Journal of Breast Imaging最新文献_第4页

Subcutaneous Staining of the Breast from Superparamagnetic Iron Oxide Nanoparticle Tracer Injection. 超顺磁性氧化铁纳米粒子示踪剂注射的乳房皮下染色。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-23 DOI: 10.1093/jbi/wbae070

Victoria A Wells, Eun L Langman

引用次数: 0

Unknown Case: Asymmetric Breast Uptake on Sestamibi Scan. 未知病例：西他嘧啶扫描中的非对称乳腺吸收

IF 2

Journal of Breast Imaging Pub Date : 2024-11-18 DOI: 10.1093/jbi/wbae072

Jolie Jean, Janine T Katzen

引用次数: 0

Performance of Abbreviated Breast MRI in High-Risk Patients in a Tertiary Care Academic Medical Center. 一家三级医疗学术医学中心对高危患者进行简略乳腺 MRI 检查的效果。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-14 DOI: 10.1093/jbi/wbae071

Tamara Zaza, Kapil Chandora, Ceren Yalniz, Kathryn Watts Zamora, Stefanie Zalasin, Yufeng Li, Stefanie Woodard

{"title":"Performance of Abbreviated Breast MRI in High-Risk Patients in a Tertiary Care Academic Medical Center.","authors":"Tamara Zaza, Kapil Chandora, Ceren Yalniz, Kathryn Watts Zamora, Stefanie Zalasin, Yufeng Li, Stefanie Woodard","doi":"10.1093/jbi/wbae071","DOIUrl":"https://doi.org/10.1093/jbi/wbae071","url":null,"abstract":"Introduction: The development of abbreviated breast MRI (AB-MRI) protocols reduce scan times. This paper reports the performance of AB-MRI at a tertiary care public academic medical center in comparison with established literature.Methods: This HIPAA-compliant IRB-approved retrospective study reviewed 413 AB-MRI screenings in high-risk patients from June 2020 to March 2023. Data were collected from 3 databases (MagView, Cerner PowerChart, and Prism Primordial). Demographics and overall BI-RADS assessment were recorded. For all positive (BI-RADS 0, 3, 4, 5) examinations, manual review of each case was performed. Performance metrics (sensitivity, specificity, cancer detection rate [CDR], recall rate, positive predictive value [PPV] 3 and negative predictive value [NPV]) were calculated. PubMed and Google Scholar were used to review similar AB-MRI studies to compare performance metrics.Results: There were 413 AB-MRI examinations from 413 unique patients. The majority of cases were audit-negative BI-RADS 1 or 2 (83.8%, 346/413). There were 67 (16.2%, 67/413) audit-positive cases with 3.6% (15/413) BI-RADS 3, 10.9% (45/413) BI-RADS 4, 0.7% (3/413) BI-RADS 5, and 1.0% (4/413) BI-RADS 0. Performance metrics showed a sensitivity of 100.0% (95% CI, 63.1%-100.0%) and a specificity of 85.7% (95% CI, 81.9%-88.9%). The PPV3 was 14.3% (95% CI, 5.1%-23.5%), and the NPV was 100.0% (95% CI, 99.0%-100.0%). The CDR was 19.4 per 1000 screenings. The results are comparable to prior literature and benchmark data.Conclusion: This study demonstrates high sensitivity (100.0%) and NPV (100.0%) of AB-MRI with comparable specificity (85.7%) and CDR (19.4/1000) to the literature, adding support to the use of AB-MRI. Further research is needed to optimize AB-MRI protocols.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629794","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

Developing a Career as a Clinician-Educator in Breast Imaging. 发展成为乳腺成像领域的临床教育工作者。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-12 DOI: 10.1093/jbi/wbae075

Alison Lynn Chetlen, Jeanine Beatty-Chadha, Angela I Choe

引用次数: 0

Digital Breast Tomosynthesis Screening Improves Early Breast Cancer Detection and Survival in Taiwan. 数字乳腺断层扫描筛查提高了台湾早期乳腺癌的检测率和存活率。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-05 DOI: 10.1093/jbi/wbae044

Pei-Shan Wu, Yu-Ting Hong, Chiao-Hsuan Shen, Chao-Hsien Lee, Chen-Pin Chou

{"title":"Digital Breast Tomosynthesis Screening Improves Early Breast Cancer Detection and Survival in Taiwan.","authors":"Pei-Shan Wu, Yu-Ting Hong, Chiao-Hsuan Shen, Chao-Hsien Lee, Chen-Pin Chou","doi":"10.1093/jbi/wbae044","DOIUrl":"10.1093/jbi/wbae044","url":null,"abstract":"Objective: Our objective was to compare the efficacy of digital breast tomosynthesis (DBT) and digital mammography (DM) in breast cancer screening and their impact on long-term overall survival (OS).Methods: The study involved 48 549 consecutive mammography examinations between 2011 and 2015 at a medical center in Taiwan, identifying 545 women who were screened and diagnosed with breast cancer. Digital mammography and DBT examinations were alternated on different days. Patients were categorized based on mammographic modality, breast density, and American Joint Committee on Cancer (AJCC) stage. To determine the long-term outcome until August 2021, survival rates were analyzed using the Kaplan-Meier (K-M) survival analysis.Results: The mean age at breast cancer diagnosis was 53.2 years. Digital breast tomosynthesis examinations were significantly associated with early breast cancer (AJCC stage 0 to 2) (P = .022). The 5- and 9-year OS rates for all patients were 96.8% and 93.0%, respectively. The 5- and 9-year OS was significantly greater in the DBT group (98.4% and 96.8%) compared with the DM group (95.0% and 90.4%) (P = .030 for all). The K-M survival analysis demonstrated a significantly higher OS in the DBT group than the DM group (P = .037). Furthermore, DBT significantly improved OS in a cohort of women with stage II and III cancer (P = .032) and heterogeneously dense breasts (P = .045).Conclusion: Screening with DBT is associated with early breast cancer diagnosis and higher survival rates compared with DM.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"601-609"},"PeriodicalIF":2.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297988","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

Methodological Considerations in Evaluating Breast Cancer Screening Studies. 评估乳腺癌筛查研究的方法考虑因素。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-05 DOI: 10.1093/jbi/wbae038

Anand K Narayan, Randy C Miles, Ryan W Woods, Lucy B Spalluto, Elizabeth S Burnside

{"title":"Methodological Considerations in Evaluating Breast Cancer Screening Studies.","authors":"Anand K Narayan, Randy C Miles, Ryan W Woods, Lucy B Spalluto, Elizabeth S Burnside","doi":"10.1093/jbi/wbae038","DOIUrl":"10.1093/jbi/wbae038","url":null,"abstract":"In evidence-based medicine frameworks, the highest level of evidence is derived from quantitative synthesis of double-masked, high-quality, randomly assigned controlled trials. Meta-analyses of randomly assigned controlled trials have demonstrated that screening mammography reduces breast cancer deaths. In the United States, every major guideline-producing organization has recommended screening mammography in average-risk women; however, there are controversies about age and frequency. Carefully controlled observational research studies and statistical modeling studies can address evidence gaps and inform evidence-based, contemporary screening practices. As breast imaging radiologists develop and evaluate existing and new screening tests and technologies, they will need to understand the key methodological considerations and scientific criteria used by policy makers and health service researchers to support dissemination and implementation of evidence-based screening tests. The Wilson and Jungner principles and the U.S. Preventive Services Task Force general analytic framework provide structured evaluations of the effectiveness of screening tests. Key considerations in both frameworks include public health significance, natural history of disease, cost-effectiveness, and characteristics of screening tests and treatments. Rigorous evaluation of screening tests using analytic frameworks can maximize the benefits of screening tests while reducing potential harms. The purpose of this article is to review key methodological considerations and analytic frameworks used to evaluate screening studies and develop evidence-based recommendations.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"577-585"},"PeriodicalIF":2.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890301","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

Anatomical Approach for the Evaluation of the Nipple-Areolar Complex. 评估乳头乳晕复合体的解剖方法。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-05 DOI: 10.1093/jbi/wbae065

Abeer Abdelhafez, Claudia Cotes

引用次数: 0

Beyond the Needle: Understanding Tissue Marker Migration in Breast MRI-Guided Biopsies. 超越针头：了解乳腺 MRI 引导活检中的组织标记迁移。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-05 DOI: 10.1093/jbi/wbae049

Orit Golan, Sapir Lazar, Tehillah S Menes, Rivka Kessner, Tamar Shalmon, Rina Neeman, Diego Mercer, Yoav Amitai

{"title":"Beyond the Needle: Understanding Tissue Marker Migration in Breast MRI-Guided Biopsies.","authors":"Orit Golan, Sapir Lazar, Tehillah S Menes, Rivka Kessner, Tamar Shalmon, Rina Neeman, Diego Mercer, Yoav Amitai","doi":"10.1093/jbi/wbae049","DOIUrl":"10.1093/jbi/wbae049","url":null,"abstract":"Objective: To evaluate the frequency and factors associated with clip migration in MRI-guided breast biopsies.Methods: This study was approved by our Institutional Review Board and was compliant with HIPAA. We retrospectively evaluated all MRI-guided biopsies performed between January 2013 and December 2020 in our institution for clip migration. Only patients with follow-up breast MRI showing the clip were included in the study. Migration was defined as movement of the clip of 10 mm or more from the target lesion. Migration frequency and directions were recorded. Factors associated with clip migration were analyzed using statistical tests as appropriate.Results: A total of 291 biopsies in 268 women were included in the study with 31 migration events recorded (11%; 95% CI, 7%-15%). All migrations occurred along the biopsy tract; 97% (30/31) of them displaced distal to the needle entry site. More than 50% regional fat (around the target lesion) was the strongest factor associated with migration, seen in 21/141 women (15%), compared to 10/150 (7%) with 50% or less local fat (P = .023). Global fatty breast was more loosely associated with migration, showing borderline significance (P = .06). Other factors did not correlate with clip migration, including lesion size, depth, or location; pathology result; breast thickness; or biopsy approach.Conclusion: Although clip migration after breast MRI-guided biopsy is an uncommon event, it occurs more often when the target lesion is surrounded by fat, with the clip usually displaced away from the needle entry site.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"621-627"},"PeriodicalIF":2.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156256","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

Survey on Current Utilization and Perception of Synthesized Mammography. 关于合成乳腺 X 射线照相术当前使用情况和看法的调查。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-05 DOI: 10.1093/jbi/wbae045

Kristen Coffey, Katerina Dodelzon, Vandana Dialani, Bonnie N Joe, Toma S Omofoye, Charlene Thomas, Lars J Grimm

{"title":"Survey on Current Utilization and Perception of Synthesized Mammography.","authors":"Kristen Coffey, Katerina Dodelzon, Vandana Dialani, Bonnie N Joe, Toma S Omofoye, Charlene Thomas, Lars J Grimm","doi":"10.1093/jbi/wbae045","DOIUrl":"10.1093/jbi/wbae045","url":null,"abstract":"Objective: To assess utilization and perceptions of 2D synthesized mammography (SM) for digital breast tomosynthesis (DBT) among practicing U.S. breast radiologists.Methods: An IRB-exempt 23-question anonymized survey was developed by the Society of Breast Imaging (SBI) Patient Care and Delivery Committee and emailed to practicing U.S. radiologist SBI members on October 9, 2023. Questions assessed respondents' demographics, current mammographic screening protocol, confidence interpreting SM for mammographic findings, and perceived advantages and disadvantages of SM.Results: Response rate was 13.4% (371/2771). Of 371 respondents, 208 were currently screening with DBT/SM (56.1%), 98 with DBT/SM/digital mammography (DM) (26.4%), 61 with DBT/DM (16.4%), and 4 with DM (1.1%). Most respondents felt confident using DBT/SM to evaluate masses (254/319, 79.6%), asymmetries (247/319, 77.4%), and distortions (265/318, 83.3%); however, confidence was mixed for calcifications (agreement 130/320, 40.6%; disagreement 156/320, 48.8%; neutral 34/320, 10.6%). The most frequently cited disadvantage and advantage of SM were reconstruction algorithm false-positive results (199/347, 57.4%) and lower radiation dose (281/346, 81.2%), respectively. Higher confidence and fewer disadvantages were reported by radiologists who had more SM experience, screened with DBT/SM, or exclusively used Hologic vendor (all P <.05).Conclusion: For most survey respondents (56.1%), SM has replaced DM in DBT screening. Radiologists currently screening with DBT/SM or with more SM experience reported greater confidence in SM with fewer perceived disadvantages.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"636-645"},"PeriodicalIF":2.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005482","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

Radial Sclerosing Lesion (Radial Scar): Radiologic-Pathologic Correlation. 桡骨硬化病变（桡骨疤痕）：放射学与病理学相关性。

IF 2

Journal of Breast Imaging Pub Date : 2024-11-05 DOI: 10.1093/jbi/wbae046

Pamela Yan, Gregory Bean, Jean Bao, Brittany Z Dashevsky

{"title":"Radial Sclerosing Lesion (Radial Scar): Radiologic-Pathologic Correlation.","authors":"Pamela Yan, Gregory Bean, Jean Bao, Brittany Z Dashevsky","doi":"10.1093/jbi/wbae046","DOIUrl":"10.1093/jbi/wbae046","url":null,"abstract":"Radial sclerosing lesions (RS, also referred to as \"radial scars\") and complex sclerosing lesions (CSL) are uncommon breast lesions often grouped together as a single entity in practice. RS/CSL have an incidence of <0.1% to 1% at core needle biopsy (CNB). When detected on CNB, imaging and pathology features must be carefully evaluated to determine appropriate surgical management or imaging follow-up due to potential for malignant upgrade at surgery. Detection of RS/CSL has increased with the advent of tomosynthesis, in which an RS/CSL is typically detected as architectural distortion with or without associated mass with spiculated margins. On US, an RS/CSL is most often occult or manifests as subtle distortion with adjacent cysts. Imaging findings cannot distinguish benign RS/CSL from those upgraded to malignancy at surgery, although larger lesion size may be associated with higher upgrade rates. Histologically, an RS has a central fibroelastotic nidus with entrapped-appearing ducts and proliferative changes at the periphery appearing to radiate from the center; CSL are larger than RS, more disorganized, and typically include multiple patterns of epithelial proliferations, including sclerosing adenosis, sclerosing papillomas, usual ductal hyperplasia, and cysts. RS/CSL with associated atypia at CNB have a 16%to 29% rate of upgrade to malignancy on surgical excision, thus rendering surgical excision essential. Conversely, an RS/CSL without associated atypia, particularly when ≤1 cm in size, has <3% rate of upgrade to malignancy at surgery, allowing consideration of imaging follow-up in lieu of excision. Here, we review recent literature as well as radiology and pathology findings of RS/CSL.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"646-657"},"PeriodicalIF":2.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113169","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