Journal of Breast Imaging最新文献

{"title":"Axillary Surgical De-Escalation: In Tune With the SOUND (Sentinel Node Vs Observation After Axillary Ultra-souND) of Change?","authors":"Santo Maimone, Brittany Dashevsky, Kristen Coffey, Kathryn Zamora, David R Gruen, Katerina Dodelzon","doi":"10.1093/jbi/wbaf021","DOIUrl":"10.1093/jbi/wbaf021","url":null,"abstract":"<p><p>Over the last 30 years, axillary surgery in patients with breast cancer has undergone a consistent patient-centered, evidence-based de-escalation of surgical intervention, including considerable practice changes over the last decade. As surgical approaches change, the role of breast imaging radiologists and axillary imaging must also evolve. Axillary imaging remains variable across radiology practices, with implementation of new protocols occurring at various speeds. Breast radiologists must be aware of recent trials and remain agile in adopting or responding to changing treatment paradigms. Breakthrough studies, such as the SOUND (Sentinel Node Vs Observation After Axillary Ultra-souND) trial, must be vetted and evaluated by individual practices before adoption. Breast radiologists should play a key role in multidisciplinary collaboration with colleagues involved in breast cancer care to assist with strategic planning and appropriate resource utilization.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"474-482"},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188214","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":"Graduated Autonomy in Breast Imaging Fellowships: A National Survey of Fellowship Program Directors.","authors":"Lilian C Wang, Janine T Katzen, Gunjan M Senapati, Lauren Friedlander","doi":"10.1093/jbi/wbae092","DOIUrl":"10.1093/jbi/wbae092","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed opportunities for graduated autonomy in fellowship programs registered with the Society of Breast Imaging (SBI) Fellowship Match.</p><p><strong>Methods: </strong>A 16-question survey developed by the SBI Fellowship Match Committee was distributed electronically to fellowship program directors registered with the SBI. Responses were analyzed, with subgroup comparison using Fisher's exact test.</p><p><strong>Results: </strong>The response rate was 51.5% (52/101). Most respondents (63.5%, 33/52) do not allow fellows to final sign reports. Of programs that do offer this practice, 36.8% (7/19) have done so for <3 years, 21.1% (4/19) for 3 to 5 years, and 42.1% (8/19) for >5 years. There was no association between fellowship class size or length of fellowship training and final-sign opportunities. Fellow education (84.2%, 16/19) and fellow interest (73.7%, 14/19) were the most common reasons for offering final-sign privileges. Faculty consensus was the main criterion for assessing fellow readiness for graduated autonomy. Of examination types, independent interpretation was most common for diagnostic mammogram and US examinations (36.5%, 19/52), initiated before the last 2 months of fellowship. Approximately 30% (16/52) of respondents allow fellows to perform and final sign procedures, most commonly 5 to 10 months into fellowship training. In 52.6% (10/19) of programs allowing independent reads, no additional compensation is provided.</p><p><strong>Conclusion: </strong>Most breast imaging fellowship programs do not allow fellows to independently render examination interpretations or perform breast procedures. However, more than half of programs offering fellow autonomy have done so for ≤5 years, suggesting a potential shift in final-sign opportunities.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"445-452"},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040209","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":"Effective Integration of Feedback in Breast Imaging: A \"Guide for the Trainee\".","authors":"Joshua A Greenstein, Martha Sevenich, Allison Aripoli","doi":"10.1093/jbi/wbae095","DOIUrl":"10.1093/jbi/wbae095","url":null,"abstract":"<p><p>Receiving feedback can sometimes be difficult and uncomfortable but is an essential component of professional development in breast imaging. Trainees have an opportunity to leverage feedback in breast imaging by incorporating self-assessments, real-world patient outcomes, procedural feedback, patient interactions, and available audit data to build confidence and competency in residency and fellowship. We present strategies for seeking and receiving feedback with a growth mindset, including specific scenarios in breast imaging where trainees can incorporate feedback and maximize learning potential.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"483-491"},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476979","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":"Solitary Dilated Ducts 2.0 - Multimodality Imaging Detection, Assessment, and Management.","authors":"Tanya W Moseley, Beatriz E Adrada, Elsa M Arribas, Hannah L Chung, Megha M Kapoor, Miral M Patel, Sammar Ghannam, Mary S Guirguis","doi":"10.1093/jbi/wbaf012","DOIUrl":"https://doi.org/10.1093/jbi/wbaf012","url":null,"abstract":"<p><p>The BI-RADS 5th Edition recommends that a solitary dilated duct should be assessed as a BI-RADS category 4 lesion and recommended for biopsy. More recently, 3 studies published after the fifth edition of BI-RADS have reported lower rates of malignancy associated with solitary dilated ducts ranging from 0% to 3.4%. According to these studies, clinical considerations and additional imaging characteristics can help determine which solitary ducts should be managed conservatively and which should undergo tissue biopsy. This review examines the latest research on solitary dilated ducts and proposes an updated management approach.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973310","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":"https://doi.org/10.1093/jbi/wbaf028","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-30","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}

{"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":"https://doi.org/10.1093/jbi/wbaf020","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-30","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}

{"title":"Breaking the Ice: Are Online Patient Educational Materials on Breast Cryoablation Readable and Understandable?","authors":"Simon Kidanemariam, Antonio R Lopez, Grayson L Baird, Robert C Ward, Joey Z Gu, John McMenamy, Randy C Miles","doi":"10.1093/jbi/wbaf024","DOIUrl":"https://doi.org/10.1093/jbi/wbaf024","url":null,"abstract":"<p><strong>Objective: </strong>Online patient education materials (OPEMs) provide valuable information on breast-related conditions and treatment options. We evaluated commonly accessed OPEMs related to breast cryoablation to assess the readability, understandability, and actionability metrics of educational materials available to patients.</p><p><strong>Methods: </strong>Using Google, the terms \"breast cryoablation,\" \"breast cryosurgery,\" and \"breast cryotherapy\" were queried. The top 50 websites providing OPEMs for the general public were identified by search ranking. A virtual private network was used, and location tracking, cookies, and user account information were disabled before querying. Sponsored content and research journal articles were excluded. Websites were categorized as academic/hospital, commercial, or nonprofit based on the hosting organization. Online patient education materials from the top 50 sites were downloaded and assessed for readability, understandability, and actionability. Mixed modeling, with sources nested within readability scores (automated readability, Coleman-Liau, Flesch-Kincaid, Gunning Fog, and Simple Measure of Gobbledygook), was used to evaluate these metrics.</p><p><strong>Results: </strong>Among 52 websites, the overall mean grade-level readability was 12.3 (95% CI, 11.1-13.6). Academic/hospital sites had the lowest readability at 11.8, followed by nonprofit at 12.4 and commercial at 12.7 (P = .03). The mean understandability score was 71%, with academic/hospital sites at 81%, commercial at 73%, and nonprofit at 25%. Only 2 websites-Serenity Surgery and Cleveland Clinic-demonstrated actionability. Overall actionability was 18.5% (95% CI, 7.5%-38.9%), with 24 websites scoring 0% for actionability.</p><p><strong>Conclusion: </strong>Current OPEMs concerning breast cryoablation fall short of the American Medical Association's recommendations for health literacy, averaging twice that level. Additionally, there is significant variability in the materials' understandability and actionability.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973164","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":"Breast Imaging Staffing Shortages: Defining the Problem and Addressing Root Causes.","authors":"Sonya Bhole, Lars J Grimm, Jay R Parikh, Brian N Dontchos, Beatriu Reig, Sarah A Jacobs, Kristen Coffey, Brittany Z Dashevsky, Lisa A Mullen, Caroline Daly, Katerina Dodelzon","doi":"10.1093/jbi/wbaf031","DOIUrl":"https://doi.org/10.1093/jbi/wbaf031","url":null,"abstract":"<p><strong>Objective: </strong>To assess the current perceptions of breast imaging staffing shortages and contributing factors among breast imaging radiologists.</p><p><strong>Methods: </strong>A survey assessing current perception of breast radiologists regarding breast imaging-specific staffing shortages and contributing factors was developed by the Patient Care and Delivery Committee of the Society of Breast Imaging (SBI) and emailed to SBI active physician members. Bivariable analysis (chi-squared, t test) was performed between the survey demographics and survey response questions of interest.</p><p><strong>Results: </strong>There were 309 responses (response rate of 15.7%). Most respondents perceived their practices to be short-staffed for breast radiologists (79%, 239/302), US technologists (74%, 216/290), mammography technologists (70%, 211/301), and support staff (66%, 201/302). Of the respondents who indicated they were short-staffed for breast imaging radiologists, 92% (226/246) believed it was due to insufficient number of radiologists, 67% (164/246) thought it was due to increase in volume, and 63% (154/246) attributed it to both increase in volume and insufficient number of breast imaging radiologists. Practices were more likely to be short-staffed if they had more practice sites (mean, 8.2 ± 7.1 vs 6.4 ± 8.4; P = .002), had fewer breast imaging radiologists (mean, 10.1 ± 9.6 vs 11.3 ± 11.5; P = .009), and were academic practices (35.1% vs 25.7%; P = .028).</p><p><strong>Conclusions: </strong>Most breast imaging radiologists perceive their current breast imaging practices to be short-staffed for radiologists, mammography technologists, US technologists, and support staff. Understanding contributing factors is crucial to addressing root causes and mitigating impact on patient care and burnout across breast imaging team members.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973161","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":"Triple-Negative Breast Cancer: Differential Imaging Features Based on Menopausal Status and Race.","authors":"Cherie M Kuzmiak, David Sailer, Thad Benefield","doi":"10.1093/jbi/wbaf022","DOIUrl":"https://doi.org/10.1093/jbi/wbaf022","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether menopausal status and race affect the imaging features of triple-negative breast cancer (TNBC).</p><p><strong>Methods: </strong>This institutional review board-approved retrospective study reviewed the clinicopathologic data and imaging features of patients diagnosed with invasive ductal TNBC from January 1, 2014, to March 30, 2023. There were 199 patients, of whom 67 (33.7%) were pre- and perimenopausal and 132 (66.3%) were postmenopausal. Data analysis was performed using Chi-squared or Fisher's exact test, and a P-value <.05 was considered significant. Subgroup analysis of Black and White patients was also performed.</p><p><strong>Results: </strong>Sixty-six percent (44/67) of the TNBCs in the premenopausal group were a round- or oval-shaped mass, while an irregular-shaped mass made up 50.5% (65/129) in the postmenopausal group (P = .041). Three (2.3%) TNBCs were out of the mammographic field of view. Forty-two percent (28/67) of the TNBCs in the premenopausal group had indistinct margins, whereas 51.2% (66/129) of the postmenopausal group had spiculated margins (P = .011). Associated calcifications were present in 29.5% (20/67) of the TNBCs in the premenopausal group vs 24.8% (32/129) (P = .395). In subgroup analysis, a round/oval-shaped TNBC was more common in both premenopausal and postmenopausal Black patients-76.9% (20/26) and 54.5% (24/45), respectively (P = .061). However, 57.1% (44/79) of TNBCs in postmenopausal White women were irregular, and 61.0% (47/79) had spiculated margins (P <.009).</p><p><strong>Conclusion: </strong>Menopausal status and race should be considered in the imaging features of TNBC. These data may further assist in the understanding of the biology of TNBC and lesion characteristics by race.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973263","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":"Granulomatous Disease Manifesting as Nipple Enlargement.","authors":"Phoebe Hiu Wai Lo, Ting Wong","doi":"10.1093/jbi/wbaf032","DOIUrl":"https://doi.org/10.1093/jbi/wbaf032","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973260","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}