Journal of Breast Imaging最新文献_第10页

Forget Me Not: Incidental Findings on Breast MRI. 勿忘我：乳腺磁共振成像的偶然发现。

IF 2

Journal of Breast Imaging Pub Date : 2024-07-30 DOI: 10.1093/jbi/wbae023

Maggie Chung, Lauren Ton, Amie Y Lee

引用次数: 0

Reducing Barriers and Strategies to Improve Appropriate Screening Mammogram Attendance in Women 75 Years and Older. 减少 75 岁及以上妇女接受乳房 X 线照相检查的障碍和策略。

IF 2

Journal of Breast Imaging Pub Date : 2024-07-30 DOI: 10.1093/jbi/wbad110

Niki Constantinou, Colin Marshall, Holly Marshall

引用次数: 0

Role of Supplemental Breast MRI in Screening Women with Mammographically Dense Breasts: A Systematic Review and Meta-analysis. 辅助乳腺 MRI 在筛查乳腺钼靶致密女性中的作用：系统回顾与元分析》。

IF 2

Journal of Breast Imaging Pub Date : 2024-07-30 DOI: 10.1093/jbi/wbae019

Michael Faheem, Hui Zhen Tam, Magd Nougom, Tamara Suaris, Noor Jahan, Thomas Lloyd, Laura Johnson, Shweta Aggarwal, MdZaker Ullah, Erik W Thompson, Adam R Brentnall

{"title":"Role of Supplemental Breast MRI in Screening Women with Mammographically Dense Breasts: A Systematic Review and Meta-analysis.","authors":"Michael Faheem, Hui Zhen Tam, Magd Nougom, Tamara Suaris, Noor Jahan, Thomas Lloyd, Laura Johnson, Shweta Aggarwal, MdZaker Ullah, Erik W Thompson, Adam R Brentnall","doi":"10.1093/jbi/wbae019","DOIUrl":"10.1093/jbi/wbae019","url":null,"abstract":"Background: High mammographic density increases breast cancer risk and reduces mammographic sensitivity. We reviewed evidence on accuracy of supplemental MRI for women with dense breasts at average or increased risk.Methods: PubMed and Embase were searched 1995-2022. Articles were included if women received breast MRI following 2D or tomosynthesis mammography. Risk of bias was assessed using QUADAS-2. Analysis used independent studies from the articles. Fixed-effect meta-analytic summaries were estimated for predefined groups (PROSPERO: 230277).Results: Eighteen primary research articles (24 studies) were identified in women aged 19-87 years. Breast density was heterogeneously or extremely dense (BI-RADS C/D) in 15/18 articles and extremely dense (BI-RADS D) in 3/18 articles. Twelve of 18 articles reported on increased-risk populations. Following 21 440 negative mammographic examinations, 288/320 cancers were detected by MRI. Substantial variation was observed between studies in MRI cancer detection rate, partly associated with prevalent vs incident MRI exams (prevalent: 16.6/1000 exams, 12 studies; incident: 6.8/1000 exams, 7 studies). MRI had high sensitivity for mammographically occult cancer (20 studies with at least 1-year follow-up). In 5/18 articles with sufficient data to estimate relative MRI detection rate, approximately 2 in 3 cancers were detected by MRI (66.3%, 95% CI, 56.3%-75.5%) but not mammography. Positive predictive value was higher for more recent studies. Risk of bias was low in most studies.Conclusion: Supplemental breast MRI following negative mammography in women with dense breasts has breast cancer detection rates of ~16.6/1000 at prevalent and ~6.8/1000 at incident MRI exams, considering both high and average risk settings.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"355-377"},"PeriodicalIF":2.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443485","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

Lessons Learned. 经验教训。

IF 2

Journal of Breast Imaging Pub Date : 2024-07-30 DOI: 10.1093/jbi/wbae036

Jay A Baker

引用次数: 0

Pseudocalcifications: Radiologic-Pathologic Correlation of Postsurgical Gauze Artifacts. 假性钙化：手术后纱布伪影的放射学与病理学相关性。

IF 2

Journal of Breast Imaging Pub Date : 2024-07-30 DOI: 10.1093/jbi/wbae018

Daniel Lehrer, Mariela Kaplan, Cecilia Ugalde, Valeria Señuk, Julian Mosto

引用次数: 0

SCOUT® Radar Localization at Time of Breast Biopsy. 乳腺活检时的 SCOUT® 雷达定位。

IF 2

Journal of Breast Imaging Pub Date : 2024-07-30 DOI: 10.1093/jbi/wbae024

Brittany Z Dashevsky, Mohamed S Muneer, Meng Hao, Tie Liang, Irene L Wapnir, Steven P Poplack

{"title":"SCOUT® Radar Localization at Time of Breast Biopsy.","authors":"Brittany Z Dashevsky, Mohamed S Muneer, Meng Hao, Tie Liang, Irene L Wapnir, Steven P Poplack","doi":"10.1093/jbi/wbae024","DOIUrl":"10.1093/jbi/wbae024","url":null,"abstract":"Objective: Evaluate surgical utilization of SCOUT reflectors placed at breast biopsy.Methods: Consent was waived for this retrospective IRB-approved, HIPAA-compliant study. Breast biopsy examinations that reported the term \"SCOUT\" between January 2021 and June 2022 were identified using an institutional search engine. Cases were included if a SCOUT reflector was placed at time of breast biopsy and excluded if lesion pathology was already known. Analysis was performed at the lesion level. A multivariate-regression analysis evaluated 6 variables with potential impact on SCOUT utilization.Results: One hundred twenty-one lesions in 112 patients met inclusion criteria. Biopsy yielded 93% (113/121) malignant, 3% (4/121) elevated risk, 2% (2/121) benign-discordant, and 2% (2/121) benign-concordant results. Two cases lost to follow-up were excluded. SCOUT reflectors were utilized for lumpectomy (58%, 69/119 lesions) and excisional biopsy (6%, 7/119 lesions). SCOUTs were not utilized due to mastectomy (23%, 27/119), subsequent wire localization (2%, 2/119), and nonsurgical cases (12%, 14/119). Reflector placement utilization was 52% higher for findings less than 3.5 cm in size (P <.001), 33% higher in patients without prior treated breast cancer (P = .012), and 19% higher in patients with no suspicious ipsilateral lymph node (P = .048).Conclusion: SCOUT reflector placement at time of biopsy was utilized for surgery 64% (76/119) of the time, although most (98%, 119/121) biopsies were malignant, elevated risk, or benign-discordant. Factors increasing reflector utilization include smaller lesion size, no suspicious ipsilateral lymph node, and no prior treated breast cancer.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"347-354"},"PeriodicalIF":2.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141079618","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

2023-2024 Editor's Recognition Awards. 2023-2024 年编辑表彰奖。

IF 2

Journal of Breast Imaging Pub Date : 2024-07-30 DOI: 10.1093/jbi/wbae032

Jay A Baker

引用次数: 0

The FDA Enhancing Quality Using the Inspection Program (EQUIP) Breast Imaging Quality Initiative. 5-Year Clinical Experience. 美国食品药物管理局利用检查计划提高质量（EQUIP）乳腺成像质量计划。5 年临床经验。

IF 2

Journal of Breast Imaging Pub Date : 2024-07-30 DOI: 10.1093/jbi/wbae034

Jeffrey R Hawley, Cynthia Ha, Linda Cai, Clayton R Taylor

{"title":"The FDA Enhancing Quality Using the Inspection Program (EQUIP) Breast Imaging Quality Initiative. 5-Year Clinical Experience.","authors":"Jeffrey R Hawley, Cynthia Ha, Linda Cai, Clayton R Taylor","doi":"10.1093/jbi/wbae034","DOIUrl":"10.1093/jbi/wbae034","url":null,"abstract":"Objectives: To evaluate the effects of the Enhancing Quality Using the Inspection Program (EQUIP) on quality control (QC) and quality assurance (QA) at an academic medical center.Methods: EQUIP audit logs for technologist image quality review as well as mammography unit QA and QC formed the basis for study data. One randomly selected screening mammogram was evaluated by the lead interpreting physician (LIP) using EQUIP criteria for each technologist for each imaging site worked, initially semiannually and then monthly. One randomly selected screening mammogram interpreted by each interpreting physician (IP) for each imaging site was evaluated on a semiannual basis. Quarterly, the LIP reviewed QA and QC logs for each mammography unit with deficiencies further investigated.Results: Of 214 965 eligible screening mammograms performed, 5955 (2.8%) underwent EQUIP image quality review. Five were found to be technically inadequate (0.08%, 5955/214 965). The LIP identified 20 significant interpretive differences compared with the clinical interpretation resulting in 10 biopsies and 7 previously undetected malignancies, with supplemental cancer detection rate of 1.2/1000 cases reviewed. Two hundred ninety mammography unit QA/QC reviews identified 31 potential deficiencies, 29 of which were due to human documentation error (93.4%).Conclusion: EQUIP review of both IP and technologists' quality and mammography unit QA/QC logs as performed identified few deficiencies. EQUIP policies should be evaluated at each institution and modified to best utilize resources and provide opportunities for meaningful quality improvement. Although not an EQUIP focus, supplemental cancer detection was observed as might be expected with double reading.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"388-396"},"PeriodicalIF":2.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471440","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

Prevalent vs Incident Screen: Why Does It Matter? 普遍筛查与事件筛查：为什么这很重要？

IF 1.5

Journal of Breast Imaging Pub Date : 2024-05-27 DOI: 10.1093/jbi/wbad096

Jessica H Hayward, Amie Y Lee, Edward A Sickles, Kimberly M Ray

引用次数: 0

Breast Hemangiomas: Imaging Features With Histopathology Correlation. 乳腺血管瘤：影像学特征与组织病理学相关性。

IF 1.5

Journal of Breast Imaging Pub Date : 2024-05-27 DOI: 10.1093/jbi/wbae011

Alysha Dhami, Meng Hao, Uzma Waheed, Brittany Z Dashevsky, Gregory R Bean

{"title":"Breast Hemangiomas: Imaging Features With Histopathology Correlation.","authors":"Alysha Dhami, Meng Hao, Uzma Waheed, Brittany Z Dashevsky, Gregory R Bean","doi":"10.1093/jbi/wbae011","DOIUrl":"10.1093/jbi/wbae011","url":null,"abstract":"Breast hemangiomas are rare benign vascular lesions. In a previously performed review of approximately 10,000 breast surgical pathology results, roughly 0.15% (15/~10 000) were hemangiomas. Hemangiomas are more frequent in women and have a documented age distribution of 1.5 to 82 years. They are most often subcutaneous or subdermal and anterior to the anterior mammary fascia but may rarely be seen in the pectoralis muscles or chest wall. On imaging, breast hemangiomas typically present as oval or round masses, often measuring less than 2.5 cm, with circumscribed or mostly circumscribed, focally microlobulated margins, equal or high density on mammography, and variable echogenicity on US. Calcifications, including phleboliths, can be seen. Color Doppler US often shows hypovascularity or avascularity. MRI appearance can vary, although hemangiomas are generally T2 hyperintense and T1 hypointense with variable enhancement. Pathologic findings vary by subtype, which include perilobular, capillary, cavernous, and venous hemangiomas. If core biopsy pathology results are benign, without atypia, and concordant with imaging and clinical findings, surgical excision is not routinely indicated. Because of histopathologic overlap with well-differentiated or low-grade angiosarcomas, surgical excision may be necessary for definitive diagnosis. Findings that are more common with angiosarcomas include size greater than 2 cm, hypervascularity on Doppler US, irregular shape, and invasive growth pattern.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"288-295"},"PeriodicalIF":1.5,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337125","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