Erika J Wood, Hannah S Milch, Lars J Grimm, Lisa A Mullen, Vandana Dialani, James Sayre, Jay R Parikh, Katerina Dodelzon
{"title":"Parental Leave and Lactation Policies in Breast Imaging: Insights from a National Survey of U.S. Radiologists.","authors":"Erika J Wood, Hannah S Milch, Lars J Grimm, Lisa A Mullen, Vandana Dialani, James Sayre, Jay R Parikh, Katerina Dodelzon","doi":"10.1093/jbi/wbag021","DOIUrl":"https://doi.org/10.1093/jbi/wbag021","url":null,"abstract":"<p><strong>Objective: </strong>To assess variability in parental leave and lactation policies affecting breast radiologists and examine their associations with job satisfaction and burnout.</p><p><strong>Methods: </strong>An anonymous 43-question survey was distributed to U.S.-based physician members of the Society of Breast Imaging between December 2023 and February 2024. Questions assessed parental leave and lactation policies, workplace experiences, and validated items on job satisfaction and burnout. Descriptive statistics, chi-square tests, and multivariable linear regression were performed.</p><p><strong>Results: </strong>262 respondents (8.0% [262/3275] response rate) completed the survey. The mean age was 47 ± 10.4 years, with an average of 14.6 ± 10 years of post-training experience; 86% (223/262) identified as women. Among respondents, 61% (160/262) were aware of their workplace's parental leave policy, which included a median of 6 weeks of paid leave (IQR 10). Forty percent (88/220) were unsure if a lactation policy existed, 57% (125/220) reported no dedicated lactation time, and 72% (147/220) were unaware of a designated lactation space. Most respondents (87% [191/219]) said these policies were not discussed during job interviews, though 59% (128/216) considered them important when choosing a job. One-third (72/262) had welcomed a child within the last five years. Among these, 39% (27/69) reported insufficient lactation support, and 26% (18/69) stopped breastfeeding earlier than desired due to work constraints. Lactation support was inversely correlated with burnout (r = -0.516, P < 0.001) and positively correlated with job satisfaction (r = 0.440, P < 0.001).</p><p><strong>Conclusion: </strong>Improved transparency and institutional investment in parental leave and lactation policies by radiology practices may support well-being and retention of breast radiologists.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537347","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: Pregnant Woman With Rapidly Enlarging Breast Size.","authors":"Luma Abunimer, Nabil Calisi","doi":"10.1093/jbi/wbaf051","DOIUrl":"10.1093/jbi/wbaf051","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"341-344"},"PeriodicalIF":2.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221106","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":"Factors Associated With Procedural Complications in Lactating Patients Undergoing Image-Guided Core-Needle Breast Biopsy.","authors":"Eun L Langman, Connie Kim, Sora C Yoon","doi":"10.1093/jbi/wbaf070","DOIUrl":"10.1093/jbi/wbaf070","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates patient and procedural factors related to complications in lactating patients undergoing image-guided core-needle breast biopsies.</p><p><strong>Methods: </strong>This study identified patients who were breastfeeding and underwent biopsies between December 2012 and February 2024. Imaging findings, procedural details, pathology, 30-day complications, and clinical course were reviewed. Factors associated with complications were investigated using Fisher's exact test, logistic regression, and the chi-squared test.</p><p><strong>Results: </strong>A total of 97 biopsies were performed in 88 patients who were lactating (median age 33 years, range 21-47). The median postpartum time at biopsy was 4 months (range 0-5 months). The most common biopsy types included 59/97 (60.8%) 14-gauge US, 19/97 (19.6%) 18-gauge US, and 16/97 (16.5%) 9-gauge vacuum stereotactic. Some 6/97 (6.2%) biopsies yielded malignant diagnoses. The 30-day complication rate was 19/88 (21.6%) patients, with 11/88 (12.5%) developing milk fistula, 10/88 (11.4%) developing infection, and 2/88 (2.3%) requiring surgery or hospitalization. Some 9/11 (81.8%) milk fistulas resolved with continued breastfeeding. Biopsies performed near the obstetric delivery date (P = .03) and biopsy sites closer to the nipple (P = .04) were at increased risk for complication. Patients with milk fistula had significantly elevated infection risk (P = .0003; odds ratio = 16). No statistically significant associations were found between milk fistula formation and biopsy needle gauge or total volume of tissue removed at biopsy.</p><p><strong>Conclusion: </strong>A significant portion of patients who are lactating may develop postprocedural complications after core-needle biopsy, but serious complications are infrequent. Biopsy needle gauge is not associated with milk fistula or other complication. Most milk fistulas from core-needle biopsy will resolve without the need to stop breastfeeding.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"255-268"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229198","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}
Esther Lee, Rama Hassouneh, Matthew Hartman, Jongwon Lee, Matthew Miller
{"title":"Spontaneous Migration of Bullet Fragments Into Breast Tissue.","authors":"Esther Lee, Rama Hassouneh, Matthew Hartman, Jongwon Lee, Matthew Miller","doi":"10.1093/jbi/wbaf088","DOIUrl":"10.1093/jbi/wbaf088","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"345-347"},"PeriodicalIF":2.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146220994","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}
Elizabeth G Lane, Andy V Phan, Lana Malekan, Anna Starikov
{"title":"Papillary Endothelial Hyperplasia (Masson's Tumor) of the Breast: Radiologic-Pathologic Correlation.","authors":"Elizabeth G Lane, Andy V Phan, Lana Malekan, Anna Starikov","doi":"10.1093/jbi/wbag005","DOIUrl":"10.1093/jbi/wbag005","url":null,"abstract":"<p><p>Papillary Endothelial Hyperplasia (PEH, Masson's Tumor) is a benign lesion of vascular origin that is rarely identified in the breast. PEH is thought to be a variant of organizing thrombus. We identified 28 cases of PEH in the literature, and we describe an additional three cases below. Previous studies have reported PEH appearance as circumscribed masses and/or microcalcifications. Histopathologically, PEH is a lesion comprised of proliferating endothelial cells within an area of organizing hemorrhage and fibrin, often forming papillary structures with a hyalinized fibrin core. Surgical excision is typically recommended because PEH can mimic angiosarcoma histologically in a small biopsy.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"298-306"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784715","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 Arterial Calcification on Mammography: Act Now Please.","authors":"Laurie R Margolies, Guy H Montgomery","doi":"10.1093/jbi/wbag002","DOIUrl":"https://doi.org/10.1093/jbi/wbag002","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":"8 3","pages":"253-254"},"PeriodicalIF":2.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017990","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}
Aurela Clark, Fara Shikoh, Haley P Letter, Santo Maimone
{"title":"Imaging Features and Risk Factors Associated with Locoregional Recurrence of Breast Cancer: Insights for Imaging and Clinical Practice.","authors":"Aurela Clark, Fara Shikoh, Haley P Letter, Santo Maimone","doi":"10.1093/jbi/wbag006","DOIUrl":"10.1093/jbi/wbag006","url":null,"abstract":"<p><p>Women with a personal history of breast cancer (PHBC) remain at risk for ipsilateral breast tumor recurrence or a second primary tumor, with a cumulative incidence of 14.3% and reported annual risk of approximately 1-2%. Post-treatment changes can obscure imaging findings, making early recognition of recurrence a challenging, but critical skill for breast radiologists. Detection of early breast cancer recurrence, before it becomes symptomatic, is linked to improved survival, highlighting the need for multimodality surveillance imaging. This review summarizes key prognostic factors that influence recurrence risk and should inform imaging interpretation. Incorporating these prognostic factors into practice can aid imaging interpretation by heightening the attention to subtle changes that may reflect early recurrence. Illustrative cases are used to demonstrate the imaging spectrum of locoregional recurrence in post-lumpectomy and post-mastectomy patients. Recurrences often resemble the imaging features of the primary tumor but may also present subtly. The distinction between recurrence and benign post-treatment change is emphasized, with attention to imaging findings that warrant further evaluation. Finally, emerging evidence-based recommendations for risk-adapted surveillance incorporating tumor biology, receptor status, and stage are reviewed to support early detection and improved outcomes.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"318-337"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983811","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":"Delayed Manifestations of Polyacrylamide Gel Augmentation-Related Complications.","authors":"Yan Wa Chiang, Ting Wong","doi":"10.1093/jbi/wbaf067","DOIUrl":"10.1093/jbi/wbaf067","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"348-351"},"PeriodicalIF":2.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221015","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: 44-Year-Old Woman With a Palpable Left Breast Mass.","authors":"Maya J Rinehart, Cherie M Kuzmiak","doi":"10.1093/jbi/wbaf068","DOIUrl":"10.1093/jbi/wbaf068","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"338-340"},"PeriodicalIF":2.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221140","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":"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":"231-238"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","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}