{"title":"Unilateral Breast Enlargement: A Rare Complication of Central Vein Stenosis in a Hemodialysis Patient Mimicking Inflammatory Breast Cancer.","authors":"Jian-Ling Chen, Yen-Jen Chen, Jane Wang","doi":"10.1093/jbi/wbag012","DOIUrl":"https://doi.org/10.1093/jbi/wbag012","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784705","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":"Digital Breast Tomosynthesis: What We now Know Beyond the Prevalent Screen.","authors":"Catherine M Tuite, Sara C Gavenonis","doi":"10.1093/jbi/wbag007","DOIUrl":"https://doi.org/10.1093/jbi/wbag007","url":null,"abstract":"<p><p>Digital breast tomosynthesis (DBT) entered the clinical arena in the early 2010s, and initial studies reported encouraging outcomes such as higher cancer detection rates and reduced recall rates. It is important to recognize that when new technologies like DBT are introduced as screening tools, however, their first (prevalent) screens typically detect more cancers than prior methods, known as a prevalence effect. Thus, assessment of multiple rounds of re-screening is necessary to further define DBT's role in population screening and its impact on interval cancer rates and detection of advanced cancers. This article aims to describe what we are learning about DBT beyond the prevalent screening round.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784688","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}
Michelle V Lee, Sarah M Pittman, Eric Rosen, Luther W Meyer, Peter Eby, Sujata V Ghate, Lars J Grimm
{"title":"Lessons Learned in the Early Adoption of Method of Detection Reporting.","authors":"Michelle V Lee, Sarah M Pittman, Eric Rosen, Luther W Meyer, Peter Eby, Sujata V Ghate, Lars J Grimm","doi":"10.1093/jbi/wbag001","DOIUrl":"https://doi.org/10.1093/jbi/wbag001","url":null,"abstract":"<p><p>Until recently, no breast cancer database in the United States records how breast cancers are initially detected, and, therefore, current data lack the fundamental ability to link breast cancer outcomes to screening directly. Consequently, the magnitude and relative contributions that screening and treatment play in the reduction of breast cancer mortality are unknown, and the debate over breast cancer screening continues. To address these shortcomings, advocates have proposed that the Method of Detection (MOD) be documented with every breast cancer diagnosis. MOD data can then be abstracted to cancer registries to provide direct evidence of the impact of screening on breast cancer diagnoses and subsequent outcomes and thereby resolve the debate about the benefits of screening. Given the widespread support of MOD reporting, there is also great potential to improve and facilitate its clinical implementation. Barriers to MOD adoption include a lack of an organized national breast cancer screening program, the cost of implementation, a lack of radiologist MOD training, and technical lapses, among others. The American College of Radiology and the Society of Breast Imaging have addressed barriers to MOD implementation through educational opportunities and the Breast Imaging Reporting and Data System 6th Edition provides comprehensive education on the MOD program. However, consistent and accurate MOD reporting and linkage to tumor registries on a national level will require a multifaceted approach to achieve success. Ultimately, the information gained from the direct role of MOD will result in breast cancer screening recommendations built on science-based policy.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699933","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":"Unknown Case: 16-Year-Old Female Patient With a Newly Palpable Mass.","authors":"Abigail S Johnson, Amy M Fowler","doi":"10.1093/jbi/wbaf028","DOIUrl":"10.1093/jbi/wbaf028","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"224-227"},"PeriodicalIF":2.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973318","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}
Kristin A Robinson, Santo Maimone, Sonam Sonam, Haley P Letter, Robert W Maxwell, Miglena K Komforti
{"title":"Radiology-Pathology Concordance Conference: Utility and Success in Clinical Practice.","authors":"Kristin A Robinson, Santo Maimone, Sonam Sonam, Haley P Letter, Robert W Maxwell, Miglena K Komforti","doi":"10.1093/jbi/wbaf053","DOIUrl":"10.1093/jbi/wbaf053","url":null,"abstract":"<p><p>The practice of formally documenting radiologic and pathologic concordance after percutaneous breast biopsies was instituted more than 20 years ago. There are several ways in which this can be done, but in many practices the performing radiologist independently compares the imaging findings with the pathology report to determine concordance. However, some studies show that a multidisciplinary review of breast biopsy results can maximize cancer detection, identify discordant cases in a timely manner, decrease imaging follow-up, and avoid unnecessary surgical intervention. This article will propose a practical method to establish a formal radiology-pathology conference in which percutaneous breast biopsies are reviewed with multidisciplinary input to increase efficiency and improve patient care. With the wide implementation of digital radiologic imaging and digital pathology evaluation plus the recent adoption of virtual meeting platforms, a successful radiology-pathology conference can be implemented in nearly any practice setting. Case examples will be presented demonstrating the utility of such a conference.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"190-203"},"PeriodicalIF":2.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167045","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":"Unknown Case: A 42-Year-Old Woman With Bilateral Palpable and Nonpalpable Breast Masses.","authors":"Alex Tran, Xiaoqin Wang","doi":"10.1093/jbi/wbaf020","DOIUrl":"10.1093/jbi/wbaf020","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"220-223"},"PeriodicalIF":2.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973298","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}
Melvin Denolf, Helen De Boodt, Ann Smeets, Chantal Van Ongeval
{"title":"Breast Myiasis: Imaging Features of Human Botfly Infestation.","authors":"Melvin Denolf, Helen De Boodt, Ann Smeets, Chantal Van Ongeval","doi":"10.1093/jbi/wbaf063","DOIUrl":"10.1093/jbi/wbaf063","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"228-230"},"PeriodicalIF":2.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158778","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}
Chieh-Cheng Randy Huang, Iman Ali Alkhalifah, Yonggeng Goh, Pooja Jagmohan, Eric Fang, Ying Mei Wong
{"title":"Comparison of Low-Energy Mammograms Obtained in Contrast-Enhanced Mammography With Routine Full-Field Digital Mammography in the Asian Population: An Agreement Study.","authors":"Chieh-Cheng Randy Huang, Iman Ali Alkhalifah, Yonggeng Goh, Pooja Jagmohan, Eric Fang, Ying Mei Wong","doi":"10.1093/jbi/wbaf060","DOIUrl":"10.1093/jbi/wbaf060","url":null,"abstract":"<p><strong>Objective: </strong>Digital contrast-enhanced mammography (CEM) is traditionally used as an adjunct following standard full-field digital mammography (FFDM), potentially causing redundancy and unnecessary radiation exposure. Prior studies have demonstrated comparable image quality between low-energy (LE) 2D CEM and FFDM, primarily in Caucasian cohorts with less dense breast tissue. This study compares the diagnostic accuracy of LE CEM images with FFDM images in an Asian population with denser breasts.</p><p><strong>Methods: </strong>This study enrolled 143 women (mean age 56.4 ± 10.2 years) who underwent both LE CEM and standard FFDM, primarily for diagnostic evaluation of clinically or radiologically suspicious breast abnormalities, within a 2-month interval. A total of 135 lesions (13 benign, 122 malignant) were identified. Six radiologists independently reviewed the FFDM and LE CEM images in an anonymized, sequential manner, with a washout period to minimize recall bias. Diagnostic performance metrics between LE CEM and FFDM were compared using Gwet's κ statistics.</p><p><strong>Results: </strong>Overall agreement between LE CEM and FFDM was high (κ = 0.892, P <.001). Low-energy CEM demonstrated higher sensitivity (92.3% vs 88.5%) but slightly lower specificity (47.6% vs 52.4%) compared with FFDM for malignancy detection but was not statistically significant (P = .078 and P = .450, respectively). Notably, 23.4% of normal FFDM readings showed abnormalities on LE CEM, with 19 of these 25 cases (76%) revealing underlying malignancies.</p><p><strong>Conclusion: </strong>In this retrospective cohort study, LE CEM showed potential as a replacement for FFDM, particularly in populations with predominantly dense breast tissue, under certain clinical circumstances.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"160-168"},"PeriodicalIF":2.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158816","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":"Unknown Case: Pediatric Breast Mass.","authors":"Damien Medrano, Samantha Zuckerman","doi":"10.1093/jbi/wbaf010","DOIUrl":"10.1093/jbi/wbaf010","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"217-219"},"PeriodicalIF":2.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019655","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}
Katherine Stephens, Ronaé K McLin, Rasha T Ismail, Miette Ogg, Omar Nemer, Donna M Plecha, Faezeh Sodagari
{"title":"Classification and Reporting of Breast Arterial Calcifications: Current State and Ongoing Challenges.","authors":"Katherine Stephens, Ronaé K McLin, Rasha T Ismail, Miette Ogg, Omar Nemer, Donna M Plecha, Faezeh Sodagari","doi":"10.1093/jbi/wbaf074","DOIUrl":"10.1093/jbi/wbaf074","url":null,"abstract":"<p><p>Cardiovascular disease (CVD) remains the leading cause of death among women globally, with significant mortality and poorer outcomes compared with men. Traditional CVD risk assessment methods are less effective for women in part due to a lack of consideration for female-specific risk factors and the underrepresentation of women in research. Mammography, primarily used for breast cancer screening, also provides valuable data on breast arterial calcifications (BAC), which are associated with increased CVD risk. Despite its potential, BAC is not routinely reported or used in clinical practice due to variability in reporting practices and the absence of standardized reporting and clinical follow-up guidelines. Various qualitative and quantitative techniques for the classification of BAC and the role of artificial intelligence (AI) in automating BAC quantification have been suggested. Surveys reveal varying attitudes toward BAC reporting among patients, radiologists, and referring clinicians. Despite the potential benefits of BAC reporting for personalized cardiovascular risk assessment, challenges remain, including the need to assess the cost-effectiveness of long-term outcomes, standardized guidelines, and effective follow-up.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"125-135"},"PeriodicalIF":2.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379060","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}