Journal of Breast Imaging最新文献

{"title":"Effective Methods to Prevent and Manage Significant Bleeding During Percutaneous Breast Procedures.","authors":"Angelica S Robinson, Miguel Salinas, James Troy Roberts, Henry Bushey, Nicole Nelson","doi":"10.1093/jbi/wbaf057","DOIUrl":"10.1093/jbi/wbaf057","url":null,"abstract":"<p><p>Image-guided procedures are an essential part of the breast imaging continuum of care. As more procedures are performed in comprehensive breast imaging clinics, there are potentially more patients who may experience significant postprocedural bleeding. Most postprocedural bleeding can be managed with conservative measures such as compression. Occasionally, more invasive intravascular and surgical measures are required to stop hemorrhage. This article reviews preprocedural considerations, proper compression techniques, and methods to control superficial and deep bleeding. There is also a review of intraprocedural preventive measures that can be used to reduce the risk of significant postprocedural bleeding complications. Additionally, diagrams/step-by-step illustrations describing suture techniques and the Foley catheter method to decrease bleeding are presented. Because many breast procedures are performed in outpatient or satellite clinics without immediate access to surgeons, it is imperative that the entire breast imaging care team is familiar with effective methods to prevent and manage significant bleeding during percutaneous breast procedures.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"307-317"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757819","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":"The Impact of a Robust Supplemental Screening Program on False-Negative Rates: Time for New Benchmarks?","authors":"Ashley Huppe, Onalisa Winblad, Jessica Peterson, Camron Smith, Molly Hill, Lauren Clark, Carissa Walter, Allison Aripoli","doi":"10.1093/jbi/wbaf076","DOIUrl":"10.1093/jbi/wbaf076","url":null,"abstract":"<p><strong>Objective: </strong>Screening mammography false-negative rates (FNRs) measure interval cancers (ICs) that are confounded by asymptomatic false-negative (FN) cancers detected on supplemental screening (SS) examinations. The purpose of this study was to 1) evaluate the impact of SS on FNRs for patients at higher-than-average risk in a robust SS program and 2) compare patient and tumor characteristics of symptomatic ICs and asymptomatic FN cancers.</p><p><strong>Methods: </strong>Screening mammogram audit metrics from an academic institution from July 1, 2018, to June 30, 2023, were retrospectively reviewed. A negative screening mammogram with a subsequent diagnosis of cancer within 12 months was considered an FN cancer. Patient risk, method of detection, SS utilization, and tumor characteristics were collected. Cochran-Mantel-Haenszel tests were used to analyze trends, and univariable tests were used to compare symptomatic and asymptomatic cases.</p><p><strong>Results: </strong>Of 106 750 screening mammograms, 624 screening-detected cancers and 119 FN cancers were identified, with a cancer detection rate of 5.8/1000 and an FNR of 1.11/1000. There were 53 (45%) symptomatic ICs and 66 (55%) asymptomatic FNs, with a symptomatic FNR of 0.50/1000. Patients with symptomatic IC were more likely to have a personal history of breast cancer (P = .0289), and 74% (39/53) were higher-than-average risk. Symptomatic ICs were larger at diagnosis (mean size 2.3 cm vs 1.5 cm; P = .0293). MRI detected the majority (37/66, 60%) of asymptomatic FNs.</p><p><strong>Conclusion: </strong>A robust SS program allows for the symptomatic FNR to fall below published national performance benchmarks from the Breast Cancer Surveillance Consortium. Most patients with symptomatic IC were at higher-than-average risk and underutilized SS MRI.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"277-288"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221022","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":"Segmented Coronal Breast Maximum Intensity Projection Images Derived From Contrast-Enhanced Chest Computed Tomography: A Proof-of-Concept Study on Cancer Detectability.","authors":"Bolortuya Khurelbaatar, Soma Kumasaka, Yusuke Sato, Takayuki Yokota, Miho Yoshimatsu, Tomokazu Takeuchi, Yasuhiro Fukushima, Daisuke Ozaki, Yoshito Tsushima","doi":"10.1093/jbi/wbaf078","DOIUrl":"10.1093/jbi/wbaf078","url":null,"abstract":"<p><strong>Objective: </strong>This pilot study aimed to evaluate whether segmented coronal breast maximum intensity projection (MIP) images generated from contrast-enhanced CT (CE-CT) could improve the detectability of breast lesions incidentally visualized in clinical settings where the breast is not the primary imaging target.</p><p><strong>Methods: </strong>This retrospective study included 71 patients with breast cancer who underwent CE-CT for preoperative staging before surgery. Three radiologists independently assessed the presence or absence of breast lesions using a 3-tiered scoring system on both segmented coronal breast MIP and 5-mm axial images. Reading times were recorded. Readers then compared paired breast MIP and axial images and indicated which reconstruction type was more effective for breast lesion detection. The Wilcoxon signed-rank test with Bonferroni correction was used to compare reading times, and the McNemar-Bowker test was used to compare 3-tiered lesion detectability scores.</p><p><strong>Results: </strong>Segmented coronal breast MIP images were read faster than axial images by 2 of the 3 readers (median [interquartile range]: 4 [4-7] vs 9 [8-11] seconds and 3 [2-6] vs 11 [9-14.5] seconds; P < .001). No significant difference was found for the third reader (P = .446). For lesion detectability, breast MIP images were significantly superior to axial images for reader 1 (P = .029), reader 2 (P = .043), and reader 3 (P = .004). Breast MIP images were preferred in 76.1% (54/71), 95.8% (68/71), and 83.1% (59/71) of cases, respectively.</p><p><strong>Conclusion: </strong>Segmented coronal breast MIP images from CE-CT may improve lesion detectability and reduce interpretation time compared with conventional axial images.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"289-297"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228687","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":"Radiation-Induced Breast Cancer Attributable to Mammography Screening: Estimation for France in 2019.","authors":"Nicolas Minier, Justine Sauce, Julie Sage, Christophe Bonaldi, Luc Ceugnart, Enora Cléro, Dominique Laurier, Marie-Odile Bernier, Agnès Rogel","doi":"10.1093/jbi/wbaf075","DOIUrl":"10.1093/jbi/wbaf075","url":null,"abstract":"<p><strong>Objective: </strong>Despite their established clinical benefits, breast cancer screening examinations expose women to ionizing radiation (IR) and call for vigilance regarding protocols and practices. This study estimates the population attributable risk (PAR) of radiation-induced breast cancer in France in 2019 that is attributable to past exposure to IR through screening performed in women aged 40 to 74 years old.</p><p><strong>Methods: </strong>Breast cancer screening practices were reconstituted for the period 1980 to 2019. Records of recent years were built based on French National Health Data System. An estimation was made for earlier years based on the available literature and expert knowledge. Women diagnosed with a history of breast cancer before mammography were excluded. Absorbed glandular doses to the breast were modeled based on existing literature and reports on French practices. Excess breast cancer cases were estimated using 2 radiation-risk models (Biologic Effects of Ionizing Radiation VII and the International Commission on Radiological Protection).</p><p><strong>Results: </strong>Of roughly 55 000 new breast cancer cases diagnosed in 2019 in women at least 40 years old, we estimate that approximately 27 might be attributable to past exposures to IR associated with breast cancer screening between the ages of 50 and 74 years. This leads to a PAR of 0.048%. In addition, about 16 cases might be attributable to screening between ages 40 and 49 years, with a PAR of approximately 0.030%.</p><p><strong>Conclusion: </strong>The contribution of breast cancer screening to the breast cancer burden in France is limited. Efforts to limit the dose delivered to the breast must continue.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":"269-276"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229214","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 as a Predictor for Future Cardiovascular Events and Mortality: A Systematic Review and Meta-analysis.","authors":"Rhea Nandurkar, Sheran Vasanthakumar, Jack Stewart, Emma Aldous, Huong Tu, Vinay Goel, Liam Scanlon, Alisha Patel, Cheng Soh, Nitesh Nerlekar","doi":"10.1093/jbi/wbaf087","DOIUrl":"10.1093/jbi/wbaf087","url":null,"abstract":"<p><strong>Objective: </strong>Breast arterial calcification (BAC) is a surrogate marker of cardiovascular disease (CVD); however, its associations with incident mortality and major adverse cardiovascular events (MACEs) have not been systematically evaluated. The association between BAC and incident MACE and whether this is influenced by the method of BAC assessment was examined.</p><p><strong>Methods: </strong>PubMed, MEDLINE, and EMBASE were reviewed to June 2025 for studies comparing BAC status with incident MACE (composite of death, myocardial infarction [MI], stroke, heart failure). The primary outcome was all-cause mortality. Random-effects meta-analysis was performed using hazard ratios (HRs) with 95% CIs. Subgroup analysis was conducted by method of BAC measurement and restricted to screening mammography cohorts, PROSPERO registration (CRD42020202612).</p><p><strong>Results: </strong>Of 1118 studies screened, 24 were included (236 475 participants; mean age 58.5 years). Breast arterial calcification presence associated with all-cause mortality (HR, 1.32; 95% CI, 1.20-1.45; P <.0001) (follow-up 0.55-26 years). Increased risk was observed for cardiovascular mortality (HR, 1.38; 95% CI, 1.14-1.66; P = .0009), heart failure (HR, 1.29; 95% CI, 1.20-1.37; P <.0001), stroke (HR, 1.2; 95% CI, 1.11-1.30; P <.0001), and MI (HR, 1.2; 95% CI, 1.15-1.26; P <.0001). When restricted to screening mammography cohorts without concurrent indications for cardiovascular investigation (5 studies, n = 85 647), associations remained significant for all-cause mortality (HR, 1.34; 95% CI, 1.14-1.58; P = .0004), cardiovascular mortality (HR, 1.38; 95% CI, 1.14-1.66; P = .0009), heart failure (HR, 1.48; 95% CI, 1.19-1.86; P = .0005), and stroke (HR, 1.34; 95% CI, 1.08-1.67; P = .008). Associations with incident outcomes were observed only in studies using quantitative BAC assessment (HR, 1.31; 95% CI, 1.19-1.44; P = .002).</p><p><strong>Conclusion: </strong>Breast arterial calcification is a promising prognostic marker of mortality and CVD risk. Recognition of this incidental finding may enable timely identification of at-risk individuals.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":"8 3","pages":"239-252"},"PeriodicalIF":1.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018058","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":"Hyperechoic Breast Mass as an Atypical Presentation of Primary MALT Lymphoma.","authors":"Nicholas Fuerstenau, William Newman, Linda DeMello","doi":"10.1093/jbi/wbag014","DOIUrl":"https://doi.org/10.1093/jbi/wbag014","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784745","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":"Mammographic and Pathologic Appearance of Retained Superparamagnetic Iron Oxide.","authors":"Genevieve A Woodard, Kristalyn K Gallagher","doi":"10.1093/jbi/wbag015","DOIUrl":"https://doi.org/10.1093/jbi/wbag015","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784661","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":"Rapidly Enlarging Breast Mass in a Patient with a Long-Standing Fat Containing Mass.","authors":"Alexander Diaz Bode, Lawrence Lea Gilliland","doi":"10.1093/jbi/wbag010","DOIUrl":"https://doi.org/10.1093/jbi/wbag010","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784736","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":"Palpable Abnormality in the Silicone Injected Breast.","authors":"Sarah Imran, Joshua Greenstein","doi":"10.1093/jbi/wbag017","DOIUrl":"https://doi.org/10.1093/jbi/wbag017","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784668","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":"Adenomyoepithelioma: A Rare Breast Tumor with Propensity for Recurrence.","authors":"Lily Offit, Kristen Coffey","doi":"10.1093/jbi/wbag016","DOIUrl":"https://doi.org/10.1093/jbi/wbag016","url":null,"abstract":"","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784725","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}