Journal of Breast Imaging最新文献_第3页

Unknown Case: Pediatric Breast Mass. 未知病例：小儿乳腺肿块。

IF 2

Journal of Breast Imaging Pub Date : 2025-04-15 DOI: 10.1093/jbi/wbaf010

Damien Medrano, Samantha Zuckerman

引用次数: 0

Graduated Autonomy in Breast Imaging Fellowships: A National Survey of Fellowship Program Directors. 乳腺成像奖学金的毕业自主权：全国奖学金项目主任调查。

IF 2

Journal of Breast Imaging Pub Date : 2025-04-15 DOI: 10.1093/jbi/wbae092

Lilian C Wang, Janine T Katzen, Gunjan M Senapati, Lauren Friedlander

{"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":"https://doi.org/10.1093/jbi/wbae092","url":null,"abstract":"Objective: This study assessed opportunities for graduated autonomy in fellowship programs registered with the Society of Breast Imaging (SBI) Fellowship Match.Methods: 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.Results: 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.Conclusion: 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.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-15","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}

引用次数: 0

Breast Cancer Screening and Solid Organ Transplantation. 乳腺癌筛查和实体器官移植。

IF 2

Journal of Breast Imaging Pub Date : 2025-04-13 DOI: 10.1093/jbi/wbaf016

Nina Capiro, James S Chalfant

引用次数: 0

Assessing the Outcomes of the Initial Virtual Breast Imaging Fellowship Interview Season. 评估初始虚拟乳房成像奖学金面试季节的结果。

IF 2

Journal of Breast Imaging Pub Date : 2025-04-13 DOI: 10.1093/jbi/wbaf004

Janine T Katzen, Katie Hunt, Lauren Friedlander, Victoria Mango, Kathryn Watts Zamora

{"title":"Assessing the Outcomes of the Initial Virtual Breast Imaging Fellowship Interview Season.","authors":"Janine T Katzen, Katie Hunt, Lauren Friedlander, Victoria Mango, Kathryn Watts Zamora","doi":"10.1093/jbi/wbaf004","DOIUrl":"https://doi.org/10.1093/jbi/wbaf004","url":null,"abstract":"To assess breast imaging fellowship program directors' perspectives of the outcomes of the first-ever virtual interview season. A 19-question survey was constructed by members of the Fellowship Match Committee of the Society of Breast Imaging and distributed via email to 103 program directors. An initial email with a link to the survey was distributed on May 17, 2023, with 2 reminder emails sent on May 31, 2023, and June 20, 2023. The survey was closed on June 26, 2023. Results were compiled, and a descriptive statistical analysis was performed using Excel. There were 36 total responses yielding a response rate of 35% (36/103). The majority of programs, 61% (22/36), did not fill positions with any internal candidates. Overall, 72% answered that the perception of their fellow's performance was equal to or higher than those in prior years. Despite the effects of the pandemic on clinical exposure for this cohort, 73% of programs stated that the fellow's foundational knowledge was equivalent or better. Remarkably, 81% of respondents stated that procedural skills were equivalent or better, and 78% stated that communication skills were equivalent or better. This is the first study to investigate the outcomes of the unexpected pivot to virtual interviews. Despite the lack of preparation for this operational shift, it does not appear to have negatively impacted the program directors' impressions of their matched fellows.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990118","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

Imaging, Patient, and Diagnostic Radiologist Factors Associated With Malignancy for Mammographic Asymmetries Undergoing Biopsy. 接受活组织检查的乳房 X 线不对称患者的恶性肿瘤相关成像、患者和放射诊断医师因素。

IF 2

Journal of Breast Imaging Pub Date : 2025-04-01 DOI: 10.1093/jbi/wbaf008

Allyson L Chesebro, Susan C Lester, Zhou Lan, Catherine S Giess

{"title":"Imaging, Patient, and Diagnostic Radiologist Factors Associated With Malignancy for Mammographic Asymmetries Undergoing Biopsy.","authors":"Allyson L Chesebro, Susan C Lester, Zhou Lan, Catherine S Giess","doi":"10.1093/jbi/wbaf008","DOIUrl":"https://doi.org/10.1093/jbi/wbaf008","url":null,"abstract":"Objective: To identify imaging, patient, and radiologist factors associated with malignant pathology for mammographic asymmetries referred for image-guided biopsy.Methods: This is an IRB-approved study of consecutive image-guided core-needle biopsy reports from an academic center and affiliated imaging centers January 1, 2015 to June 30, 2022 with lesion type reported by biopsy radiologist as \"asymmetry\" on biopsy requisition form retrieved from the pathology database. Imaging features (asymmetry type, associated mammographic features, US correlate, lesion size) and patient demographics (age at biopsy, breast density, family or personal history of breast cancer) were extracted from imaging reports and electronic health record. Cases were excluded if the diagnostic or biopsy radiologist reported the lesion other than \"asymmetry\" or if imaging review identified the finding as predominantly mass or architectural distortion. Multiple logistic regression was performed to calculate the odds ratio (OR) of malignant outcome.Results: Image-guided core-needle biopsy was requested of 326 asymmetries; 79 were excluded, yielding 247 asymmetries (9 asymmetry, 218 developing asymmetry, 20 focal asymmetry). Overall, 40/247 (16.2%) were malignant and 207/247 (83.8%) were benign. Presence of associated distortion (OR 14.78; 95% CI, 4.87-44.83; P <.001) or calcifications (OR 9.86; 95% CI, 2.74-35.53; P <.001), personal history of breast cancer (OR 2.65; 95% CI, 1.04-6.77; P = .041), and increasing patient age at biopsy (OR 1.08; 95% CI, 1.04-1.12; P <.001) were associated with likelihood of malignancy.Conclusion: Malignancy of mammographic asymmetries is more likely in the presence of associated distortion or calcifications, personal history of breast cancer, and increasing patient age. These results may be useful in diagnostic management of mammographic asymmetries.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764736","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

Upgrade Rate of Exclusively MRI-Detected Papillomas in Asymptomatic Patients Undergoing Screening or Extent of Disease Examinations. 无症状患者接受筛查或疾病范围检查时mri检测乳头状瘤的升级率。

IF 2

Journal of Breast Imaging Pub Date : 2025-03-18 DOI: 10.1093/jbi/wbae080

Kathryn Watts Zamora, Ceren Yalniz, Kudratjot Brar, Yufeng Li, Stefanie Zalasin, Stefanie Woodard

{"title":"Upgrade Rate of Exclusively MRI-Detected Papillomas in Asymptomatic Patients Undergoing Screening or Extent of Disease Examinations.","authors":"Kathryn Watts Zamora, Ceren Yalniz, Kudratjot Brar, Yufeng Li, Stefanie Zalasin, Stefanie Woodard","doi":"10.1093/jbi/wbae080","DOIUrl":"10.1093/jbi/wbae080","url":null,"abstract":"Objective: To determine the upgrade rate of exclusively MRI-detected benign papillomas in asymptomatic high-risk patients, patients with a history of cancer, or patients with known malignancy.Methods: This IRB-approved retrospective study reviewed all breast MRI-guided biopsies yielding papilloma on pathology for all asymptomatic patients undergoing breast MRI for high-risk screening, newly diagnosed breast cancer, or a personal history of breast cancer. All cases were followed by excision or 2-year imaging follow-up. The upgrade rate was determined. Fisher's exact test was used to determine the significance of associated factors, including lesion type, lesion size, and ipsilateral malignancy.Results: Of the 258 MRI-guided biopsies, 117 met the inclusion criteria. A 4% (5/117) upgrade rate was found with a 3% (4/117) upgrade rate to ductal carcinoma in situ (DCIS) and a 1% (1/117) upgrade rate to invasive malignancy for all identified papillomas. When evaluating all papillomas, the only associated feature identified to be statically significant for risk of upgrade was ipsilateral malignancy with a 60% (3/5) upgrade rate with a P-value of .0057. When separately evaluating benign papillomas only by excluding those with atypia or additional high-risk lesion at biopsy, a 4% (3/80) upgrade rate to DCIS was found. There was no upgrade to invasive malignancy.Conclusion: Upgrade of MRI-detected papillomas in asymptomatic high-risk patients, patients with a history of cancer, or patients with known malignancy is 4% in this population, which suggests these lesions may warrant surgical excision.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"196-203"},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847911","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

Cystic Breast Disease: What to Do When It's Not So Cystic. 囊性乳腺疾病：当它不是那么囊性时该怎么办？

IF 2

Journal of Breast Imaging Pub Date : 2025-03-18 DOI: 10.1093/jbi/wbae079

Asha A Bhatt, Laura K Harper, Sarah Anderson, Malvika H Solanki, Dana K Ataya

引用次数: 0

Evaluation of a Multi-Instant Multimodal Artificial Intelligence System Supporting Interpretive and Noninterpretive Functions. 评估支持释义和非释义功能的多即时多模式人工智能系统。

IF 2

Journal of Breast Imaging Pub Date : 2025-03-18 DOI: 10.1093/jbi/wbae062

Serena Pacilè, Pauline Germaine, Caroline Sclafert, Thomas Bertinotti, Pierre Fillard, Svati Singla Long

{"title":"Evaluation of a Multi-Instant Multimodal Artificial Intelligence System Supporting Interpretive and Noninterpretive Functions.","authors":"Serena Pacilè, Pauline Germaine, Caroline Sclafert, Thomas Bertinotti, Pierre Fillard, Svati Singla Long","doi":"10.1093/jbi/wbae062","DOIUrl":"10.1093/jbi/wbae062","url":null,"abstract":"Objective: Artificial intelligence (AI) has been shown to hold promise for improving breast cancer screening, offering advanced capabilities to enhance diagnostic accuracy and efficiency. This study aimed to evaluate the impact of a multimodal multi-instant AI-based system on the diagnostic performance of radiologists in interpreting mammograms.Methods: We designed a multireader multicase study taking into account the evaluation of both interpretive and noninterpretive tasks. The study was approved by an institutional review board and is compliant with HIPAA. The dataset included 90 cancer-proven and 150 negative cases. The overall diagnostic performance was compared between the unaided vs aided reading condition. Intraclass correlation coefficient (ICC), Fleiss's kappa, and accuracy were used to quantify the agreement and performance on noninterpretive tasks. Reading time and perceived fatigue were used as comprehensive metrics to assess the efficiency of readers.Results: The average area under the receiver operating characteristic curve increased by 7.4% (95% CI, 4.5%-10%) with the concurrent assistance of the AI system (P <.001). On average, readers found 8% more cancers in the assisted reading condition. The ICC went from 0.6 (95% CI, 0.55-0.65) in the unassisted condition to 0.74 (95% CI, 0.70-0.78) for readings done with AI (P <.001). An overall decrease of 24% in reading time and a reduction in perceived fatigue was also found.Conclusion: The incorporation of this AI system, capable of handling multiple image type, prior mammograms, and multiple outputs, improved the diagnostic proficiency of radiologists in identifying breast cancer while also reducing the time required for combined interpretive and noninterpretive tasks.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"155-164"},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740890","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

Time to Enhancement Measured From Ultrafast Dynamic Contrast-Enhanced MRI for Improved Breast Lesion Diagnosis. 从超快动态增强MRI测量增强时间以改善乳腺病变诊断。

IF 2

Journal of Breast Imaging Pub Date : 2025-03-18 DOI: 10.1093/jbi/wbae089

Yun An Chen, Anum S Kazerouni, Matthew D Phelps, Daniel S Hippe, Inyoung Youn, Janie M Lee, Savannah C Partridge, Habib Rahbar

{"title":"Time to Enhancement Measured From Ultrafast Dynamic Contrast-Enhanced MRI for Improved Breast Lesion Diagnosis.","authors":"Yun An Chen, Anum S Kazerouni, Matthew D Phelps, Daniel S Hippe, Inyoung Youn, Janie M Lee, Savannah C Partridge, Habib Rahbar","doi":"10.1093/jbi/wbae089","DOIUrl":"10.1093/jbi/wbae089","url":null,"abstract":"Objective: Breast MRI affords high sensitivity with intermediate specificity for cancer detection. Ultrafast dynamic contrast-enhanced (DCE) MRI assesses early contrast inflow with potential to supplement or replace conventional DCE-MRI kinetic features. We sought to determine whether radiologist's evaluation of ultrafast DCE-MRI can increase specificity of a clinical MRI protocol.Methods: In this IRB-approved, HIPAA-compliant study, breast MRIs from March 2019 to August 2020 with a BI-RADS category 3, 4, or 5 lesion were identified. Ultrafast DCE-MRI was acquired during the first 40 seconds after contrast injection and before conventional DCE-MRI postcontrast acquisitions in the clinical breast MRI protocol. Three radiologists masked to outcomes retrospectively determined lesion time to enhancement (TTE) on ultrafast DCE-MRI. Interreader agreement, differences between benign and malignant lesion TTE, and TTE diagnostic performance were evaluated.Results: Ninety-five lesions (20 malignant, 75 benign) were included. Interreader agreement in TTE was moderate to substantial for both ultrafast source images and subtraction maximum intensity projections (overall κ = 0.63). Time to enhancement was greater across benign lesions compared with malignancies (P <.05), and all lesions demonstrating no enhancement during the ultrafast series were benign. With a threshold TTE ≥40 seconds, ultrafast DCE-MRI yielded an average 40% specificity (95% CI, 30%-48%) and 92% sensitivity (95% CI, 81%-100%), yielding a potential reduction in 31% (95% CI, 23%-39%) of benign follow-ups based on conventional DCE-MRI.Conclusion: Ultrafast imaging can be added to conventional DCE-MRI to increase diagnostic accuracy while adding minimal scan time. Future work to standardize evaluation criteria may improve interreader agreement and allow for more robust ultrafast DCE-MRI assessment.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657977","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

Improving Wellness Through Reading Room Design and Flexible Scheduling Options. 通过阅览室设计和灵活的时间安排来改善健康。

IF 2

Journal of Breast Imaging Pub Date : 2025-03-18 DOI: 10.1093/jbi/wbae094

Hamad Muhammad, Millie Puglia, Stephanie Colvin, Stefanie Zalasin, Ceren Yalniz, Kathryn W Zamora, Stefanie Woodard

引用次数: 0