Breast Imaging Companion

Description:

A pragmatic, common sense approach to the detection, evaluation and management of breast diseases and related imaging findings!   The fourth edition of this best selling “how-to” book includes major revisions, including the expansion of the screening mammography and breast MRI chapters, as well as the addition of digital breast tomosynthesis studies.  Rather than having selected cropped images, the print and online versions of this book provide the reader with thousands of high quality images and complete imaging evaluations, from the screening images to the diagnostic mammogram, and—when appropriate—images from ultrasound, MRI, imaging guided biopsy, and preoperative wire localizations.  Bulleted “key-facts” describe clinical, imaging and histological findings for a spectrum of breast diseases.  With this book, breast-imaging radiologists are strongly encouraged to provide clinical, imaging and pathology concordance for optimal patient care, as well as direct and clinically relevant communication with providers and patients.

Your book purchase includes a complimentary download of the enhanced digital version for iOS, Android, PC & Mac.Take advantage of these practical features that will improve your digital experience:

• The ability to download the digital version on multiple devices at one time — providing a seamless reading experience online or offline
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• Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design
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Table of contents:

1 Screening Mammography

General Comments

Screening Trials

Screening Recommendations

Screening Mammography: Who and When

Screening Views: General Comments

Mediolateral Oblique Views

Craniocaudal Views

Exaggerated Craniocaudal Lateral Views

Breast Compression and Anterior Compression Views

Imaging Women with Implants

Approach to Screening Mammography

The Search: How, Where, and What . . .

Digital Breast Tomosynthesis

Mammography ACR BI-RADS® Lexicon

2 Diagnostic Mammography and Problem Solving

General Comments

Spot Compression Views

Spot Compression Magnification Views

Spot Compression Tangential (TAN) Views

Spot Compression Rolled Views (Change of Angle Views)

Lateromedial (LM) Views

Mediolateral (ML) Views

Cleavage (CV) Views

Caudocranial (FB) Views

Lateromedial Oblique (LMO) Views

Superolateral to Inferomedial Oblique Views

Probably Benign Lesions

Triangulation

3 Breast Ultrasound

General Comments

Technical Considerations

Scanning

Normal Anatomy

Benign Features (Solid Masses)

Intermediate Features (Solid Masses)

Malignant Features (Solid Masses)

American College of Radiology BI-RADS® Ultrasound Lexicon

Ultrasound Artifacts

4 Magnetic Resonance Imaging of the Breast

General Comments

Technical Considerations

Artifacts and Pitfalls

Lesion Evaluation

Indications

American College of Radiology BI-RADS® MR Lexicon

5 Skin

General Comments

Skin Manifestations of Breast and Systemic Diseases

Epidermal and Sebaceous Cysts

Furuncles (Boil), Carbuncles

Keloids and Hypertrophic Scars

Neurofibromatosis

Mondor Disease

Steatocystoma Multiplex

Cutaneous Angiosarcoma (Post Radiation)

Inflammatory Carcinoma

Miscellaneous

6 Nipple-Areolar Complex

General Comments

Nipple Changes Associated with Breast Cancer

Dermatitis

Paget Disease

Nipple Adenoma

7 Major Subareolar Ducts

General Comments

Duct Ectasia

Subareolar Abscess

Solitary Papillomas

Papillary Carcinoma

8 Terminal Ducts

General Comments

Multiple (Peripheral) Papillomas

Radial Scars—Complex Sclerosing Lesions

Ductal Hyperplasia

Ductal Carcinoma in Situ

Invasive Ductal Carcinoma Not Otherwise Specified

Tubular Carcinoma

Mucinous Carcinoma

Medullary Carcinoma

Atypical Medullary Carcinoma

Metaplastic Carcinoma

Invasive Cribriform Carcinoma

Adenoid Cystic Carcinoma

Miscellaneous

Squamous Cell Carcinoma

Secretory Carcinoma (“Juvenile Carcinoma”)

9 Lobules

General Comments

Cysts

Galactocele

Juvenile Papillomatosis

Fibroadenomas

Complex Fibroadenomas

Juvenile Fibroadenoma

Tubular Adenoma

Lactational Adenoma

Phyllodes Tumor

Adenosis

Columnar Alteration with Prominent Apical Snouts and Secretions (CAPSS)

Mucocele-Like Lesions

Lobular Neoplasia

Invasive Lobular Carcinoma

10 Stroma

General Comments

Anatomy

Lymph Nodes

Cat-Scratch Disease

Fat Necrosis

Lipoma

Fibroadenolipoma (Hamartoma)

Fibrosis

Mastitis

Abscess (Peripheral)

Granulomatous Mastitis

Pseudoangiomatous Stromal Hyperplasia

Hemangioma

Diabetic Fibrous Breast Disease

Extra-Abdominal Desmoid (Fibromatosis)

Granular Cell Tumor

Lymphoma

Angiosarcoma

Metastatic Disease

Miscellaneous

11 The Altered Breast

Breast Biopsy–Related Changes

Lumpectomy and Radiation Therapy

Breast Reconstruction

Imaging of the Mastectomy Site

Augmentation

Reduction Mammoplasty

Trauma

Hormone-Related Changes

Miscellaneous

12 The Breast in Men

General Comments

Gynecomastia

Breast Cancer in Men

13 Interventional Procedures

Cyst Aspiration

Ductography

Fine Needle Aspiration

Imaging-Guided Needle Biopsy

Preoperative Localizations: Mammographic Guidance

Anteroposterior Wire Localization Approach

Parallel to the Chest Wall Wire Localization Approach

Preoperative Wire Localization: Ultrasound Guidance

Preoperative Radioactive Seed Localization

Specimen Evaluation

Paraffin Block Radiography

Radiology–Pathology Correlation

Index

E1 Breast Cancer: An Overview

Breast Cancer Facts

Prognostic Factors

Risk Marker Lesions

Genetics

Chemoprevention

Molecular Classification of Breast Cancer

National Surgical Adjuvant Breast and Bowel Project

Breast Cancer Staging: (TNM Classification)

Breast Cancer Staging

E2 Regulatory Issues

Mammography Quality Standards Act of 1992: Background

MQSA: Requirements

MQSA: Inspections

MQSA: Personnel Qualifications

MQSA: Reporting of Results

MQSA: Equipment Standards

Quality Assurance Under MQSA

American College of Radiology, Mammography Accreditation

Mammography Accreditation Program

E3 Quality Control and Technical Considerations

General Comments

Definitions (ACR DMQCM)

Radiologist’s Section (ACR DMQCM)

Technologist’s Section (ACR DMQCM)

Medical Physicist’s Section (ACR DMQCM)

Clinical Image Review

E4 Breast Imaging Consultation Report

General Concepts

For Masses . . .

For Calcifications . . .

For Architectural Distortion . . .

For Asymmetries . . .

For Intramammary Lymph Node . . .

For Skin Lesions . . .

For Solitary Dilated Duct . . .

Associated Features

Documentation

Patient Notification Letters

Sample Reports

E5 Breast Imaging Practice Audits

General Comments

Definitions

Basic Medical Audit

Complete Medical Audit

E6 Self-Assessment

Questions

Answers