Journal of Breast Imaging最新文献_第10页

Mucocele-like Lesions: Radiologic-Pathologic Correlation. 黏液囊样病变：放射学与病理学相关性。

IF 1.5

Journal of Breast Imaging Pub Date : 2024-04-01 DOI: 10.1093/jbi/wbae006

Agni Chandora, Andrea G Kahn, Kathryn Zamora

{"title":"Mucocele-like Lesions: Radiologic-Pathologic Correlation.","authors":"Agni Chandora, Andrea G Kahn, Kathryn Zamora","doi":"10.1093/jbi/wbae006","DOIUrl":"10.1093/jbi/wbae006","url":null,"abstract":"Mucocele-like lesions (MLLs) of the breast are rare lesions described as dilated, mucin-filled cysts associated with rupture and extracellular mucin in the surrounding stroma. These lesions are of clinical concern because they can coexist with a spectrum of atypical and malignant findings, including atypical ductal hyperplasia, ductal carcinoma in situ, and invasive carcinoma including mucinous carcinoma. Imaging findings of MLLs are nonspecific and varied, although the most common initial finding is that of incidental coarse heterogeneous calcifications on mammography. Occasionally, an asymmetry or mass may be found with or without calcifications, and such MLLs have a higher rate of upgrade to malignancy at excision. Pathology findings are often descriptive given the small sample received from percutaneous biopsy, and the primary consideration is to report any associated atypia, including atypical ductal hyperplasia. There is consensus in the literature that MLLs with atypia on biopsy should undergo excision because of the average reported 17.5% (20/114) upgrade rate to malignancy. The upgrade rate for MLLs without atypia averages 4.1% (14/341). Therefore, imaging surveillance may be a reasonable alternative to excision for MLLs with no atypia on a case-by-case basis. We review MLL imaging findings, pathology findings, and clinical management and present 3 cases from our institution to add to the literature on these rare lesions.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139940870","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

Breaking Bad News in Breast Imaging: Keys to Success. 打破乳腺成像中的坏消息：成功的关键。

IF 1.5

Journal of Breast Imaging Pub Date : 2024-04-01 DOI: 10.1093/jbi/wbad101

Joshua Greenstein, Aja Green-Walker, Regina Stein, Lilian C Wang, Sonya Bhole

引用次数: 0

Promoting and Improving Breast Imaging Patient Care and Outcomes. 促进和改善乳腺成像患者护理和结果。

IF 1.5

Journal of Breast Imaging Pub Date : 2024-04-01 DOI: 10.1093/jbi/wbae010

Wendy B DeMartini

引用次数: 0

Optimizing the Patient Experience for Women With Disabilities in the Breast Imaging Clinic. 优化残疾妇女在乳腺成像诊所的就医体验。

IF 1.5

Journal of Breast Imaging Pub Date : 2024-04-01 DOI: 10.1093/jbi/wbad106

Jose M Net, Yara Z Feliciano, Victoria Podsiadlo, Vandana Dialani, Lars J Grimm

{"title":"Optimizing the Patient Experience for Women With Disabilities in the Breast Imaging Clinic.","authors":"Jose M Net, Yara Z Feliciano, Victoria Podsiadlo, Vandana Dialani, Lars J Grimm","doi":"10.1093/jbi/wbad106","DOIUrl":"10.1093/jbi/wbad106","url":null,"abstract":"While there are varying opinions on what age to begin and at what interval to perform breast cancer screening, screening mammography is recommended for all women irrespective of disability. Unfortunately, women with disabilities are more likely to present with later-stage disease and higher mortality owing to the barriers for more widespread screening in this population. Women with disabilities may experience challenges accessing breast imaging services, and imaging centers may have suboptimal facilities and staff who are inexperienced in caring for this population. Efforts to increase accessibility by employing universal design to increase ease of access and provide training to improve the patient experience will go far to improve outcomes for patients with disabilities. To date, there exists no comprehensive guidance on how to improve breast cancer screening programs for women with disabilities. The purpose of this paper is to review barriers to screening faced by patients with disabilities, describe strategies to overcome these barriers, and provide guidance for radiologists and referring providers in selecting the best exam for the individual patient.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944534","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

Outcomes of High-Risk Breast MRI Screening in Women Without Prior History of Breast Cancer: Effectiveness Data from a Tertiary Care Center. 无乳腺癌病史妇女的高风险乳腺 MRI 筛查结果：来自一家三级医疗中心的有效性数据。

IF 1.5

Journal of Breast Imaging Pub Date : 2024-01-19 DOI: 10.1093/jbi/wbad092

W Tania Rahman, Sarah Gerard, Paul Grundlehner, Rebecca Oudsema, Carol McLaughlin, Mitra Noroozian, Colleen H Neal, Mark Helvie

{"title":"Outcomes of High-Risk Breast MRI Screening in Women Without Prior History of Breast Cancer: Effectiveness Data from a Tertiary Care Center.","authors":"W Tania Rahman, Sarah Gerard, Paul Grundlehner, Rebecca Oudsema, Carol McLaughlin, Mitra Noroozian, Colleen H Neal, Mark Helvie","doi":"10.1093/jbi/wbad092","DOIUrl":"10.1093/jbi/wbad092","url":null,"abstract":"Objective: To evaluate the diagnostic performance outcomes of a breast MRI screening program in high-risk women without prior history of breast cancer.Methods: Retrospective cohort study of 1 405 consecutive screening breast MRI examinations in 681 asymptomatic women with high risk of breast cancer without prior history of breast cancer from January 1, 2015, to December 31, 2019. Outcomes (sensitivity, specificity, positive predictive value, negative predictive value, false-negative rate [FNR], cancer detection rate [CDR]) and characteristics of cancers were determined based on histopathology or 12-month follow-up. MRI examinations performed, BI-RADS assessments, pathology outcomes, and CDRs were analyzed overall and by age decade. Results in incidence screening round (MRI in last 18 months) and nonincidence round were compared.Results: Breast MRI achieved CDR 20/1000, sensitivity 93.3% (28/30), and specificity 83.4% (1 147/1375). Twenty-eight (28/1 405, CDR 20/1000) screen-detected cancers were identified: 18 (64.3%, 18/28) invasive and 10 (35.7%, 10/28) ductal carcinoma in situ. Overall, 92.9% (26/28) of all cancers were stage 0 or 1 and 89.3% (25/28) were node negative. All 14 incidence screening round malignancies were stage 0 or 1 with N0 disease. Median size for invasive carcinoma was 8.0 mm and for ductal carcinoma in situ was 9.0 mm. There were two false-negative exams for an FNR 0.1% (2/1 405).Conclusion: High-risk screening breast MRI was effective at detecting early breast cancer and associated with favorable outcomes.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032681","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

Raising Cultural Awareness and Addressing Barriers to Breast Imaging Care for Black Women. 提高文化意识，消除黑人妇女乳房成像护理的障碍。

IF 1.5

Journal of Breast Imaging Pub Date : 2024-01-19 DOI: 10.1093/jbi/wbad091

Tatianie Jackson, Rifat A Wahab, Karen Bankston, Tejas S Mehta

引用次数: 0

New Year, New Paradigms. 新的一年，新的范式。

IF 1.5

Journal of Breast Imaging Pub Date : 2024-01-19 DOI: 10.1093/jbi/wbad094

Wendy B DeMartini

引用次数: 0

Screening in Women With BRCA Mutations Revisited. 重新审视对 BRCA 基因突变妇女的筛查。