Breast Imaging

Breast imaging includes imaging modalities used for breast cancer screenings and planning therapy once cancer is detected. Mammography is the primary modality used. Mammogram technology is moving from 2D full-field digital mammography (FFDM) to breast tomosynthesis, or 3D mammography, which helps reduce false positive exams by allowing radiologists to look through the layers of tissue. Overlapping areas of dense breast tissue on 2D mammograms appear similar to cancers and 3D tomo helps determine if suspect areas are cancer or not. About 50% of women have dense breast tissue, which appears white on mammograms, the same as cancers, making diagnosis difficult. Radiologists use the Breast Imaging Reporting and Data System (BI-RADS) scoring system to define the density of breast tissue. Many states now require patients to be notified if they have dense breasts so they understand their mammograms might be suboptimal and they should use supplemental imaging that can see through the dense areas. This includes tomosythesis, breast ultrasound, automated breast ultrasound (ABUS), breast MRI, contrast enhanced mammography and nuclear imaging, including positron emission mammography (PEM).

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Is structural racism preventing Black and Latina patients from receiving the best breast cancer care?

Researchers sought to answer this question using data from the Breast Cancer Care in Chicago study of patients treated at disproportionate share hospitals and other institutions.

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ACR, Society of Breast Imaging issue updated guidance for screening women with average cancer risk

The two advocacy groups shared their revisions on June 18 in the Journal of the American College of Radiology

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All radiologists likely to encounter COVID-19 vaccine side effects in coming months, experts say

Massachusetts General Hospital rads outlined steps providers can take to limit unnecessary follow-up care in these situations, sharing their guidance in JACR.

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USA Today: Massive marketing investments—not clinical evidence—buying 3D mammography acceptance

Marketing-related initiatives, rather than proven clinical efficacy, are putting pressure on women to choose 3D mammography, according to an investigation covered in USA Today.

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ASTRO 2019: Patients satisfied with partial breast radiation therapy after lumpectomy

Patients who undergo partial breast radiation therapy after a lumpectomy are as satisfied with the outcome as those who undergo whole breast radiation therapy, according to findings presented at the 2019 annual meeting of the American Society for Radiation Oncology (ASTRO).

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Radiologists ready to speak with patients about breast density, supplemental screening

Many radiologists believe patient-provider discussions about screening mammography and supplemental screening are inadequate, according to findings published in the Journal of Breast Imaging. The specialty appears ready to step up and take a more visible role in patient education.

Women Radiologists Find Their Voice and Make It Heard

The lopsided male-to-female ratio among radiologists and radiology residents—around three men for every one woman—has remained stubbornly constant despite years-long efforts to narrow the gap. This reality is reinforced each time the American College of Radiology conducts its annual workforce survey.

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Researchers detail MRI’s role in identifying early-stage breast cancer

Short-interval follow-up MRI is an effective tool for identifying early-stage breast cancer, according to findings to be presented at the American Roentgen Ray Society (ARRS) 2019 Annual Meeting in Honolulu.

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.

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