Journal of Breast Imaging最新文献_第6页

Patient- vs Technologist-Controlled Mammography Compression: A Prospective Comparative Study of Patient Discomfort and Breast Compression Thickness. 患者与技术人员控制的乳腺 X 射线压迫：患者不适感与乳房压迫厚度的前瞻性比较研究。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae052

Joshua Gaudette, Sai Kilaru, Alexis Davenport, Sushil Hanumolu, David Pinkney, Sabala Mandava, Amy Williams, Xiaoqin Amy Tang

{"title":"Patient- vs Technologist-Controlled Mammography Compression: A Prospective Comparative Study of Patient Discomfort and Breast Compression Thickness.","authors":"Joshua Gaudette, Sai Kilaru, Alexis Davenport, Sushil Hanumolu, David Pinkney, Sabala Mandava, Amy Williams, Xiaoqin Amy Tang","doi":"10.1093/jbi/wbae052","DOIUrl":"10.1093/jbi/wbae052","url":null,"abstract":"Objective: We assess whether mammographic patient-assisted compression (PAC) has an impact on breast compression thickness and patient discomfort compared with technologist-assisted compression (TAC).Methods: A total of 382 female patients between ages 40 and 90 years undergoing screening mammography from February 2020 to June 2021 were recruited via informational pamphlet to participate in this IRB-approved study. Patients without prior baseline mammograms were excluded. The participating patients were randomly assigned to the PAC or TAC study group. Pre- and postmammogram surveys assessed expected pain and experienced pain, respectively, using a 100-mm visual analogue scale and the State-Trait Anxiety Inventory. Breast compression thickness values from the most recent mammogram were compared with the patient's recent prior mammogram.Results: Between the 2 groups, there was no significant difference between the expected level of pain prior to the mammogram (P = .97). While both study groups reported a lower level of experienced pain than was expected, the difference was greater for the PAC group (P <.0001). Additionally, the PAC group reported significantly lower experienced pain during mammography compared with the TAC group (P = .014). The correlation of trait/state anxiety scores with pre- and postmammogram pain scores was weak among the groups. Lastly, the mean breast compression thickness values for standard screening mammographic views showed no significant difference in the PAC group when compared with the patient's prior mammogram.Conclusion: Involving patients in compression reduces their pain independent of the patient's state anxiety during mammography while having no effect on breast compression thickness. Implementing PAC could improve the mammography experience.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"54-62"},"PeriodicalIF":2.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141339","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

Current Concepts in Molecular Breast Imaging. 分子乳腺成像的当前概念。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae076

Miral M Patel, Beatriz E Adrada, Mary S Guirguis, Gary Whitman, Tanya W Moseley, Gaiane M Rauch

引用次数: 0

Idiopathic Granulomatous Mastitis: Imaging Findings and Outcomes with Nonsteroidal Treatment in a Predominantly Hispanic Population. 特发性肉芽肿性乳腺炎：在以西班牙裔为主的人群中，非类固醇治疗的成像结果和疗效。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae051

Lucien Rizzo, Linda Hovanessian-Larsen, Mary Yamashita, Xiaomeng Lei, Steven Cen, Jennifer Choi, Tiffany Lee, Sandy Lee

{"title":"Idiopathic Granulomatous Mastitis: Imaging Findings and Outcomes with Nonsteroidal Treatment in a Predominantly Hispanic Population.","authors":"Lucien Rizzo, Linda Hovanessian-Larsen, Mary Yamashita, Xiaomeng Lei, Steven Cen, Jennifer Choi, Tiffany Lee, Sandy Lee","doi":"10.1093/jbi/wbae051","DOIUrl":"10.1093/jbi/wbae051","url":null,"abstract":"Objective: We describe the demographics, clinical presentation, imaging findings, and treatment response among 235 cases of biopsy-proven idiopathic granulomatous mastitis (IGM) at a single institution.Methods: An institutional review board-approved retrospective search of the breast imaging database was performed to select patients with biopsy-proven IGM between 2017 and 2022. Retrospective review evaluated clinical presentation, imaging findings with US and mammography, and treatment recommendations (antibiotics, nonsteroidal anti-inflammatory drugs [NSAIDs], warm compresses, or observation only). Response to treatment was evaluated on follow-up US. A favorable treatment response was a decrease in size or resolution of disease on follow-up imaging. Statistical analysis using Poisson regression was performed to evaluate the clinical outcomes associated with each treatment.Results: A total of 235 patients met the selection criteria with a mean age of 38 years (18 to 68). The majority of patients were Hispanic (95%, 223/235). Of all patients, 75.3% (177/235) received treatment (consisting of 1 or any combination of antibiotics, NSAIDs, warm compresses), 24.7% (58/235) were treated with observation, 78.7% (185/235) returned for follow-up imaging, and 21.3% (50/235) were lost to follow-up. Of those with follow-up imaging, disease improvement was seen in 70.3% (102/145) of patients who received treatment compared with 72.5% (29/40) of patients treated by observation alone. Multivariate analysis further showed no difference in clinical outcomes among the treatment of unifocal, multifocal, or recurrent IGM.Conclusion: Nonsteroidal treatment of IGM showed no significant improvement on follow-up imaging compared to treatment with observation alone in a predominantly Hispanic patient population.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"63-74"},"PeriodicalIF":2.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126894","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

Expressions of Appreciation. 表达感谢。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae088

Michael A Cohen

引用次数: 0

Acellular Dermal Matrix: Imaging Features With Histopathology Correlation. 细胞真皮基质：影像学特征与组织病理学相关性。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae054

Alysha Dhami, Cooper D Rutland, Arash Momeni, Uzma Waheed

{"title":"Acellular Dermal Matrix: Imaging Features With Histopathology Correlation.","authors":"Alysha Dhami, Cooper D Rutland, Arash Momeni, Uzma Waheed","doi":"10.1093/jbi/wbae054","DOIUrl":"10.1093/jbi/wbae054","url":null,"abstract":"Acellular dermal matrix (ADM) is an immunologically inert graft, typically from cadaveric skin, often used in postmastectomy breast reconstruction. Created from decellularized dermal tissues that have been treated to remove DNA and antigenic donor cells (leaving extracellular matrix), ADM is often used as a structural scaffold or sling to reinforce and support the structure and position of a breast implant during postoperative integration in implant-based breast reconstruction; ADM can also be used to fill cosmetic defects. Advantages of ADM use include improved cosmesis and reduced capsular contracture rates. On US, ADM can be seen as a subtle band with variable echogenicity adjacent to the implant. When folded on itself or redundant, ADM may present as a palpable oval mass with indistinct or circumscribed margins and variable echogenicity. On mammography, ADM can be seen as a circumscribed oval equal density mass when redundant and folded on itself; a layered appearance may be evident on tomosynthesis. On MRI, presence and absence of enhancement have been documented. Imaging findings likely vary depending on the degree of host tissue remodeling and incorporation, and when biopsied, histopathologically, ADM may be difficult to distinguish from scarring. Successful imaging diagnosis of ADM is aided by clinical knowledge of the intraoperative use and configuration of ADM, which may help differentiate ADM from new or recurrent malignancy and avoid unnecessary biopsy.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"75-84"},"PeriodicalIF":2.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156255","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

Correction to: The Impact of Virtual Reality on Anxiety and Pain During US-Guided Breast Biopsies: A Randomized Controlled Clinical Trial. 更正：虚拟现实对 US 引导下乳腺活检期间焦虑和疼痛的影响：随机对照临床试验。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae061

引用次数: 0

Framework for Successful Integration of Health Services Research Into a Breast Imaging Career. 将健康服务研究成功融入乳腺成像职业生涯的框架。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae042

Randy C Miles, Shinn-Huey Chou, Leslie R Lamb, Anand Narayan, Nhat-Tuan Tran, Janie M Lee

{"title":"Framework for Successful Integration of Health Services Research Into a Breast Imaging Career.","authors":"Randy C Miles, Shinn-Huey Chou, Leslie R Lamb, Anand Narayan, Nhat-Tuan Tran, Janie M Lee","doi":"10.1093/jbi/wbae042","DOIUrl":"10.1093/jbi/wbae042","url":null,"abstract":"Health services research (HSR) is a multidisciplinary field of inquiry that examines how health care is structured, providing valuable data on health care outcomes and delivery. Over the past few decades, a shift in the U.S. health care system toward value-based care has placed a priority on health services topics. Health services research has been central to the evolution of breast imaging over this period, with increased emphasis placed on the following: (1) design of appropriate-use criteria for imaging services; (2) determination of cost-effectiveness of imaging protocols and screening regimens guiding policy; and (3) evaluation of policy related to reimbursement for diagnostic imaging and image-guided procedures. Examples of HSR topics that can be applied directly to breast imaging include evaluation of health care availability and accessibility, analysis of health care use patterns, exploration of patient preferences, assessment of technological innovation, development and implementation of clinical practice guidelines and screening strategies, and examination of health care organization and delivery models. Breast imaging radiologists who perform HSR are uniquely positioned to advocate for patients, to promote transformative health care interventions, and to influence policy changes and public health initiatives in breast imaging through analysis of health care data and translation of their research findings. In this Training and Professional Development article, we aim to provide practical approaches to explore interest in HSR and to describe a framework for successful integration of HSR into a breast imaging career.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"94-103"},"PeriodicalIF":2.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297989","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

Correction to: Role of Supplemental Breast MRI in Screening Women with Mammographically Dense Breasts: A Systematic Review and Meta-analysis. 更正：补充性乳腺 MRI 在筛查乳腺钼靶致密女性中的作用：系统回顾与元分析》。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae060

引用次数: 0

Nontechnical Factors and Postprocedural Considerations for Image-guided Breast Biopsy. 图像引导乳腺活检的非技术因素和术后注意事项。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae066

Katerina Dodelzon, Sonya Bhole, Kristen Coffey, Brittany Z Dashevsky, Lisa Mullen, Jay Parikh, Beatriu Reig, Lars Grimm

引用次数: 0

Supplemental Automated Breast US Screening in Patients With Dense Breasts: 5-Year Experience From an Academic Medical Center. 乳房致密患者的辅助自动乳腺 US 筛查：一家学术医学中心的 5 年经验。

IF 2

Journal of Breast Imaging Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae057

Shirlene Paul, Chelsea McPeek, Jordan Lieberenz, Rosalinda Alvarado, Dipti Gupta, Mia Levy, Lisa Stempel

{"title":"Supplemental Automated Breast US Screening in Patients With Dense Breasts: 5-Year Experience From an Academic Medical Center.","authors":"Shirlene Paul, Chelsea McPeek, Jordan Lieberenz, Rosalinda Alvarado, Dipti Gupta, Mia Levy, Lisa Stempel","doi":"10.1093/jbi/wbae057","DOIUrl":"10.1093/jbi/wbae057","url":null,"abstract":"Objective: To assess features of automated breast US (ABUS) use in women with dense breasts. The number of additional cancers found by ABUS not detected by mammography was also determined.Methods: This study was approved by the IRB and is HIPAA compliant. Automated breast US use was defined as completing at least 1 ABUS examination during the study. Data from 51 086 women who presented for a mammogram from October 1, 2017, to September 30, 2022, were extracted from the electronic health record. Descriptive statistics of ABUS use were performed to assess the significance of difference between age and race categories. Pairwise analysis with Bonferroni correction was performed to assess differences between each race and the White category.Results: Automated breast US was used for 9865/24 637 (40%) patients with dense breasts. Patients with ABUS use were older than those without. Among women with dense breasts, White patients (4943/10 667 [46%]) were more likely to use ABUS than Black/African American (2604/6843 [38%]), Hispanic/Latino (1466/4278 [34%]), Asian (521/1590 [33%]), and other (331/1249 [26%]) patients (P <.05). Approximately 3025/9865 (31%) of patients using ABUS had their first ABUS within 90 days of their mammogram. By the third annual mammogram, 2684/3160 (85%) of patients who used ABUS had their ABUS and mammogram scheduled on the same day. For every 1000 ABUS exams, 2.4 additional cancers were found and were primarily early-stage tumors.Conclusion: Among women with dense breasts, 9865/24 637 (40%) used ABUS, and they were more likely to be older and White.","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"35-44"},"PeriodicalIF":2.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356037","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