Journal of Breast Imaging最新文献

{"title":"Breast Imaging Staffing Shortages: Perceived Clinical Impact and Potential Solutions.","authors":"Kristen Coffey, Lars J Grimm, Sonya Bhole, Jay R Parikh, Brian N Dontchos, Beatriu Reig, Sarah A Jacobs, Brittany Z Dashevsky, Lisa A Mullen, Caroline Daly, Katerina Dodelzon","doi":"10.1093/jbi/wbag041","DOIUrl":"https://doi.org/10.1093/jbi/wbag041","url":null,"abstract":"<p><strong>Objective: </strong>To assess the perceived clinical impact of radiologist staffing shortages across the U.S. and identify potential short- and long-term solutions.</p><p><strong>Methods: </strong>A 26-question survey on breast imaging staffing shortages was distributed to active Society of Breast Imaging physician members from May 31, 2024, to June 28, 2024. Questions regarding the impact on patient care and radiologist wellbeing, as well as potential solutions, were included. Bivariable analysis (chi-squared) was performed between the survey demographics and survey response questions of interest.</p><p><strong>Results: </strong>Of 226 respondents who felt understaffed in their practice due to an insufficient number of radiologists, the most frequently reported impact on patients was delayed diagnostic imaging (171/226, 75.7%) and procedures (155/226, 68.6%). The most frequently reported impacts on radiologists were increased stress (198/226, 87.6%), working hours (173/226, 76.6%), and burnout (173/226, 76.6%). As a perceived consequence, 56.2% (127/226) of respondents reported colleagues transitioning to part-time and 35.8% (81/226) reported colleagues switching practice types. To mitigate effects of understaffing, the most frequently reported short-term strategy was offering moonlighting (100/226, 44.2%), whereas offering part-time employment was the most frequently reported long-term strategy for retaining (86/226, 38.1%) and recruiting (120/226, 53.1%) radiologists. Over one-third (77/226, 34.1%) of respondents reported using advanced practice providers, most often for procedural support and patient navigation.</p><p><strong>Conclusion: </strong>Understaffed breast radiologists often perceived delays in patient care and increased levels of physician burnout. Moonlighting and part-time opportunities may mitigate these effects in the short and long-term, respectively.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593813","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":"Efficacy of Abbreviated Breast MRI Following Neoadjuvant Chemotherapy.","authors":"Iris Chen, Olivia Linden, James Sayre, Kendall Clark, Jane Dascalos, Hannah Milch, Melissa Joines","doi":"10.1093/jbi/wbag033","DOIUrl":"https://doi.org/10.1093/jbi/wbag033","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates concordance between abbreviated protocol breast MRIs (abMRI) and standard full-protocol MRI in the post-neoadjuvant chemotherapy (NAC) setting.</p><p><strong>Methods: </strong>This multi-site single institution retrospective study included breast cancer patients with pre- and post-NAC breast MRI during 2016-2023. The abMRI sequences included localizers, pre-contrast fat sat T1, fat sat first post-contrast phase, reconstructed first post-contrast phase subtraction, and maximum-intensity projection images from the institution's standard protocol. Four breast radiologists interpreted abMRIs and full MRIs after a washout period of at least 1 month. Residual tumor size (RTS) was compared to pathology. Statistical analysis with multivariable logistic regression, Receiver Operating Curve analysis, Kappa analysis, and paired t-tests were performed.</p><p><strong>Results: </strong>Ninety-two of 237 patients (38.8%; mean age, 52.6 years) had pathologic complete response (pCR). There was no significant difference between abMRI and full MRI for predicting pCR for any reader individually (P-value range 0.30-0.91) with overall area under curve (AUC) = 0.70. Intraobserver and interobserver agreement for abMRI and full MRI was moderate to good (κ = 0.52-0.78). There was concordance between abMRI and full MRI for predicting pCR when stratified by menopause status, background parenchymal enhancement, tumor stage, tumor biomarkers, and Ki-67. When compared to pathology, all readers demonstrated no significant difference in RTS with abMRI, and one reader underestimated RTS on full MRI by 7 mm (P = 0.005).</p><p><strong>Conclusion: </strong>Our study found no significant difference in diagnostic performance between abMRI and full MRI when compared to pathology for evaluating post-NAC patients for pCR and evaluation of residual disease in the breast. Abbreviated MRI and full MRI show similar effectiveness in predicting complete tumor response and assessing residual disease on post-NAC assessment.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593737","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":"Cryoablation of Axillary Lymph Node Metastases for the Curative and Palliative Treatment of Breast Cancer.","authors":"Monica L Huang, Deanna L Lane, Behrang Amini, Lauren Q Chang Sen, Rosalind P Candelaria, Lumarie Santiago","doi":"10.1093/jbi/wbag023","DOIUrl":"https://doi.org/10.1093/jbi/wbag023","url":null,"abstract":"<p><p>For patients who are at high risk for developing complications during or after surgery, cannot undergo surgery, or decline surgery, breast cryoablation has been performed safely and effectively for curative and palliative breast cancer treatment. Cryoablation of axillary lymph node metastases may also be performed safely and effectively and may improve oncologic outcomes (improved disease-free survival and local tumor control) without lymphedema or other significant complications. Before cryoablation, patients should be screened for neutropenia, anemia, and conditions that increase the risk of bleeding or infection. Pre-cryoablation imaging, axillary sonography with supplemental CT or MRI of the brachial plexus, is critical to maximize the likelihood of complete ablation and minimize the risk of skin, nerve, or muscle injury. The axillary lymph node cryoablation protocol is similar to the one for breast tumors and generally involves two to three freeze-thaw cycles. Destruction of tissue surrounding the lymph node is not required unless there is evidence of extranodal extension. For cryoablation of axillary lymph nodes, the best modality for imaging guidance is sonography, although CT and MRI guidance may also be utilized. After cryoablation, axillary and regional nodal ultrasound permits confirmation of technical success and monitoring for residual or recurrent disease.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585499","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":"Mammography-Associated Pain: Contributing Factors and Mitigation Strategies.","authors":"Anne-Marie LaBorde, Lu Sun, Vilert A Loving","doi":"10.1093/jbi/wbag039","DOIUrl":"https://doi.org/10.1093/jbi/wbag039","url":null,"abstract":"<p><p>Pain is one of the most common negative experiences with screening mammography, and it is an unavoidable limitation due to the necessity of breast compression. Unfortunately, mammography-associated pain discourages many women from screening attendance. This article reviews the multifactorial etiologies of mammographic pain: technical, physiologic, psychological, and demographic variables. Because mammography remains the only screening modality proven to reduce breast cancer mortality, it is imperative that radiologists understand the factors contributing to mammography-associated pain and implement evidence-based strategies to mitigate this screening barrier. These strategies include pharmaceutical, physical, technologic, and psychological solutions.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585518","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":"Patient Preferences for Result Communication Across the Breast Imaging Continuum: A Review.","authors":"Santo Maimone, Katerina Dodelzon, Anne Elizabeth Kendell, Kristen Coffey, Jessica H Porembka","doi":"10.1093/jbi/wbag037","DOIUrl":"https://doi.org/10.1093/jbi/wbag037","url":null,"abstract":"<p><p>Patient preferences for communication of breast imaging results are heterogeneous and depend on the clinical context and perceived severity of findings. The 21st Century Cures Act, which mandates immediate electronic release of most medical records, has fundamentally altered result reporting and patient communication in breast imaging. Although this policy enhances transparency and timely access to information, it may conflict with established preferences for how patients receive screening mammography results, diagnostic evaluations, breast biopsy results, and breast cancer risk assessment information. Prior studies-largely conducted before widespread patient portal use-demonstrated that breast imaging patients consistently prioritize timely communication, while preferred delivery methods vary based on result acuity and emotional impact. However, much of this literature pre-dates implementation of the 21st Century Cures Act and widespread use of patient portals. This review examines the current literature to summarize evidence-based patient preferences for breast imaging result communication. As adoption of immediate result release continues to evolve across institutions, understanding contemporary patient preferences is essential to guiding radiologists in optimizing patient-centered communication strategies to inform best practices in breast imaging.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585529","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: An Enlarging Palpable Mass in a Male Breast.","authors":"Ka Wai Wong, Ting Wong","doi":"10.1093/jbi/wbag028","DOIUrl":"https://doi.org/10.1093/jbi/wbag028","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585487","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: 34-year-old Woman with Diplopia and Palpable Right Breast Mass.","authors":"Deeksha Malhotra, Kristen Coffey","doi":"10.1093/jbi/wbag009","DOIUrl":"https://doi.org/10.1093/jbi/wbag009","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585489","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":"Incidental Detection of Aortic Coarctation on Screening Breast MRI.","authors":"Samantha Epstein, Jessie Jahjah","doi":"10.1093/jbi/wbag027","DOIUrl":"https://doi.org/10.1093/jbi/wbag027","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585496","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: New Nipple Symptoms Twelve Years After Breast-conserving Therapy.","authors":"Lok Yee Chan, En Hao Chan","doi":"10.1093/jbi/wbag032","DOIUrl":"https://doi.org/10.1093/jbi/wbag032","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585611","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":"Extramedullary Hematopoiesis of the Breast.","authors":"Cailin O'Connell, Kajanna McKenzie, Rebecca Zhang","doi":"10.1093/jbi/wbag035","DOIUrl":"https://doi.org/10.1093/jbi/wbag035","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550755","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}