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Breast Imaging

 

The U.S. Preventive Service Task Force’s 2009 screening-mammography recommendation—every other year for average-risk women aged 50 to 74—opened the floodgates of the “when to start/how often to repeat” controversy that’s been percolating ever since. A study published online in Academic Radiology shows how the disharmony has played out in online news coverage.

Reviewing more than 1,100 chest CT scans performed on women for various reasons, German researchers have found the imaging incidentally turned up at least one lesion requiring a closer look—i.e., BI-RADS 3 to 5—in nearly 6 percent of the patients. They call for radiologists to be alert for breast cancers when reading all chest CTs.

While preoperative breast MRI rarely changes prior decisions to perform mastectomy on women with biopsy-proven breast cancer, the extra imaging can reduce the odds of needing a second trip under the knife for patients undergoing breast-conserving surgery.

Screening sonography of women with dense breast tissue can find cancers that mammography misses, and the radiation-free modality is specific enough to keep unneeded biopsies in check, according to the authors of a study published online June 28 in the Journal of Ultrasound Medicine.

Where women choose to go for breast imaging depends on whether they value expertise over convenience, or vice versa, as well as how much they care about care setting and how ambivalent they feel about the whole experience. Fortunately, their preferences largely track with demographic characteristics, making population-level priorities discoverable and actionable.

 

Recent Headlines

Study shows the mammography wars as curated by Google News

The U.S. Preventive Service Task Force’s 2009 screening-mammography recommendation—every other year for average-risk women aged 50 to 74—opened the floodgates of the “when to start/how often to repeat” controversy that’s been percolating ever since. A study published online in Academic Radiology shows how the disharmony has played out in online news coverage.

Radiologists urged to watch for breast cancer in all women’s chest CTs

Reviewing more than 1,100 chest CT scans performed on women for various reasons, German researchers have found the imaging incidentally turned up at least one lesion requiring a closer look—i.e., BI-RADS 3 to 5—in nearly 6 percent of the patients. They call for radiologists to be alert for breast cancers when reading all chest CTs.

Fewer repeat surgeries in women imaged pre-op with breast MRI

While preoperative breast MRI rarely changes prior decisions to perform mastectomy on women with biopsy-proven breast cancer, the extra imaging can reduce the odds of needing a second trip under the knife for patients undergoing breast-conserving surgery.

Screening breast ultrasound supplies definitive diagnoses in dense tissue

Screening sonography of women with dense breast tissue can find cancers that mammography misses, and the radiation-free modality is specific enough to keep unneeded biopsies in check, according to the authors of a study published online June 28 in the Journal of Ultrasound Medicine.

Demographics predict patient preferences for breast imaging providers

Where women choose to go for breast imaging depends on whether they value expertise over convenience, or vice versa, as well as how much they care about care setting and how ambivalent they feel about the whole experience. Fortunately, their preferences largely track with demographic characteristics, making population-level priorities discoverable and actionable.

Is breast cancer overdiagnosed or isn’t it? The argument goes on

People taking sides in the mammography debates have a fresh controversy to feed on. This one has some Ivy League heft—and a pointed statement from the American College of Radiology—behind it.

Test for evidence of the ‘Angelina Effect’ comes back negative

At one busy, academically affiliated breast center in the Northeast U.S., the so-called “Angelina Jolie Effect”—women being motivated by the celebrity to get screened for breast cancer—isn’t a thing.

Researchers call for making breast MRI a standalone screening exam

Annual screening mammography adds no value to women who are high risk for breast cancer and, as a matter of course, are already getting screened each year with breast MRI, according to a study conducted at the University of Toronto and published online June 6 in Radiology.

Breast rads meeting, beating or approaching BI-RADS benchmarks for screening MRI

Reviewing screening breast MRI data from six regional Breast Cancer Surveillance Consortium (BCSC) registries representing 49 facilities, researchers have found breast rads performing quite impressively in their respective communities: Their interpretive accuracy from 2005 to 2013 met most BI-RADS benchmarks that are based on expert practice in clinical trials.

Ultrasound breast biopsy beats stereotactic counterpart on patient experience

Women undergoing percutaneous breast biopsy experience less pain and discomfort when the procedure is guided by ultrasound than by stereotactic mammography with vacuum assistance, according to a Canadian study published online May 22 in European Radiology.

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