Women's Imaging

A major study this week in JAMA Oncology, which looked at mortality rates following a diagnosis of ductal carcinoma in situ (DCIS), provided some important insights and challenged preconceived notions. It also spurred even more questions.

In the discussions and debates around the optimal breast cancer screening strategies, overdiagnosis and overtreatment concerns loom large. Now, a study published in JAMA Oncology might be cause to reevaluate the detection and treatment of ductal carcinoma in situ (DCIS), or stage 0 cancer.

Prior to ordering multiple x-rays, CTs, fluoroscopies or any combination thereof, physicians treating pregnant women who may have suffered musculoskeletal injuries should consult with a medical physicist to discuss cumulative radiation dosing. However, excepting for such scenarios as well as for pelvic CTs, radiographic exams are generally safe for both mom and baby-to-be. 

Close to 70 percent of aging women at risk of osteoporosis don’t bother to have their bone density checked with the current clinical standard, dual-energy x-ray absorptiometry (DXA). 

Last week, a study published in JAMA Internal Medicine added fuel to the fire in the contentious debate surrounding overdiagnosis in mammography screening. As anyone who has followed this discussion in recent years might expect, there has been some pushback.

A congresswoman with a personal breast cancer story joined imaging experts for a Capitol Hill briefing that served both to illuminate the importance of mammography screening and also condemn recent U.S. Preventive Services Task Force mammography guidelines.

With the push for breast density notification laws around the country, more patients are being recommended for supplemental screening. Ultrasound is a top choice for this purpose, and it should be available to all women, according to a recent editorial published in Forbes.

Time magazine compiled its list of last year’s remarkable healthcare innovations and achievements, and No. 1 was 3D mammography, or tomosynthesis.

Vox Media picked up on the story of the first birth captured on MRI, and the images are available for anyone to view.

Ultrasound boutiques offering elective ultrasounds for expectant mothers seems like a harmless bit of fun for parents looking to collect images or video of their child before they are even born, but the FDA and others are not as amused.

With the high political contention that surrounds the Affordable Care Act (ACA), it’s no surprise that numerous rumors have been circulating about what types of care and procedures are and are not covered under the statute. In particular, many believe that the ACA restricts one’s ability to get a mammogram. FactCheck.org recently debunked this myth, addressing the growing concern that women over the age of 70 will not be covered by Obamacare for mammography.

In the latest “Medical Edge Newspaper Column” from the Mayo Clinic, Stephanie Hines, MD, of Mayo’s Breast Clinic in Jacksonville, Fla., responds to a question about why mammography is the recommended first test in breast cancer screening over MRI. The article offers a quick refresher on the basics of how the two modalities are used to screen for breast cancer.