Breast Tomosynthesis

Book Description :

The use of tomosynthesis in breast imaging is growing rapidly due to its superior ability to identify and characterize normal findings, benign lesions, and breast cancer, as well as its optimal performance with dense breast tissue. Providing unparalleled coverage of this breakthrough breast imaging modality, Breast Tomosynthesis explains how this new modality can lead to enhanced interpretation and better patient outcomes. This new reference is an indispensable guide for today's practitioner looking to keep abreast of the latest developments with correlative findings, practical interpretation tips, physics, and information on how tomosynthesis differs from conventional 2D FFDM mammography. Over 900 high-quality images offer visual guidance to effectively reading and interpreting this key imaging modality. Includes over 900 high-quality tomosynthesis and mammography images representing the spectrum of breast imaging. Features the latest Breast Imaging Reporting and Data System (or BI-RADS) standards updated in February 2014. Highlights practical tips to interpreting this new modality and how it differs from 2D mammography. Details how integration of tomosynthesis drastically changes lesion work-up and overall workflow in the department. "Tomo Tips" boxes offer tips and pitfalls for expert clinical guidance.

Book Description :

This book provides a comprehensive description of the screening and clinical applications of digital breast tomosynthesis (DBT) and offers straightforward, clear guidance on use of the technique. Informative clinical cases are presented to illustrate how to take advantage of DBT in clinical practice. The importance of DBT as a diagnostic tool for both screening and diagnosis is increasing rapidly. DBT improves upon mammography by depicting breast tissue on a video clip made of cross‐sectional images reconstructed in correspondence with their mammographic planes of acquisition. DBT results in markedly reduced summation of overlapping breast tissue and offers the potential to improve mammographic breast cancer surveillance and diagnosis. This book will be an excellent practical teaching guide for beginners and a useful reference for more experienced radiologists.

Book Description :

This superbly illustrated atlas of breast tomosynthesis covers all aspects and applications of the technology, which reduces tissue overlap and facilitates the recognition of small cancers. After clear explanation of basic principles of the technique, individual chapters address diagnostic criteria, indications, and use of breast tomosynthesis as a screening tool. The findings obtained in the full range of benign and malignant conditions, including postoperative changes, are then presented with the aid of a wealth of high-quality illustrations from case examples. Detailed attention is paid to the BI-RADS classification, bearing in mind the ability of tomosynthesis to reduce categorizations as BI-RADS 3 and 0, thereby decreasing the recall rate. The book concludes by examining tomosynthesis-guided interventions such as vacuum-assisted breast biopsy and galactography.

Book Description :

Digital Breast Tomosynthesis: Technique and Cases is a comprehensive and timely introduction to a significant technological advance in breast cancer imaging. This state-of-the-art guide explains the technique of digital breast tomosynthesis (DBT), describes results from available clinical studies, offers recommendations for the use of DBT in routine practice, and discusses the latest developments and possible future trends in DBT. The main part of the book contains 45 highly illustrated case reports that allow readers to explore the practical aspects of DBT and deepen their knowledge of this important new modality in breast imaging. Key Features: Presents 45 superbly illustrated case reports showcasing the application of DBT to clinical practice Examines the results of all currently available clinical trials and studies Evaluates the use of DBT alongside mammography and versus mammography Includes high-quality images from the various modalities in breast imaging: 2D mammography, DBT, and ultrasound, to enable comparison of their strengths and limitations Combines expertise in the fields of radiology and gynecology with an interdisciplinary team of contributors Provides video clips of the DBT data set for most cases on the Thieme MediaCenter Authoritative and up to date, this volume is essential for radiology practitioners, residents, and fellows who wish to learn about the potential of DBT and stay at the forefront of technological developments in their field. The wealth of clinically relevant information is useful for any radiologist considering the establishment of DBT as a new imaging tool in their practice.

Book Description :

Digital breast tomosynthesis (DBT), popularly called "3D mammography" is a state-of-the-art breast imaging technology that provides the ability to view inside the breast, layer by layer. Advantages of DBT include elimination of superimposed tissue, improved detection of otherwise hidden lesions, and significantly higher cancer detection rates compared to conventional mammography. Although it is increasingly being implemented in imaging centers, hands-on clinical learning tools have been lacking - until now. Written by renowned breast imaging specialists, this multimedia textbook is the most definitive DBT reference available. The first section is dedicated to DBT fundamentals, including physics, reconstruction methods, acquisition parameters, and patient dose and data size considerations. The next two sections are case-based clinical practice presentations, organized by DBT screening and diagnostic components. Key Features The use of 3D breast imaging to detect and differentiate malignancies from normal and benign findings 100 case studies include pertinent clinical information, introductory images, and findings labeled on subsequent images with BI-RADS terminology Full field digital mammography and/or synthetic 2D mammogram images included in all case studies mirror what is typically encountered in DBT breast-imaging programs Clinical pearls on navigating the technology, interpreting images, making diagnoses, and decisions regarding follow-up studies Accompanying online videos further elucidate the still images This remarkable, interactive reference is a must-have for trainee and practicing radiologists and will also benefit mammography technicians. The detailed case studies and videos demonstrate the full utility of DBT as a screening and diagnostic technology in context with mammography, ultrasound, and MRI of the breast.

Book Description :

Now in its 3rd Edition, this bestselling volume in the popular Requisites series, by Drs. Debra M. Ikeda and Kanae K. Miyake, thoroughly covers the fast-changing field of breast imaging. Ideal for residency, clinical practice and certification and MOC exam study, it presents everything you need to know about diagnostic imaging of the breast, including new BI-RADS standards, new digital breast tomosynthesis (DBT) content, ultrasound, and much more. Compact and authoritative, it provides up-to-date, expert guidance in reading and interpreting mammographic, ultrasound, DBT, and MRI images for efficient and accurate detection of breast disease. Features over 1,300 high-quality images throughout. Summarizes key information with numerous outlines, tables, ''pearls,'' and boxed material for easy reference. Focuses on essentials to pass the boards and the MOC exam and ensure accurate diagnoses in clinical practice. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. All-new Breast Imaging-Reporting and Data System (BI-RADS) recommendations for management and terminology for mammography, elastography in ultrasound, and MRI. Step-by-step guidance on how to read new 3D tomosynthesis imaging studies with example cases, including limitations, and pitfalls. More evidence on the management of high risk breast lesions. Correlations of ultrasound, mammography, and MRI with tomosynthesis imaging. Detailed basis of contrast-enhanced MRI studies. Recent nuclear medicine techniques such as FDG PET/CT, NaF PET.

Book Description :

This book constitutes the refereed proceedings of the 8th International Workshop on Digital Mammography, IWDM 2006, held in Manchester, UK, June 2006. The book presents 52 revised full papers and 34 revised poster papers, organized in topical sections on breast density, CAD, clinical practice, tomosynthesis, registration and multiple view mammmography, physics models, wavelet methods, full-field digital mammography, and segmentation.

Book Description :

This book presents the current trends and practices in breast imaging. Topics include mammographic interpretation; breast ultrasound; breast MRI; management of the symptomatic breast in young, pregnant and lactating women; breast intervention with imaging pathological correlation; the postoperative breast and current and emerging technologies in breast imaging. It emphasizes the importance of fostering a multidisciplinary approach in the diagnosis and treatment of breast diseases. Featuring more than 800 high-resolution images and showcasing contributions from leading authorities in the screening, diagnosis and management of the breast cancer patient, Breast Cancer Screening and Diagnosis is a valuable resource for radiologists, oncologists and surgeons.

Book Description :

An innovative, three-dimensional x-ray imaging technique that enhances projection radiography by adding depth resolution, Tomosynthesis Imaging explores tomosynthesis, an emerging limited-angle tomographic imaging technology that is being considered for use in a range of clinical applications, and is currently being used for breast cancer screening and diagnosis. While conventional mammography has been very successful in reducing breast cancer mortality, it is not perfect. A major limitation of mammography is that the recorded image represents the superposition of complex three-dimensional structures in the breast onto a two-dimensional plane, making detection and diagnosis of breast cancer challenging. Tomosynthesis produces quasi-three-dimensional images that can significantly enhance the visualization of important diagnostic features. This book highlights the flexibility of tomosynthesis systems for new clinical applications, and provides a detailed discussion of the tomosynthesis acquisition process and the impact of physical factors. It explores such topics as acquisition parameters, system components, modeling, image reconstruction algorithms, and system evaluation. Provides in-depth coverage of system design considerations, as well as image reconstruction strategies Describes the current state of clinical applications of tomosynthesis, including imaging of the breast and chest, as well as its use in radiotherapy Illustrates the merits of tomosynthesis imaging and its potential clinical applications in imaging of the breast and chest, as well as for radiation therapy Divided into five sections, this text delves into the history and development of tomosynthesis. It introduces tomosynthesis imaging, discusses imaging system design considerations, and reviews image reconstruction algorithms that have been developed for tomosynthesis. It also describes system evaluation methodologies, emphasizes current clinical applications, and examines the future direction for tomosynthesis.

Book Description :

Guest edited by Christopher Comstock of Memorial Sloan-Kettering, this issue of Radiologic Clinics will provide all of the latest guidelines and techniques for breast imaging. Modalities include MRI, MR-CAD, digital tomosynthesis, and ultrasound.

Book Description :

Breast Imaging presents a comprehensive review of the subject matter commonly encountered by practicing radiologists and radiology residents in training. This volume includes succinct overviews of breast cancer epidemiology, screening, staging, and treatment; overviews of all imaging modalities including mammography, tomosynthesis, ultrasound, and MRI; step-by-step approaches for image-guided breast interventions; and high-yield chapters organized by specific imaging finding seen on mammography, tomosynthesis, ultrasound, and MRI. Part of the Rotations in Radiology series, this book offers a guided approach to breast imaging interpretation and techniques, highlighting the nuances necessary to arrive at the best diagnosis and management. Each chapter contains a targeted discussion of an imaging finding which reviews the anatomy and physiology, distinguishing features, imaging techniques, differential diagnosis, clinical issues, key points, and further reading. Breast Imaging is a must-read for residents and practicing radiologists seeking a foundation for the essential knowledge base in breast imaging.

Book Description :

This issue of Radiologic Clinics of North America focuses on Breast Imaging, and is edited by Dr. Sarah M. Friedewald. Articles will include: Evidence to Support Screening Women in Their 40s; Evidence to Support Screening Women Annually; High Risk Screening and Use of Risk Assessment Models; Breast Tomosynthesis: Clinical Evidence; Breast Tomosynthesis: Practical Considerations; Synthesized Digital Mammography Imaging; Breast Density Legislation and Clinical Evidence; Whole Breast Screening Ultrasound Implemenation; Breast MRI in the Newly Diagnosed Breast Cancer Patient; MRI: Future Imaging Techniques; Breast PET-MR; Update on Pre-Operative Needle Localization Techniques, and more!

Book Description :

This issue of Surgical Oncology Clinics of North America, guest edited by Dr. Kelly Hunt, is devoted to Changing Paradigms in Breast Cancer Diagnosis and Treatment. Dr. Hunt has assembled expert authors to review the following topics: Tomosynthesis in breast cancer imaging: how does it fit into preoperative evaluation and surveillance?; Lobular breast cancer: different disease, different algorithms?; Hypofractionated radiation therapy in breast conserving therapy; Oncoplastic breast reconstruction: should all patients be considered?; Neoadjuvant endocrine therapy: who benefits most?; Breast cancer disparities: how can we leverage genomics to improve outcomes?; Anatomy and breast cancer staging: is it still relevant?; When does atypical ductal hyperplasia require surgical intervention?; Surgical intervention for lymphedema; Are there alternative strategies in the local management of DCIS?; Genetic testing and genetic counseling: what is standard of care?; Molecular subtypes and local-regional control of breast cancer; Intraoperative margin assessment in breast cancer management; Triple negative breast cancer: who should receive neoadjuvant chemotherapy?; and more!

Book Description :

Breast Cancer: A New Era in Management provides a compendium of succinct analysis of the many facets involved in the present day management of the breast cancer patient. The text provides the clinician or student with basic foundational knowledge in the rapidly expanding areas of expertise that are required for both the diagnosis and treatment of the breast cancer patient. Each topic, whether diagnostic or therapeutic, is presented in a straightforward fashion incorporating as part of each topic a description of the historical clinical landmarks leading to the present day, their present day position in the care of the breast patient, and finally, an assessment of possible future application and adaptation in clinical practice. Emphasis is placed on clear and concise explanations of each topic presented in stepwise fashion from fundamental elements to the more complex. Breast Cancer: A New Era in Management will act as a ready reference for the practicing surgeon and students seeking practical information on a particular clinical topic or scenario.

Book Description :

This volume (5116) of Springer’s Lecture Notes in Computer Science contains the th proceedings of the 9 International Workshop on Digital Mammography (IWDM) which was held July 20 – 23, 2008 in Tucson, AZ in the USA. The IWDM meetings traditionally bring together a diverse set of researchers (physicists, mathematicians, computer scientists, engineers), clinicians (radiologists, surgeons) and representatives of industry, who are jointly committed to developing technologies to support clinicians in the early detection and subsequent patient management of breast cancer. The IWDM conference series was initiated at a 1993 meeting of the SPIE Medical Imaging Symposium in San Jose, CA, with subsequent meetings hosted every two years at sites around the world. Previous meetings were held in York, England; Chicago, IL USA; Nijmegen, Netherlands; Toronto, Canada; Bremen, Germany; Durham, NC USA and Manchester, UK. th The 9 IWDM meeting was attended by a very international group of participants, and during the two and one-half days of scientific sessions there were 70 oral presentations, 34 posters and 3 keynote addresses. The three keynote speakers discussed some of the “hot” topics in breast imaging today. Karen Lindfors spoke on “Dedicated Breast CT: Initial Clinical Experiences. ” Elizabeth Rafferty asked the question is “Breast Tomosynthesis: Ready for Prime Time?” Finally, Martin Tornai discussed “3D Multi-Modality Molecular Breast Imaging.

Book Description :

Digital mammography has many advantages over film-screen mammography, including faster acquisition, easier storage and easier retrieval of images. Written by expert radiologists and physicists, Digital Mammography: A Practical Approach compares digital mammography to conventional film-screen mammography, reviews clinical cases and explores newer modalities. Key topics include: • Digital detectors • Monitors • Image acquisition • Image storage, retrieval and transfer • Image interpretation and efficacy • Artifacts • A comparison of commercially available systems • Mobile digital mammography. An image atlas and sections on digital tomosynthesis and computed tomography of the breast enhance the text. Digital Mammography: A Practical Approach melds the worlds of clinical radiology and physics in an easy-to-understand, practical resource. A valuable addition to the shelf of radiologists, radiologic technicians, practising medical physicists and mammography technologists; and any practitioners developing and expanding digital mammography programs.

Book Description :

This issue of Surgical Clinics of North America focuses on Management of Breast Cancer, and is edited by Dr. Catherine C. Parker. Articles will include: Screening mammography: recommendations and controversies; High risk breast cancer patients: genetics and indications for prophylactic mastectomy; Incorporation of biologic factors into breast cancer staging; Impact of advancing technology on diagnosis and treatment of breast cancer; Ductal Carcinoma In Situ; Management of the axilla in the patient with breast cancer; Definition and management of positive margins for invasive breast cancer; Neoadjuvant chemotherapy for HER2-positive and triple negative breast cancer; Inflammatory breast cancer; Role of radiation in breast cancer; Breast cancer in the elderly; Evolution of operative technique for mastectomy; Breast reconstruction; Role of operative management in Stage IV breast cancer; Sarcomas of the breast; and more!

Book Description :

Written by internationally renowned experts, this volume is a collection of chapters dealing with imaging diagnosis and interventional therapies in abdominal and pelvic disease. The different topics are disease-oriented and encompass all the relevant imaging modalities including X-ray technology, nuclear medicine, ultrasound and magnetic resonance, as well as image-guided interventional techniques. The book represents a condensed overview of twenty topics relevant in abdominal and pelvic disease and is aimed at residents in radiology as well as at experienced radiologists wishing to be updated on the current state-of-the art.

Book Description :

This superbly illustrated book provides a thorough, up-to-date overview of diagnostic breast imaging and therapy. Drs. Elizabeth Morris, Michael Fuchsjäger, and Thomas Helbich, three experts in the field, have collaborated with colleagues from their institutions and selected medical centers to share their expertise. The coverage ranges from basic information on imaging technologies and interventional equipment and how to use them optimally to the application of advanced high-end techniques for screening and assessment in any given professional environment. Readers will find clear instruction on the various breast interventional procedures guided by stereotaxis, ultrasound, and magnetic resonance imaging in wide clinical use. The management of patients with ductal carcinoma in situ and high-risk breast cancer is considered separately. Furthermore, the role of minimally invasive therapy is examined, and advice is provided on post-therapy evaluation, including breast implants. A comprehensive diagnostic atlas with hundreds of images completes this volume and addresses the spectrum of various clinical situations.

Book Description :

This issue of the Obstetrics and Gynecology Clinics con breast disorders covers imaging modalities, benign breast disorders, hereditary breast and ovarian cancer, contemporary managment and treatment options for breast cancer. There is also an article devoted to Special considerations in breast cancer patients and survivors.