{"title":"Résultat faux positif de l’angiomammographie et gestion des prises de contraste additionnelles","authors":"Roshanack Movassaghi, Anne-Margaux Mascarel, Marine Neveu, Delphine Geffroy, Laurence Vilcot, Isabelle Doutriaux-Dumoulin","doi":"10.1016/j.femme.2023.02.003","DOIUrl":"10.1016/j.femme.2023.02.003","url":null,"abstract":"<div><p>L’angiomammographie peut être source de faux positifs. La gestion des prises de contraste s’effectue comme au décours d’une IRM mammaire, à savoir la réalisation d’une échographie ciblée et la réalisation, si nécesssaire, de prélèvements en fonction de la présentation morphologique selon la classification du <em>Breast Imaging-Reporting and Data System</em> (Bi-Rads) de l’American College of Radiology (ACR).</p></div><div><p>Contrast-enhanced mammography can be a source of false positives. The management of contrast enhancing is performed as for breast MRI, i.e., targeted ultrasound and, if necessary, sampling according to the morphological presentation of the American College of Radiology (ACR) Breast Imaging-Reporting and Data System (Bi-Rads) classification.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 3","pages":"Pages 139-144"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43949189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Apport de l’angiomammographie pour le chirurgien","authors":"Diana Defta , Agathe Crouzet , Dragos Georgescu , Farzaneh Quieffin , Françoise Callonnec","doi":"10.1016/j.femme.2023.02.007","DOIUrl":"10.1016/j.femme.2023.02.007","url":null,"abstract":"<div><p>L’angiomammographie est une technique relativement récente ayant pour intérêt sa disponibilité, son moindre coût, sa réalisation simple et sa courbe d’apprentissage rapide. En 2017, l’European Society of Breast Imaging considérait l’angiomammographie comme une alternative à l’IRM en cas de contre-indication ou d’accessibilité limitée à l’IRM. Depuis sa mise en place au centre Henri-Becquerel, par nécessité en 2016, l’angiomammographie est devenue un outil incontournable dans la gestion des dossiers complexes, incomplets et discordants. Elle facilite la discussion entre le radiologue et le chirurgien quant à la faisabilité d’une chirurgie conservatrice par la technique d’oncoplastie. Il s’agit d’un outil facile d’interprétation pour les chirurgiens, permettant de mieux appréhender la résection à effectuer dans les situations limites pour une conservation mammaire. La localisation de biopsies complémentaires avec pose de clips pouvant servir de repères pour la chirurgie ultérieure peut être discutée de manière collégiale.</p></div><div><p>Contrast-enhanced digital mammography is a relatively new technique, which advantages are availability, cost, simple realization, and a rapid learning curve. In 2017 the European Society of Breast Imaging recommended contrast-enhanced digital mammography as an alternative imaging technique in case of MRI contraindication or non-availability. Since its implementation in our centre (centre Henri-Becquerel, Rouen, France) in 2016, contrast enhanced digital mammography has been a valuable tool for complex, incomplete or discordant case studies. Contrast-enhanced digital mammography facilitates interdisciplinary discussions between radiologists and the surgical teams facilitating complex oncoplastic techniques, with a rapid learning curve for the surgical teams permitting a better and faster surgical planification, additional biopsies and marker placement resulting in a higher percentage of breast conservation.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 3","pages":"Pages 115-124"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42940515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Angiomammographie en pratique quotidienne en cabinet libéral","authors":"Julia Arfi Rouche","doi":"10.1016/j.femme.2023.03.017","DOIUrl":"10.1016/j.femme.2023.03.017","url":null,"abstract":"<div><p>L’angiomammographie est une modalité d’imagerie réalisable en routine dans un cabinet libéral non adossé à une clinique. Le matériel et les locaux doivent être adaptés, l’ensemble du personnel doit être formé et les plannings devront être optimisés. La réalisation d’injections intraveineuses de produit de contraste iodé doit être encadrée avec notamment une maîtrise des conduites à tenir en cas d’évènement indésirable. L’angiomammographie est un examen apprécié des patientes ainsi que de nos correspondants.</p></div><div><p>Contrast-enhanced mammography is an imaging modality that can be performed routinely in a private practice not backed by a clinic. Equipment must be adapted; all staff must be trained and schedules optimized. The performance of intravenous injections of iodinated contrast product must be supervised with, in particular, a mastery of the actions to be taken in the occurrence of an adverse event. Contrast-enhanced mammography is an examination appreciated by patients as well as by our correspondents.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 3","pages":"Pages 112-114"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45514077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Préface","authors":"Corinne Balleyguier , Isabelle Doutriaux-Dumoulin","doi":"10.1016/j.femme.2023.03.015","DOIUrl":"10.1016/j.femme.2023.03.015","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 3","pages":"Pages 101-102"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47050389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Angiomammographie en cas de contre-indication à la réalisation d’une IRM mammaire","authors":"Roshanack Movassaghi, Marine Neveu, Anne-Margaux Mascarel, Laurence Vilcot, Delphine Geffroy, Isabelle Doutriaux-Dumoulin","doi":"10.1016/j.femme.2023.02.005","DOIUrl":"10.1016/j.femme.2023.02.005","url":null,"abstract":"<div><p>L’angiomammographie est un examen équivalent à l’IRM mammaire lorsque celle-ci est contre-indiquée pour le bilan d’extension locorégionale d’un cancer du sein avant une chimiothérapie néoadjuvante.</p></div><div><p>Contrast-enhanced mammography is equivalent to breast MRI when the latter is contraindicated for the assessment of locoregional extension of breast cancer before neoadjuvant chemotherapy.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 3","pages":"Pages 145-150"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48457150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bilan d’extension locorégionale d’un cancer du sein et chimiothérapie néoadjuvante : place de l’angiomammographie","authors":"Marine Neveu, Anne-Margaux Mascarel, Roshanack Movassaghi, Laurence Vilcot, Delphine Geffroy, Isabelle Doutriaux-Dumoulin","doi":"10.1016/j.femme.2023.02.006","DOIUrl":"10.1016/j.femme.2023.02.006","url":null,"abstract":"<div><p>Ce cas clinique illustre la possibilité de réaliser une angiomammographie pour les deux indications validées par la Haute Autorité de santé en l’absence de contre-indication d’une IRM : i) dans le cadre d’un bilan d’extension locorégionale d’un cancer du sein pour réévaluer la taille d’une lésion multifocale ; et ii) pour une évaluation avant et après une chimiothérapie néoadjuvante en vue d’un traitement conservateur en cas de bonne réponse à la chimiothérapie néoadjuvante. Les avantages principaux pour les patientes sont la diminution du délai d’accès à l’examen, la durée plus courte de sa réalisation et sa meilleure acceptabilité. Pour l’équipe radiochirurgicale, l’angiomammographie présente l’intérêt de sa simplicité de lecture et d’interprétation.</p></div><div><p>This case illustrates the possibility of performing contrast-enhanced mammography in the two indications validated by the French national authority for health (<em>Haute Autorité de santé</em>) in the absence of MRI contraindication: locoregional extension assessment of breast cancer to re-evaluate the lesion size of a multifocal lesion, and evaluation before and after neoadjuvant chemotherapy for conservative treatment in case of good response to neoadjuvant chemotherapy. The main advantages for the patients are the reduction of the delay of access to the examination, the shorter time of realization and the better acceptability of the examination. For the radiosurgery team, contrast-enhanced mammography has the advantage of being easy to read and interpret.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 3","pages":"Pages 151-154"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45440756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lexique Breast Imaging-Reporting and Data System de l’angiomammographie : décryptage","authors":"Anne-Margaux Mascarel, Marine Neveu, Laurence Vilcot, Roshanack Movassaghi, Delphine Geffroy, Isabelle Doutriaux-Dumoulin","doi":"10.1016/j.femme.2023.02.002","DOIUrl":"10.1016/j.femme.2023.02.002","url":null,"abstract":"<div><p>Après que la <em>Food and Drug Adminsitration</em> (FDA) ait approuvé l’utilisation de l’angiomammographie en 2011, l’<em>American College of Radiology</em> (ACR) a publié en 2022 un addendum à l’atlas du <em>Breast Imaging-Reporting and Data System</em> (BI-RADS) de 2013 portant sur cette technique d’imagerie mammaire. L’objectif de cet article est de proposer une synthèse de ce document qui vise à améliorer la cohérence des comptes rendus et valider les termes à utiliser pour de futures études. Il y est détaillé le lexique à utiliser, similaire sans être identique au BI-RADS de l’IRM. Il y est ensuite rappelé la structure élémentaire du compte rendu. Enfin des situations inédites de l’angiomammographie y sont détaillées en proposant des pistes de réflexion.</p></div><div><p>After the Food and Drug Administration (FDA) approved the use of contrast-enhanced mammography in 2011, the American College of Radiology published in 2022 an addendum to the 2013 Breast Imaging-Reporting and Data System (BI-RADS) atlas about this technique of breast imaging. The purpose of this article is to provide a summary of this document that aims to improve the consistency of reporting and validate the terms to be used for future studies. It details the lexicon to be used, which is similar but not identical to the MRI BI-RADS. The basic structure of the report is then recalled. Finally, new situations in contrast-enhanced mammography are detailed, proposing avenues for reflection.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 3","pages":"Pages 103-111"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42591327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Angiomammographie et évaluation de la taille tumorale","authors":"Anne-Margaux Mascarel, Roshanack Movassaghi, Marine Neveu, Laurence Vilcot, Delphine Geffroy, Isabelle Doutriaux-Dumoulin","doi":"10.1016/j.femme.2023.03.019","DOIUrl":"10.1016/j.femme.2023.03.019","url":null,"abstract":"<div><p>Ce cas illustre l’intérêt de l’angiomammographie pour l’évaluation de la taille tumorale du cancer du sein. Cette indication a été validée par la Haute Autorité de santé.</p></div><div><p>This case illustrates the interest of contrast-enhanced mammography for the evaluation of the tumour size of breast cancer. This indication has been validated by the French Health Authority.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 3","pages":"Pages 164-167"},"PeriodicalIF":0.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47467431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jean Palussière , Sophie Auriol , Cécile Mertens , Xavier Buy , Marc Debled , Christine Tunon de Lara
{"title":"Y a-t-il une place pour la thermoablation dans le traitement du cancer du sein ? Pour quelles patientes ?","authors":"Jean Palussière , Sophie Auriol , Cécile Mertens , Xavier Buy , Marc Debled , Christine Tunon de Lara","doi":"10.1016/j.femme.2023.04.001","DOIUrl":"10.1016/j.femme.2023.04.001","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Pages 75-76"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42281395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endométriose : quels éléments fournir en réunion de concertation pluridisciplinaire ?","authors":"Lise Mezzetta","doi":"10.1016/j.femme.2023.03.012","DOIUrl":"10.1016/j.femme.2023.03.012","url":null,"abstract":"<div><p>Touchant jusqu’à 10 % des femmes en période d’activité génitale, l’endométriose est une pathologie gynécologique inflammatoire, en rapport avec la localisation ectopique de tissu endométrial en dehors de la cavité utérine. Les lésions sont ovariennes, péritonéales superficielles ou infiltratives péritonéales profondes et peuvent concerner tous les compartiments pelviens entraînant des répercussions sur les différentes sphères gynécologiques, digestives, urinaires, neurologiques et sur la fertilité. Les patientes avec des atteintes étendues requièrent une prise en charge complexe et leurs dossiers devraient systématiquement être discutés en réunion de concertation pluridisciplinaire, de préférence en centre expert. L’IRM est la technique de référence non invasive dans la cartographie exhaustive des lésions d’endométriose profonde. Cet article propose une revue rapide des lésions que le radiologue doit décrire précisément et systématiquement en apportant les informations utiles aux différents acteurs de la prise en charge.</p></div><div><p>Up to 10% of women during the period of genital activity are affected by endometriosis, an inflammatory gynaecological pathology, related to the ectopic localization of endometrial tissue outside the uterine cavity. The lesions are ovarian, superficial peritoneal or deep peritoneal infiltrative and can concern all pelvic compartments with gynaecological, digestive, urinary, neurological, and fertility repercussions. Patients with extensive damage require complex care and their cases should be systematically discussed in a multidisciplinary consultation meeting, preferably in an expert centre. MRI is the gold standard, non-invasive technique for exhaustive mapping of deep endometriotis lesions. This article proposes a quick review of the lesions that the radiologist must describe precisely and systematically, providing useful information to the various actors involved in these patients’ care.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Pages 49-54"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43458141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}