CALCIFICATIONS Find precise locations of calcifications in space Excellent for skin calcifications
66 SCREENING MAMMOGRAM? 106
67 SCREENING MAMMOGRAM? 107
68 SKIN CALCS! (POWDER TRAPPED IN SKIN PORES) TOMO SLICE #1
69 TANGENTIAL VIEWS Prove that superficial suspicious calcifications are located in the skin Enhance visualization of palpable and/or obscured masses that may otherwise be superimposed on glandular breast tissue
70
71
72
73
74
75
76 FIRST SCREENING MAMMOGRAM
77 FIRST SCREENING MAMMOGRAM: IMPLANT DISPLACED VIEWS
78 SCREENING MAMMOGRAM, NEXT YEAR
79 SCREENING MAMMOGRAM, NEXT YEAR: IMPLANT DISPLACED VIEWS?
80 SCREENING MAMMOGRAM, NEXT YEAR: SPOT TANGENTIAL VIEW, LOWER LEFT
81 FOCUSED ULTRASOUND, 5:00 LEFT
82 BREAST MRI: POST-CONTRAST AXIAL VIEW
83 BREAST MRI: HI-RES SAGITTAL RECONSTRUCTION INVASIVE DUCTAL CARCINOMA
84 BREAST MRI: PRE-CONTRAST AXIAL VIEW, TO LOOK AT IMPLANTS BILATERAL RUPTURED IMPLANTS TOO!
85 TANGENTIAL VIEWS Prove that superficial suspicious calcifications are located in the skin Enhance visualization of palpable and/or obscured masses that may otherwise be superimposed on glandular breast tissue Localizing a lesion that is seen on only one standard view
86 SCREENING MAMMOGRAM CC MLO
87 SCREENING MAMMOGRAM CC MLO
88 NOT SEEN ON CC VIEW CC MLO? SO- DO STEP OBLIQUE VIEWS!
89 How to perform step obliques Patient should be positioned as for standard MLO/CC both feet, hips and shoulders facing forward Start with the view in which are area of concern was best visualized. Maintaining patient position vary degree of MLO by 15 degees 102
90 Walk-around, or step oblique CC Seen on 60 only
91 Step oblique views performed CC
92 DRAW A LINE THROUGH THE LESION ON THE VIEWS YOU SEE IT ON Step oblique views performed CC
93 Step oblique views performed SO- LESION IS IN LATERAL SIDE OF BREAST! NOW KNOW WHERE TO LOOK ON ULTRASOUND! 15 CC
94 THE DIAGNOSTIC WORKUP WHEN TOMOSYNTHESIS IS AVAILABLE The one view mass (asymmetry?) Tomo gives us a lesion s address in all three planes!! Therefore, we can closely estimate the position in space of a lesion seen on one view only!
95 MLO 2012
96
97 MLO TOMO Tomo Slice 15
98 NOW WE KNOW IT HAS TO BE IN THE RIGHT UPPER OUTER QUADRANT! HOW DO WE KNOW THAT? MLO 2D VIEW TOMO SLICE 15 (of 45 slices)
99 IMAGE vs. BREAST PLANE Rmlo RLM IMAGE PLANE IMAGE PLANE BREAST PLANE
100 Tomo slice orientation on LM Rmlo RLM IMAGE PLANE slice 1 slice 45 slice 15 IMAGE PLANE BREAST PLANE
101 Tomo slice orientation on LM Rmlo RLM slice 1 slice 45 slice 15 IMAGE PLANE BREAST PLANE
102 IMAGE vs. BREAST PLANE WITH THE MLO VIEW Rmlo IMAGE PLANE IMAGE PLANE IMAGE PLANE BREAST PLANE
103 Tomo slice orientation on MLO mlo slice 1 slice 15 slice 45 LESION MUST LIE IN UOQ
104 11:00, 12 cm from nipple
105 Tomo slice orientation on MLO mlo 11:00, 12 cm from nipple slice 15
106 BUT- WHAT IF LESION HAD BEEN AT SLICE 20 ON MLO TOMO? mlo slice 1 UIQ UOQ slice 20 LOQ slice 45 NOT NECESSARILY IN UOQ!!
107 WHAT IF LESION HAD BEEN AT SLICE 20 ON LM TOMO? Rmlo RLM slice 1 slice 45 slice 20 IMAGE PLANE BREAST PLANE LM VIEW MORE PRECISE!
108 TEACHING POINTS: 1. ACCURATE TRIANGULATION OF A ONE VIEW FINDING ON TOMOSYNTHESIS IS ONE OF TOMO S GREATEST ASSETS 2. HOWEVER, DEFINITIVE LOCATION OF SUCH A LESION CAN BE COMPROMISED BY MULTIPLE FACTORS, ESPECIALLY ON THE MLO
109 Thank you! MIKE LINVER DAWN DERENBURGER
Breast Imaging Essentials
Breast Imaging Essentials Module 8 Transcript 2017 ASRT. All rights reserved. Breast Imaging Essentials Module 8 Digital Procedures and Techniques 1. ASRT Animation 2. Welcome Welcome to Module 8 of Breast
POSITIONING ACR REQUIREMENTS IMAGE REVIEW CATEGORIES DEFICIENCIES IN POSITIONING ACR REQUIREMENTS 3/28/2016 NUMBER 1 REASON FOR ACR FAILURE
CERTIFYING AGENCIES MAMMOGRAPHY CLINICAL IMAGE EVALUATION Pam Fulmer, BA RT (R)(M)(QM) FDA approved certifying states States can only certify facilities within their state borders Illinois Iowa South Carolina
TOMOSYNTHESIS: WORTH ALL THE HYPE?
X-Ray Associates of New Mexico, P.C. TOMOSYNTHESIS: WORTH ALL THE HYPE? MICHAEL N. LINVER, MD, FACR MAMMOGRAPHY: THE GOOD, THE PRETTY GOOD, & THE NOT SO GOOD MAMMOGRAPHY: THE GOOD, THE PRETTY GOOD, & THE
Standard Breast Imaging Modalities. Lilian Wang, M.D. Breast Imaging Section Department of Radiology Northwestern Medicine
Standard Breast Imaging Modalities Lilian Wang, M.D. Breast Imaging Section Department of Radiology Northwestern Medicine Overview Standard breast imaging modalities Mammography Ultrasound MRI Imaging
Hiding in Plain Sight / Site: Archictectural Distortions and Breast Asymmetries
Hiding in Plain Sight / Site: Archictectural Distortions and Breast Asymmetries Dianne Georgian-Smith MD Associate Professor Harvard Med School Brigham and Women s Hospital Financial Disclosures Book Publication
Since its introduction in 2000, digital mammography has become
Review Article Smith A, PhD email : Andrew.smith@hologic.com Since its introduction in 2000, digital mammography has become an accepted standard of care in breast cancer screening and has paved the way
ACRIN 6666 IM Additional Evaluation: Additional Views/Targeted US
Additional Evaluation: Additional Views/Targeted US For revised or corrected form check box and fax to 215-717-0936. Instructions: The form is completed based on recommendations (from ID form) for additional
A Breast Surgeon s Use of Three Dimensional Specimen Tomosynthesis
A Breast Surgeon s Use of Three Dimensional Specimen Tomosynthesis Cary S. Kaufman MD, FACS Associate Clinical Professor of Surgery A Breast Surgeon s Use of Three Dimensional Specimen Tomosynthesis Cary
Contrast-Enhanced Spectral Mammography
Contrast-Enhanced Spectral Mammography Illuminating Breast Cancer Detection SenoBright HD TM gehealthcare.com/senobright Mammography is the most reliable imaging technique for breasts, but limitations
Accreditation Case Review: Mammography and Stereotactic Biopsy
Accreditation Case Review: Mammography and Stereotactic Biopsy Brett T. Parkinson MD Breast Imaging Director Breast Care Services Intermountain Healthcare Chair, ACR Committee on Mammography Accreditation
Contrast-Enhanced Breast Tomosynthesis: Combining the Best of Both Worlds for Better Breast-Cancer Diagnosis
Contrast-Enhanced Breast Tomosynthesis: Combining the Best of Both Worlds for Better Breast-Cancer Diagnosis T Wu (twu2@partners.org), E Rafferty, R Moore, D Kopans, Massachusetts General Hospital, Boston,
Mammography. What is Mammography?
Scan for mobile link. Mammography Mammography is a specific type of breast imaging that uses low-dose x-rays to detect cancer early before women experience symptoms when it is most treatable. Tell your
EARLY DETECTION: MAMMOGRAPHY AND SONOGRAPHY
EARLY DETECTION: MAMMOGRAPHY AND SONOGRAPHY Elizabeth A. Rafferty, M.D. Avon Comprehensive Breast Center Massachusetts General Hospital Harvard Medical School Breast Cancer Screening Early detection of
Comparison Study: Impact of Thin Protective Coverlets on Positioning and Tissue Acquisition in Breast Imaging
Comparison Study: Impact of Thin Protective Coverlets on Positioning and Tissue Acquisition in Breast Imaging Author: Steve K. Wagner Co-Author: Alex Merkulov, MD OBJECTIVE To determine whether the use
Financial Disclosures
Financial Disclosures 3D Mammography: The Latest Developments in the Breast Imaging Arena I have no financial disclosures Dr. Katharine Lampen-Sachar Breast and Body Radiologist Radiology Associates of
Mammography. What is Mammography? What are some common uses of the procedure?
Mammography What is Mammography? Mammography is a specific type of imaging that uses a low-dose x-ray system to examine breasts. A mammography exam, called a mammogram, is used to aid in the early detection
FACT: FACT: Breast Cancer Staging. For cancer to occur, something must damage nucleus of the cell. Stage I. Stage II 10/9/2018
Digital Breast Tomosynthesis (DBT) Pathology Findings: Case Studies and Beyond For cancer to occur, something must damage nucleus of the cell. Advanced Health Education Center www.aheconline.com Copyright
Contrast-Enhanced Spectral Mammography helps to improve breast cancer diagnostics
GE Healthcare Contrast-Enhanced Spectral Mammography helps to improve breast cancer diagnostics SenoBright TM mammography, Midwest U.S. hospital Simple test benefits clinicians and patients A hospital
Breast asymmetries in mammography: Management
Breast asymmetries in mammography: Management Poster No.: C-1026 Congress: ECR 2015 Type: Educational Exhibit Authors: V. de Lara Bendahan 1, F. J. Hidalgo Ramos 2, J. L. Ortega Garcia 3, Keywords: DOI:
Leonard M. Glassman MD
BI-RADS The New BI-RADS Leonard M. Glassman MD FACR Former Chief of Breast Imaging American Institute for Radiologic Pathology Washington Radiology Associates, PC Breast Imaging Reporting and Data System
Intracystic papillary carcinoma of the breast
Intracystic papillary carcinoma of the breast Poster No.: C-1932 Congress: ECR 2011 Type: Educational Exhibit Authors: V. Dimarelos, F. TZIKOS, N. Kotziamani, G. Rodokalakis, 1 2 3 1 1 1 2 T. MALKOTSI
Breast Tomosynthesis. What is breast tomosynthesis?
Scan for mobile link. Breast Tomosynthesis Breast tomosynthesis is an advanced form of mammography, a specific type of breast imaging that uses low-dose x-rays to detect cancer early when it is most treatable.
Here are examples of bilateral analog mammograms from the same patient including CC and MLO projections.
Good afternoon. It s my pleasure to be discussing Diagnostic Breast Imaging over the next half hour. I m Wei Yang, Professor of Diagnostic Radiology and Chief, the Section of Breast Imaging as well as
Diagnostic Dilemmas of Breast Imaging
Diagnostic Dilemmas of Breast Imaging Common Causes of Error in Breast Cancer Detection By: Jason Cord, M.D. Mammography: Initial Imaging The standard for detection of breast cancer Screening mammography
Breast positioning system for full field digital mammography and digital breast tomosynthesis system
Breast positioning system for full field digital mammography and digital breast tomosynthesis system Mari Varjonen* a, Martti Pamilo b, Pirjo Hokka b, Riina Hokkanen a, Pekka Strömmer a a Planmed Oy Asentajankatu
Breast tomosynthesis reduces radiologist performance variability compared to digital mammography
Breast tomosynthesis reduces radiologist performance variability compared to digital mammography Andrew Smith 1, Elizabeth Rafferty 2, Loren Niklason 1 1 Hologic, Inc., Bedford MA, USA 2 Massachusetts
Mammography. Background and Perspective. Mammography Evolution. Background and Perspective. T.R. Nelson, Ph.D. x41433
- 2015 Background and Perspective 2005 (in US) Women Men Mammography Invasive Breast Cancer Diagnosed 211,240 1,690 Noninvasive Breast Cancer Diagnosed 58,940 Deaths from Breast Cancer 40,410 460 T.R.
Automating Quality Assurance Metrics to Assess Adequate Breast Positioning in Mammography
Automating Quality Assurance Metrics to Assess Adequate Breast Positioning in Mammography Gerald R. Kolb, JD, The Breast Group, Sunriver, OR; Kaier Wang, PhD, VolparaSolutions, Wellington, NZ; Ariane Chan,
Fundamentals of Breast Tomosynthesis
Fundamentals of Breast Tomosynthesis Improving the Performance of Mammography Andrew Smith, Ph.D. This white paper is one in a series of research overviws on advanced technologies in women s healthcare.
Epworth Healthcare Benign Breast Disease Symposium. Sat Nov 12 th 2016
Epworth Healthcare Benign Breast Disease Symposium Breast cancer is common Sat Nov 12 th 2016 Benign breast disease is commoner, and anxiety about breast disease commoner still Breast Care Campaign UK
6 Reasons Nipple Markers Add Value in Positioning and Image Critique:
PROPER POSITIONING WITH THE USE OF NIPPLE MARKERS By Susan Sprinkle-Vincent, A.A.S., R.T. (R) (M) Mammography Program Manager and Consultant Advanced Health Education Center Houston, Texas Mammography
Outline. Digital Breast Tomosynthesis: Update and Pearls for Implementation. Tomosynthesis Dataset: 2D/3D (Hologic Combo Acquisition)
Outline Digital Breast Tomosynthesis (DBT) the new standard of care Digital Breast Tomosynthesis: Update and Pearls for Implementation Emily F. Conant, M.D. Professor, Chief of Breast Imaging Department
Disclosure. Objectives 2/6/ Allina Health System. What Every Technologist Would Like Their Radiologists To Know
What Every Technologist Would Like Their Radiologists To Know Louise C. Miller, RTRM Director of Education Mammography Educators San Diego, CA February 6, 2016 Disclosure There are no conflicts of interest
Pitfalls and Limitations of Breast MRI. Susan Orel Roth, MD Professor of Radiology University of Pennsylvania
Pitfalls and Limitations of Breast MRI Susan Orel Roth, MD Professor of Radiology University of Pennsylvania Objectives Review the etiologies of false negative breast MRI examinations Discuss the limitations
EARLY DETECTION: MAMMOGRAPHY AND SONOGRAPHY
EARLY DETECTION: MAMMOGRAPHY AND SONOGRAPHY Elizabeth A. Rafferty, M.D. Avon Comprehensive Breast Center Massachusetts General Hospital Harvard Medical School Breast Cancer Screening Early detection of
Gynecomastia and Its Mimics: Not All Male Breast Lesions are Benign
Gynecomastia and Its Mimics: Not All Male Breast Lesions are Benign Poster No.: C-0139 Congress: ECR 2014 Type: Educational Exhibit Authors: S. A. Choudhery, P. Gupta, S. Foshee, F. Garcia-Morales, G.
BI-RADS Update. Martha B. Mainiero, MD, FACR, FSBI Brown University Rhode Island Hospital
BI-RADS Update Martha B. Mainiero, MD, FACR, FSBI Brown University Rhode Island Hospital No Disclosures BI-RADS History 1980s Quality Issues ACR Accreditation BI-RADS 1994 2003 4 th Edition MRI, US January
Update of Digital Breast Tomosynthesis. Susan Orel Roth, MD
Update of Digital Breast Tomosynthesis Susan Orel Roth, MD NCI estimates that : Why DBT? Approximately 20% of breast cancers are missed at mammography screening Average recall rates approximately 10%
3D Automated Breast Ultrasound (ABUS): The dense breast screening tool and its potential role for preoperative staging
3D Automated Breast Ultrasound (ABUS): The dense breast screening tool and its potential role for preoperative staging Introduction Breast cancer is by far the most common cancer amongst women across Europe,
Patient Dosimetry in Mammography and Tomosynthesis:
2013 ICTP/IAEA Training Course on Radiation Protection of Patients Trieste Patient Dosimetry in Mammography and Tomosynthesis: What to measure, why and how John M. Boone, Ph.D., FAAPM, FSBI, FACR Professor
Role of PEM in Breast Cancer Management. Judy Kalinyak, MD, PhD Chief Medical Officer Naviscan, Inc (San Diego, CA)
Role of PEM in Breast Cancer Management Judy Kalinyak, MD, PhD Chief Medical Officer Naviscan, Inc (San Diego, CA) Role of PEM in Breast Cancer Management Introduction to Positron Emission Mammography
Breast Imaging Update: Old Dog New Tricks
Breast Imaging Update: Old Dog New Tricks Claire McKay, DO M&S Imaging Assoc. San Antonio, TX cmckayhart@juno.com Goals Describe modalities available, old and new Provide understanding of pros and cons
What s New in Breast Imaging. Jennifer A. Harvey, M.D., FACR Professor of Radiology University of Virginia
What s New in Breast Imaging Jennifer A. Harvey, M.D., FACR Professor of Radiology University of Virginia Disclosure Hologic, Inc. Shareholder and research agreement. Volpara Solutions, Ltd. Shareholder
Breast Tomosynthesis
Breast Tomosynthesis The Use of Breast Tomosynthesis in a Clinical Setting 2 What s Inside Introduction... 1 Initial Hologic Clinical Trial Purpose and Methodology... 1 Clinical Trial Results... 2 Improved
Avoiding Pitfalls in Mammographic Interpretation
Canadian Association of Radiologists Journal 62 (2011) 50e59 www.carjonline.org Thoracic and Cardiac Imaging / Imagerie cardiaque et imagerie thoracique Avoiding Pitfalls in Mammographic Interpretation
DCIS of the Breast--MRI findings with mammographic correlation.
DCIS of the Breast--MRI findings with mammographic correlation. Poster No.: C-1560 Congress: ECR 2013 Type: Educational Exhibit Authors: N. B. Ibrahim, P. Morris, S. ANANDAN; Burlington, MA/US Keywords:
Amammography report is a key component of the breast
Review Article Writing a Mammography Report Amammography report is a key component of the breast cancer diagnostic process. Although mammographic findings were not clearly differentiated between benign
ACCREDITATION DOCUMENT THE RADIOGRAPHER
ACCREDITATION DOCUMENT THE RADIOGRAPHER Nijmegen, October 2012 1. Introduction An optimal quality of mammography is one of the fundamental requirements for successful breast cancer screening programmes.
Breast conservation surgery and sentinal node biopsy: Dr R Botha Moderator: Dr E Osman
Breast conservation surgery and sentinal node biopsy: Dr R Botha Moderator: Dr E Osman Breast anatomy: Breast conserving surgery: The aim of wide local excision is to remove all invasive and in situ
Armed Forces Institute of Pathology.
Armed Forces Institute of Pathology www.radpath.com Armed Forces Institute of Pathology Breast Disease www.radpath.org Armed Forces Institute of Pathology Interpretation of Breast MRI Leonard M. Glassman
The radiologic workup of a palpable breast mass
Imaging in Practice CME CREDIT EDUCTIONL OJECTIVE: The reader will consider which breast masses require further workup and which imaging study is most appropriate Lauren Stein, MD Imaging Institute, Cleveland
PLACE LABEL HERE. ACRIN 6657 MRI Form: Pre-Treatment (MRI-1)
M3 ACRIN 6657 MRI Form: Pre-Treatment (MRI-1) If this is a revised or corrected form,indicate by checking box. ACRIN Study 6657 Case # Instructions: In accordance with the protocol, four MRI exams are
Correlation between lesion type and the additional value of digital breast tomosynthesis
Correlation between lesion type and the additional value of digital breast tomosynthesis Poster No.: C-1604 Congress: ECR 2011 Type: Scientific Exhibit Authors: C. Van Ongeval, L. Cockmartin, A. Van Steen,
#46: DIGITAL TOMOSYNTHESIS: What is the Data Really Showing? TERMS (AKA) WHAT IS TOMOSYNTHESIS? 3/3/2014. Digital breast tomosynthesis =
#46: DIGITAL TOMOSYNTHESIS: What is the Data Really Showing? January K. Lopez, MD Hoag Breast Care Center Newport Beach, CA Disclosures: None TERMS (AKA) Digital breast tomosynthesis = DBT Tomo 3D Full
Can Digital Breast Tomosynthesis(DBT) Perform Better than Standard Digital Mammography Workup in a Breast Cancer Assessment Clinic?
Can Digital Breast Tomosynthesis(DBT) Perform Better than Standard Digital Mammography Workup in a Breast Cancer Assessment Clinic? Accepted for publication in European Radiology Authors: S Mall, J Noakes,
University of Washington Radiology Review Course: Strange and Specific Diagnoses. Case #1
University of Washington Radiology Review Course: Strange and Specific Diagnoses Katherine E. Dee, MD Seattle Breast Center Via Radiology 2014 Case #1 37 year old presents with bilateral palpable lumps.
Invasive lobular carcinoma of the breast; spectrum of imaging findings.
Invasive lobular carcinoma of the breast; spectrum of imaging findings. Poster No.: C-0847 Congress: ECR 2014 Type: Educational Exhibit Authors: D. Mandich, T. Diaz de Bustamante, L. Koren, M. Arroyo,
Case Scenario 1 History and Physical 3/15/13 Imaging Pathology
Case Scenario 1 History and Physical 3/15/13 The patient is an 84 year old white female who presented with an abnormal mammogram. The patient has a five year history of refractory anemia with ringed sideroblasts
Breast Tomosynthesis
Breast Tomosynthesis The Use of Breast Tomosynthesis in a Clinical Setting 2 What s Inside Introduction... 1 Initial Hologic Clinical Trial Purpose and Methodology... 1 Clinical Trial Results... 2 Improved
Definition of Anatomy. Anatomy is the science of the structure of the body and the relation of its parts.
Definition of Anatomy Anatomy is the science of the structure of the body and the relation of its parts. Basic Anatomical Terms Anatomical terms for describing positions: Anatomical position: Supine position:
Case Report Tubular Carcinoma of the Breast: Advantages and Limitations of Breast Tomosynthesis
Case Reports in Radiology Volume 2016, Article ID 3906195, 4 pages http://dx.doi.org/10.1155/2016/3906195 Case Report Tubular Carcinoma of the Breast: Advantages and Limitations of Breast Tomosynthesis
BIRADS 3 and 4 lesions viewed by ultrasound and not seen in digital mammograms and tomosynthesis.
Original article Anales de Radiología México 2016 Jul;15(3):205-213. BIRADS 3 and 4 lesions viewed by ultrasound and not seen in digital mammograms and tomosynthesis. García-Quintanilla JF 1, González-Coronado
Breast Health and Imaging Glossary
Contact: Lorna Vaughan HerSpace Breast Imaging & Biopsy Associates 300 State Route 35 South W. Long Branch, NJ 07764 732-571-9100, ext. 104 lorna@breast-imaging.com Breast Health and Imaging Glossary Women
3D Conformal Radiation Therapy for Mucinous Carcinoma of the Breast
1 Angela Kempen February Case Study February 22, 2012 3D Conformal Radiation Therapy for Mucinous Carcinoma of the Breast History of Present Illness: JE is a 45 year-old Caucasian female who underwent
Women s Imaging Original Research
Women s Imaging Original Research Brandt et al. DBT for Screening Recalls Without Calcifications Women s Imaging Original Research FOCUS ON: Kathleen R. Brandt 1 Daniel A. Craig 1 Tanya L. Hoskins 2 Tara
Contrast Enhanced Spectral Mammography (CESM) Initial UK Experience. Dr Sarah L Tennant BMedSci, BMBS, MRCP, FRCR
Contrast Enhanced Spectral Mammography (CESM) Initial UK Experience Dr Sarah L Tennant BMedSci, BMBS, MRCP, FRCR Vote Now Your experience of CESM 1. No experience of CESM 44% 2. I ve seen some cases in
Cairo/EG, Khartoum/SD, London/UK Biological effects, Diagnostic procedure, Ultrasound, Mammography, Breast /ecr2015/C-0107
Role of sono-mammography in the evaluation of clinically palapble breast masses during pregnancy & lactation with differentaition between true patholgical & false physiological lobular hyperlpasia.sudanese
PLACE LABEL HERE BASELINE / PRE-TREATMENT. ACRIN 6657 Extension MRI Form: Baseline / Pre-Treatment MRI 1. o Unknown
T1 ACRIN 6657 Extension MRI Form: Baseline / Pre-Treatment MRI 1 If this is a revised or corrected form, please box. ACRIN Study 6657 No. Instructions: In accordance with the protocol, four MRI exams are
RADIOLOGIC EVALUATION OF BREAST CANCER
RADIOLOGIC EVALUATION OF BREAST CANCER Orsolya Farkas, Gabriella Bodrogi and Gábor Szalai Department of Radiology, Pécs University Orsifarkas@yahoo.com Complex evaluation of the breast Patient history
Digital Breast Tomosynthesis from a first idea to clinical routine
International Master Programm Biomedical Engineering Digital Breast Tomosynthesis from a first idea to clinical routine Historical background 2D imaging of 3D objects has important limitations Jörg Barkhausen
Large health system benefits from multiple scanners for breast MRI
Publication for the Philips MRI Community Issue 42 DECEMBER 2010 Large health system benefits from multiple scanners for breast MRI Breast MR and MR-guided biopsy are daily practice at WellStar Health
Ex. 1 :Language of Anatomy
Collin College BIOL 2401 : Human Anatomy & Physiology Ex. 1 :Language of Anatomy The Anatomical Position Used as a reference point when referring to specific areas of the human body Body erect Head and
MAMMOGRAPHY. what you should know & how to prepare. Mammography. [ ]
![MAMMOGRAPHY. what you should know & how to prepare. Mammography. [ ]](/thumbs/85/92385735.jpg "MAMMOGRAPHY. what you should know & how to prepare. Mammography. [ ]")
MAMMOGRAPHY what you should know & how to prepare Mammography [ www.suburbanimaging.com ] What is a mammogram? A mammogram is a low-dose x-ray exam of breast tissue. The images obtained during a mammogram
Diagnostic Medical Physicist Via Christi Hospitals Wichita, Wichita, KS
Digital Breast Tomosynthesis SWAAPM Meeting 30 Mar 2012 Jerry A. Thomas, MS, FAAPM, DABR, CHP, DABSNM Diagnostic Medical Physicist Via Christi Hospitals Wichita, Wichita, KS Talk Overview Breast Cancer
Imaging Guidelines for Breast Cancer Screening
Imaging Guidelines for Breast Cancer Screening Sarah Colwick, MD Dr. Sarah Colwick was born and raised in Sikeston, MO. She attended college and medical school at the University of Missouri-Kansas City
How can surgeons help the Radiation Oncologists?
How can surgeons help the Radiation Oncologists? Lorna Weir BC Surgical Oncology fall breast cancer update Oct 24, 2009 Disclosure no conflict of interest Outline Introduction OR reports Marking of surgical
Contrast Enhanced Spectral Mammography (CESM) Updates
Contrast Enhanced Spectral Mammography (CESM) Updates Georgeta Mihai, PhD, DABR Medical Physicist, BIDMC, Boston Assistant Professor, Harvard Medical School, Boston Disclosures None Acknowledgments: Da
Scholars Journal of Applied Medical Sciences (SJAMS)
Scholars Journal of Applied Medical Sciences (SJAMS) Abbreviated Key Title: Sch. J. App. Med. Sci. Scholars Academic and Scientific Publisher A Unit of Scholars Academic and Scientific Society, India www.saspublisher.com
UW Radiology Review Course Breast Calcifications. BI-RADS 5 th Edition
UW Radiology Review Course Breast Calcifications Grace Kalish, MD Vantage Radiology BI-RADS 5 th Edition Benign Skin Vascular Large rod like Coarse popcorn Suspicious Amorphous Coarse heterogenous Fine
Proteus XR/f Patient positioning guide
Proteus XR/f Patient positioning guide PROTEUS XR/F Now a single digital x-ray room accommodates nearly all your radiographic studies. With extended tube coverage and wireless detectors, Proteus XR/f gives
Radiation Dosimetry in Digital Breast Tomosynthesis. March, 2015 William J. O Connel, Dr. Ph, Senior Medical Physicist
Radiation Dosimetry in Digital Breast Tomosynthesis March, 2015 William J. O Connel, Dr. Ph, Senior Medical Physicist Imagination at work. Syllabus 1. Introduction 2. Dosimetry in Mammography 3. Dosimetry
BREAST IMAGING and NEW IMAGING MODALITIES- A Surgeons view
BREAST IMAGING and NEW IMAGING MODALITIES- A Surgeons view DR CHANTEL THORNTON SPECIALIST BREAST CANCER SURGEON BMSc (hons) MBBS (hons) FRACS Epworth Hospital, Richmond- Agora Centre for Women s Health
BREAST AUGMENTATION TECHNIQUES
BREAST AUGMENTATION TECHNIQUES Breast Augmentation Top Surgical Procedure in 2015 (Worldwide) Surgical Procedure : Breast Augmentation Rank : 1 Total : 1,488,992 Percent of Total Surgical Procedures :
CT Laser Mammography CTLM
CT Laser Mammography CTLM Scanning for life IMAGINE...A breast imaging method that is painless, non-invasive, does not touch the breast, uses no harmful ionizing radiation, can be repeated as often as
Tomosynthesis and breast imaging update. Dr Michael J Michell Consultant Radiologist King's College Hospital NHS Foundation Trust
Tomosynthesis and breast imaging update Dr Michael J Michell Consultant Radiologist King's College Hospital NHS Foundation Trust Breast imaging new technology BREAST CANCER FLT PET shows different grades
Breast Imaging & You
Breast Imaging & You What s Inside: Breast Imaging... 2 Digital Breast Tomosynthesis (DBT) mammograms... 4 Breast cancer screening... 6 Dense breast tissue... 8 Automated Breast Ultrasound (ABUS)... 9
the study of the body s physical structures
Chapter 1: Page 10 anatomy anterior (ventral) coronal (frontal) plane distal the study of the body s physical structures directional term meaning "toward the front" plane of reference which divides the
EXAMINATION CONTENT SPECIFICATIONS ARRT BOARD APPROVED: JANUARY 2017 IMPLEMENTATION DATE: JULY 1, 2017
EXAMINATION CONTENT SPECIFICATIONS Mammography The purpose of the mammography examination is to assess the knowledge and cognitive skills underlying the intelligent performance of the tasks typically required
Lesion Imaging Characteristics Mass, Favoring Benign Circumscribed Margins Intramammary Lymph Node
Lesion Imaging Characteristics Mass, Favoring Benign Circumscribed Margins Intramammary Lymph Node Oil Cyst Mass, Intermediate Concern Microlobulated Margins Obscured Margins Mass, Favoring Malignant Indistinct
8/31/2016 HIDING IN PLAIN SITE, ARCHITECTURAL DISTORTIONS AND BREAST ASYMMETRIES ARCHITECTURAL DISTORTIONS ARCHITECTURAL DISTORTIONS
HIDING IN PLAIN SITE, ARCHITECTURAL DISTORTIONS AND BREAST ASYMMETRIES DEBORAH THAMES R.T. (R)(M)(QM) ARCHITECTURAL DISTORTIONS Definition is disruption of the natural flow of breast pattern towards the
Benign Breast Conditions. Dr. Kim Kelly, CCFP, FCFP Breast Expert, CBCP February, 2015
Benign Breast Conditions Dr. Kim Kelly, CCFP, FCFP Breast Expert, CBCP February, 2015 Kim Kelly M.D. U of A Family Medicine 1996 2011 Special Interest in Breast Medicine designation, CP&S 2012 15, Breast
Current Imaging Diagnosis of the Breast Tumors
Breast Cancer Current Imaging Diagnosis of the Breast Tumors JMAJ 45(6): 258 264, 2002 Tokiko ENDO Director of the Department of Radiology, National Nagoya Hospital Abstract: Breast masses include the
Bony Thorax. Anatomy and Procedures of the Bony Thorax Edited by M. Rhodes
Bony Thorax Anatomy and Procedures of the Bony Thorax 10-526-191 Edited by M. Rhodes Anatomy Review Bony Thorax Formed by Sternum 12 pairs of ribs 12 thoracic vertebrae Conical in shape Narrow at top Posterior
S. Murgo, MD. Chr St-Joseph, Mons Erasme Hospital, Brussels
S. Murgo, MD Chr St-Joseph, Mons Erasme Hospital, Brussels? Introduction Mammography reports are sometimes ambiguous and indecisive. ACR has developped the BIRADS. BIRADS consists of a lexicon in order
Indications for Breast MRI: Case-Based Review
AJR Integrative Imaging LIFELONG LEARNING FOR RADIOLOGY Indications for Breast MRI: Case-Based Review Amy Argus 1, Mary C. Mahoney Objective The educational objectives of this continuing medical education
Case Scenario 1: This case has been slightly modified from the case presented during the live session to add clarity.
Case Scenario 1: This case has been slightly modified from the case presented during the live session to add clarity. Background: 46 year old married premenopausal female with dense breasts has noticed
The Mammography Examination
JANUARY 2015 5 The Mammography Examination The purpose of The American Registry of Radiologic Technologists (ARRT ) Mammography Examination is to assess the knowledge and cognitive skills underlying the
Index. C Calcifications fat necrosis 1, 61 fat necrosis 4, 69 nipple/peri-areolar involvement 1, 165
A ADH. See Atypical ductal hyperplasia (ADH) American College of Radiology (ACR), BI-RADS background parenchymal enhancement, 8, 9, 81, 82 fibroglandular tissue guidelines, 6 American Joint Committee on
Breast Cancer Update 2018 The Latest in Diagnosis and Treatment SARATH K, PALAKODETI, DO, FAACS GENERAL, BREAST, AND COSMETIC SURGEON TOLEDO CLINIC
Breast Cancer Update 2018 The Latest in Diagnosis and Treatment SARATH K, PALAKODETI, DO, FAACS GENERAL, BREAST, AND COSMETIC SURGEON TOLEDO CLINIC Objectives Identify breast lesions and masses, and know
Breast Cancer Screening
Scan for mobile link. Breast Cancer Screening What is breast cancer screening? Screening examinations are tests performed to find disease before symptoms begin. The goal of screening is to detect disease