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Women's Imaging

 

Diffusion-weighted MRI (DWI) may soon command broader consideration than it’s been getting as a supplemental breast-screening tool. The modality not only finds many breast cancers that don’t show up on mammograms but also outperformed supplemental breast ultrasound in a study published online Oct. 28 in Clinical Imaging.

The U.S. Food and Drug Administration (FDA) issued an Oct. 27 reminder that thermography is not an acceptable substitute for mammography.

Screening mammography providers “on wheels” planning to serve medically underserved Latino communities would do well to first communicate with each community on perceptions of such services and, where needed, to offer education prior to rolling in.

Following screening mammography that turns up nothing, women with dense breast tissue are much more likely to pursue additional imaging with automated breast ultrasound (ABUS) when two things happen: their radiologists inform them of their tissue density and encourage them to consider the secondary exam because of it.

Image quality in mammography, thanks to concerns about radiation dose, faces a Goldilocks problem—where radiologists want to get the best image possible, while also minimizing risk to the patient. 

 

Recent Headlines

Up-and-coming ultrasound technology shows prowess as mammography adjunct

The emerging imaging technology called quantitative transmission (QT) ultrasound has shown its utility as an aid in distinguishing cysts from solid lesions in the breast, according to a study published online May 23 in Academic Radiology.

Fixed date, time for backup appointment improve attendance for women who miss breast cancer screening

Participation in breast cancer screening has declined in England. A new analysis revealed women who miss a first breast screening appointment and are given a fixed date for another appointment are more likely to attend that backup.

Minimally invasive ultrasound-guided biopsy a fine diagnostic for nonpalpable breast lesions

Breast lesions that physicians can’t feel by palpation are little match for fine-needle aspiration guided by ultrasound, although the procedure’s performance varies somewhat with the age of the patient and the BI-RADS category of the lesion.

Regional survey underscores need for more radiologist education on breast density

Many practicing radiologists share the general public’s sense of befuddlement over state-level breast density legislation and its implications for patient care, at least in New England, according to a study published online May 8 in Academic Radiology.

PET/CT bests contrast CT at monitoring metastatic breast cancers

PET/CT is superior to contrast-enhanced CT when it comes to predicting both progression-free and disease-specific survival in patients with metastatic breast cancer, according to a study published online May 1 in the European Journal of Nuclear Medicine and Molecular Imaging.

Nuke/CT recommended upon initial diagnosis of stage IIB breast cancer

Weill Cornell researchers at Memorial Sloan Kettering Cancer Center are recommending the use of PET/CT with the radiotracer fludeoxyglucose (18F-FDG PET/CT) for many patients with newly diagnosed breast cancer.

Nebraska breast density bill signed into law

Nebraska Gov. Pete Ricketts signed Legislative Bill 195 into law today making it the 32nd state to enact mandatory breast density reporting.

 
‘Controversial’ preoperative breast MRI more accurate than mammography/ultrasound for many patients

A third of breast-cancer patients undergoing preoperative mammography and ultrasound would be more accurately imaged for tumor size with breast MRI, according to a study published online April 13 in the Journal of Surgical Oncology. 

Re-excision rates reduced with the help of digital breast tomosynthesis

Alessia Milan, PhD, MS, from the University of Turin in Italy, presented a study about digital breast tomosynthesis (DBT) emerging as a promising technology when it comes to surgical planning, because it presents a better view of lesion margins than mammography alone.

Trailblazers: iCAD’s groundbreaking tomosynthesis CAD solution uses deep learning to reduce reading times

The growing influence of artificial intelligence and deep learning in healthcare has led some writers to theorize that certain specialties, including radiology, would soon be “replaced” by machines.

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