Journal of Breast Imaging最新文献

Artificial Intelligence for Assessment of Digital Mammography Positioning Reveals Persistent Challenges. 用于评估数字乳房x线摄影定位的人工智能揭示了持续的挑战。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-30 DOI: 10.1093/jbi/wbaf025

Laurie R Margolies, Georgia G Spear, Jennifer I Payne, Sian E Iles, Mohamed Abdolell

{"title":"Artificial Intelligence for Assessment of Digital Mammography Positioning Reveals Persistent Challenges.","authors":"Laurie R Margolies, Georgia G Spear, Jennifer I Payne, Sian E Iles, Mohamed Abdolell","doi":"10.1093/jbi/wbaf025","DOIUrl":"https://doi.org/10.1093/jbi/wbaf025","url":null,"abstract":"Objective: Mammographic breast cancer detection depends on high-quality positioning, which is traditionally assessed and monitored subjectively. This study used artificial intelligence (AI) to evaluate mammography positioning on digital screening mammograms to identify and quantify unmet mammography positioning quality (MPQ).Methods: Data were collected within an IRB-approved collaboration. In total, 126 367 digital mammography studies (553 339 images) were processed. Unmet MPQ criteria, including exaggeration, portion cutoff, posterior tissue missing, nipple not in profile, too high on image receptor, inadequate pectoralis length, sagging, and posterior nipple line (PNL) length difference, were evaluated using MPQ AI algorithms. The similarity of unmet MPQ occurrence and rank order was compared for each health system.Results: Altogether, 163 759 and 219 785 unmet MPQ criteria were identified, respectively, at the health systems. The rank order and the probability distribution of the unmet MPQ criteria were not statistically significantly different between health systems (P = .844 and P = .92, respectively). The 3 most-common unmet MPQ criteria were: short PNL length on the craniocaudal (CC) view, inadequate pectoralis muscle, and excessive exaggeration on the CC view. The percentages of unmet positioning criteria out of the total potential unmet positioning criteria at health system 1 and health system 2 were 8.4% (163 759/1 949 922) and 7.3% (219 785/3 030 129), respectively.Conclusion: Artificial intelligence identified a similar distribution of unmet MPQ criteria in 2 health systems' daily work. Knowledge of current commonly unmet MPQ criteria can facilitate the improvement of mammography quality through tailored education strategies.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188213","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}

引用次数: 0

Bias in Artificial Intelligence: Impact on Breast Imaging. 人工智能中的偏见：对乳房成像的影响。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-30 DOI: 10.1093/jbi/wbaf027

Jose M Net, Fernando Collado-Mesa

引用次数: 0

Axillary Surgical De-Escalation: In Tune With the SOUND (Sentinel Node Vs Observation After Axillary Ultra-souND) of Change? 腋窝手术降压：与声音一致（前哨淋巴结Vs腋窝超声后观察）的变化？

IF 2

Journal of Breast Imaging Pub Date : 2025-05-30 DOI: 10.1093/jbi/wbaf021

Santo Maimone, Brittany Dashevsky, Kristen Coffey, Kathryn Zamora, David R Gruen, Katerina Dodelzon

引用次数: 0

Relative Costs and Outcomes of a Contrast-Enhanced Mammography-Guided Biopsy Trial. 对比增强乳房x线摄影引导活检试验的相对成本和结果。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-20 DOI: 10.1093/jbi/wbaf019

Jameson Cumsky, Abeer Mousa, Margarita Zuley, Richard Sharpe, Laura K Harper, Molly Harrison, Victor Pizzitola, Marie A Ganott, Bronwyn Nair, Adrienne Vargo, Kimberly Harnist, Uzma Waheed, Amy E Kelly, Bhavika Patel

{"title":"Relative Costs and Outcomes of a Contrast-Enhanced Mammography-Guided Biopsy Trial.","authors":"Jameson Cumsky, Abeer Mousa, Margarita Zuley, Richard Sharpe, Laura K Harper, Molly Harrison, Victor Pizzitola, Marie A Ganott, Bronwyn Nair, Adrienne Vargo, Kimberly Harnist, Uzma Waheed, Amy E Kelly, Bhavika Patel","doi":"10.1093/jbi/wbaf019","DOIUrl":"https://doi.org/10.1093/jbi/wbaf019","url":null,"abstract":"Objective: To assess the performance and cost implications of contrast-enhanced mammography-guided biopsy (CEM Bx).Methods: This is a prospective study from May 5, 2021, to April 18, 2022, across 2 U.S. academic centers, evaluating technical success, patient/radiologist feedback, and operational factors of CEM Bx. Inclusion criteria included that patients be 40 years or older and recommended for biopsy with suspicious findings on contrast-enhanced mammography (CEM). Descriptive statistics are reported for clinical outcomes, length of procedure, and user and participant feedback. An estimate of cost was made by comparing general Medicare costs that are being billed for CEM Bx and post-clip mammogram ($475.48) to the Medicare costs of MRI-guided biopsy (MRI Bx) and post-clip placement mammogram ($845.94).Results: Eighty-two participants enrolled. Twenty-two were excluded at the time of CEM Bx (22/82, 27%). Sixty participants were included (mean age 57 years, range 33 to 81 years) with 63 suspicious CEM lesions. The malignancy rate was 22% (14/63). A technical success rate of 100% was achieved. Average CEM Bx time was 29% to 33% the average reported MRI-guided breast biopsy times (CEM Bx = 11 minutes; MRI Bx = 33 to 38 minutes), indicating operational efficiencies. A positive opinion of CEM Bx was reported by 78% of radiologists, 93% of technologists, and 98% of patients. The estimated cost for each CEM Bx was ~ 45% lower than MRI Bx.Conclusion: CEM Bx demonstrates high success rates and satisfaction scores. CEM Bx resulted in shorter procedure times, enhanced operational efficiency, and ~45% reduction in costs compared with MRI Bx. As advancements continue, we anticipate CEM Bx will offer a cost-efficient and timely option for breast biopsy.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112276","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}

引用次数: 0

Prevalence of Axillary Arch Variant Anatomy on Breast MRI and Impact on Axillary Lymph Node Assessment. 腋窝弓变异解剖在乳腺MRI上的流行及对腋窝淋巴结评估的影响。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-20 DOI: 10.1093/jbi/wbaf023

Anne Elizabeth Kendell, Samantha Yost, Kristie Yang, Megan Mills, Nicole Winkler

{"title":"Prevalence of Axillary Arch Variant Anatomy on Breast MRI and Impact on Axillary Lymph Node Assessment.","authors":"Anne Elizabeth Kendell, Samantha Yost, Kristie Yang, Megan Mills, Nicole Winkler","doi":"10.1093/jbi/wbaf023","DOIUrl":"https://doi.org/10.1093/jbi/wbaf023","url":null,"abstract":"Objective: To assess the prevalence of the axillary arch (AA) variant and its impact on the sensitivity of US vs MRI for detecting axillary nodal metastases in patients with breast cancer.Methods: The IRB waved informed consent for this retrospective study. Three hundred, eighty-two breast MRIs performed for the extent of disease of breast cancer between 2012 and 2023 were reviewed for the presence of AA. Pre-MRI axillary US was available in 322 of these cases. The presence of axillary adenopathy was documented and correlated with pathology. A paired sample comparison was used to calculate sensitivities of US and MRI for detection of the AA.Results: The AA was detected on breast MRI in 6.8% (26/382) of patients. Of these, 30.8% (8/26) were bilateral, 50% (13/26) were unilateral left, and 19.2% (5/26) were unilateral right. All had lymph nodes both superficial and deep to the AA. Of the 26 patients with AA, 19 patients underwent pre-MRI axillary US. Biopsy-proven malignant adenopathy was detected on MRI but missed on US in 10.5% (2/19) of patients with AA but only 2.5% (7/279) of patients without AA. Sensitivity for detection of lymphadenopathy on MRI and US was 69.7% (82/122)% and 67.5% (77/114) for all patients (P = .17), 72.2% (78/108) and 68.5% (74/108) for patients without AA (P = .21), and 66.2% (4/6) and 50.0% (3/6) for patients with AA. The small sample size of patients with AA precluded statistical comparison.Conclusion: The AA is a common variant detectable on breast MRI. Axillary nodal metastases may reduce US sensitivity for identifying nodal metastases. Further investigation is required to establish statistical significance.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112274","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}

引用次数: 0

Safety and Efficacy of Percutaneous Drain Placement for Postsurgical Breast Region Fluid Collections. 经皮置管引流术治疗术后乳腺积液的安全性和有效性。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-17 DOI: 10.1093/jbi/wbae086

Sanna E Herwald, Wenhui Zhou, Debra Ikeda, Alexander Vezeridis

{"title":"Safety and Efficacy of Percutaneous Drain Placement for Postsurgical Breast Region Fluid Collections.","authors":"Sanna E Herwald, Wenhui Zhou, Debra Ikeda, Alexander Vezeridis","doi":"10.1093/jbi/wbae086","DOIUrl":"10.1093/jbi/wbae086","url":null,"abstract":"Objective: The purpose of this study was to describe the safety and efficacy of percutaneous drain placement for postoperative fluid collections in the breast.Methods: A retrospective review was conducted of the patient characteristics, intervention data, and clinical outcomes of the 43 adult patients who underwent percutaneous drain placement for fluid collections at a tertiary care hospital over a 13-year period ending February 28, 2023.Results: Most fluid collections treated with percutaneous drain placement were secondary to ipsilateral breast surgery (92%, 44/48), most commonly breast reduction (23%, 10/44) and mastectomy with immediate tissue expander reconstruction (16%, 7/44). Additional patients had fluid collections without prior ipsilateral breast surgery (8%, 4/48) and were excluded from further analysis. The fluid cultures from 39% of the cultured postsurgical fluid collections were positive (16/41), and Staphylococcus aureus was the most commonly cultured organism (15%, 6/41). The only immediate complication was the rupture of a tissue expander during drain placement in 1 patient. The median duration of percutaneous drainage for postsurgical fluid collections was 12 days (range: 1 to 49 days). Percutaneous drain placement achieved clinical success without any subsequent treatments in 73% (32/44) of patients. An additional 7% (3/44) of patients required subsequent image-guided aspiration procedures and/or percutaneous drain placements but avoided surgical treatment for a persistent fluid collection.Conclusion: Postsurgical fluid collections after diverse breast surgeries represented the vast majority of the fluid collections referred to our academic practice for percutaneous drain placement. Percutaneous drain placement was a safe and effective treatment in this patient population.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"311-317"},"PeriodicalIF":2.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899175","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}

引用次数: 0

Reducing Errors in Breast Imaging: Insights From Missed and Near-Missed Cases. 减少乳房成像的错误：从漏诊和差点漏诊病例的见解。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-17 DOI: 10.1093/jbi/wbaf005

Xiaoqin Wang, Braxton McFarland, Emily Xiao, Ryan Anderson, Laurie Fajardo

引用次数: 0

Sociodemographic Factors and Ethnic Disparities in Breast Density Awareness and Anxiety Among Women With Dense Breasts. 致密性乳房妇女的乳腺密度意识和焦虑的社会人口因素和种族差异。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-17 DOI: 10.1093/jbi/wbae090

Linda H Larsen, Katherine A Rosenberg, Taylor F Mahoney, Patrick H Walker, Mary Yamashita

{"title":"Sociodemographic Factors and Ethnic Disparities in Breast Density Awareness and Anxiety Among Women With Dense Breasts.","authors":"Linda H Larsen, Katherine A Rosenberg, Taylor F Mahoney, Patrick H Walker, Mary Yamashita","doi":"10.1093/jbi/wbae090","DOIUrl":"https://doi.org/10.1093/jbi/wbae090","url":null,"abstract":"Objective: To determine sociodemographic and clinical factors associated with breast density awareness and anxiety in women with dense breasts.Methods: This cross-sectional retrospective study, from a breast cancer screening prospective case collection registry (NCT03257839), analyzed patient-reported awareness of their breast density and related anxiety with sociodemographic variables. Asymptomatic women aged ≥40 with heterogeneously or extremely dense breasts completed a prescreening questionnaire at 9 Mammography Quality Standards Act-certified centers spanning 8 states with and without breast density notification laws (BDNLs).Results: Among 6873 women (mean age 54.6 ± 9.3 years) with 99.4% (6833/6873) questionnaire completion, 71.7% (4930/6873) of participants were aware of their breast density. Self-reported Hispanic/Latina women comprised 15.4% (1055/6873), of whom 75.5% (796/1055) had a state BDNL. Fewer Hispanic/Latina women with a BDNL in effect were aware of density than non-Hispanic/Latina women (50.7% [403/795] vs 83.9% [2416/2880], P <.001). In multivariable analyses, the adjusted odds ratio (AOR) of breast density awareness was higher in women with some college education (AOR 2.70 [95% CI, 2.36-3.08]), BDNL in effect (AOR 2.09 [95% CI, 1.86-2.34]), self-reported ethnicity of not Hispanic or Latina (AOR 1.68 [95% CI, 1.45-1.96]), and aged 70 to 79 years (AOR 1.73 [95% CI, 1.35-2.22]), 60 to 69 years (AOR 1.45 [95% CI, 1.25-1.69]), or 50 to 59 years (AOR 1.30 [95% CI, 1.15-1.48]) when compared with 40 to 49 years. Women with awareness were more likely to be anxious (AOR 1.98 [95% CI, 1.76-2.24]).Conclusions: Despite overall density awareness in women with dense breasts and BDNL implementation, health care providers should address disparities of awareness and target discussions with women under 50, individuals with a Hispanic/Latina background, and those less educated.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":"7 3","pages":"318-330"},"PeriodicalIF":2.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095323","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}

引用次数: 0

Developing a Career as a Clinician-Educator in Breast Imaging. 发展成为乳腺成像领域的临床教育工作者。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-17 DOI: 10.1093/jbi/wbae075

Alison Lynn Chetlen, Jeanine Beatty-Chadha, Angela I Choe

引用次数: 0

Contrast-Enhanced Mammography Implementation: Early Struggles and Successes. 对比增强乳房x光检查的实施：早期的挣扎和成功。

IF 2

Journal of Breast Imaging Pub Date : 2025-05-17 DOI: 10.1093/jbi/wbaf018

Brittany Z Dashevsky, Laura J Fish, Shelby Breit, Uzma Waheed, Kristen Coffey, Jay R Parikh, Lisa A Mullen, Beatriu Reig, Brian N Dontchos, Katerina Dodelzon, Lars J Grimm

{"title":"Contrast-Enhanced Mammography Implementation: Early Struggles and Successes.","authors":"Brittany Z Dashevsky, Laura J Fish, Shelby Breit, Uzma Waheed, Kristen Coffey, Jay R Parikh, Lisa A Mullen, Beatriu Reig, Brian N Dontchos, Katerina Dodelzon, Lars J Grimm","doi":"10.1093/jbi/wbaf018","DOIUrl":"https://doi.org/10.1093/jbi/wbaf018","url":null,"abstract":"We used focus groups of radiologists who led the implementation of contrast-enhanced mammography (CEM) in their practice to identify barriers and strategies for adoption. Members of the Society of Breast Imaging in the United States who served as lead on CEM implementation were invited to participate in 2 separate focus groups. Ten breast imaging radiologists with varied geographic and practice type (60% academic, 30% private, and 10% community practice) participated. There were 4 major themes identified: patient selection, workflow, contrast, and billing. Patient selection varied widely among practices, with some limiting CEM to patients unable to obtain MRI and others routinely using CEM for diagnostic workup. Lack of Food and Drug Administration approval limited screening applications in some practices. Workflow challenges were numerous, and site-specific solutions were developed for ordering, scheduling, staffing, and intravenous access. There were universal concerns regarding contrast, including safe administration, response to reactions, and biopsy planning for findings only visible on CEM. Contrast reaction training, including conducting mock codes at some practices, helped alleviate concerns of the radiologists and technologists. Finally, billing was an administrative hurdle that influenced patient selection. Ample preparation is needed to successfully start a CEM program with particular attention to patient selection, workflow, contrast administration/reactions, and billing.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":"7 3","pages":"345-354"},"PeriodicalIF":2.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095310","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}

引用次数: 0