Breast Imaging, An Issue of Radiologic Clinics of North America

Robyn L. Birdwell

Description

Imaging of the breast can be one of the most challenging tasks in all of radiology. This issue not only covers all of the modalities (plain film, multislice CT, MRI, US, and nuclear medicine and molecular imaging it also provides discussions on the controversy regarding when women should be screened, the costs involved in breast imaging, and the appropriate use of screening.

Sujets

• Nuclear Medicine
• Radiotherapy
• Medical
• Médecine
• Radiology

Informations

• Publié par: Saunders
• Date de parution: 28 septembre 2010
• Nombre de lectures: 0
• EAN13: 9781455700622
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Radiologic Clinics of North America , Vol. 48, No. 5, September 2010
ISSN: 0033-8389
doi: 10.1016/S0033-8389(10)00172-7

Contributors
Radiologic Clinics of North America
Breast Imaging
Robyn L. Birdwell
Department of Radiology, Division of Breast Imaging, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA
ISSN  0033-8389
Volume 48 • Number 5 • September 2010

Contents
Cover
Contributors
CME Accreditation Page and Author Disclosures
Forthcoming Issues
Preface
The 2009 US Preventive Services Task Force (USPSTF) Guidelines are not Supported by Science: The Scientific Support for Mammography Screening
The Use of Breast Imaging to Screen Women at High Risk for Cancer
Cost-Effectiveness of Mammography, MRI, and Ultrasonography for Breast Cancer Screening
The Basics and Implementation of Digital Mammography
Digital Mammography: Clinical Image Evaluation
Digital Mammography Imaging: Breast Tomosynthesis and Advanced Applications
Cystic Breast Masses and the ACRIN 6666 Experience
Regional Lymph Node Staging in Breast Cancer: The Increasing Role of Imaging and Ultrasound-Guided Axillary Lymph Node Fine Needle Aspiration
Controversies on the Management of High-Risk Lesions at Core Biopsy from a Radiology/Pathology Perspective
Breast MR Imaging: Current Indications and Advanced Imaging Techniques
Dedicated Breast Computed Tomography: The Optimal Cross-Sectional Imaging Solution?
Nuclear Medicine Imaging of the Breast: A Novel, Physiologic Approach to Breast Cancer Detection and Diagnosis
Molecular Imaging of the Breast
Index
Radiologic Clinics of North America , Vol. 48, No. 5, September 2010
ISSN: 0033-8389
doi: 10.1016/j.rcl.2010.09.001
CME Accreditation Page and Author Disclosures

Goal Statement
The goal of the Radiologic Clinics of North America is to keep practicing radiologists and radiology residents up to date with current clinical practice in radiology by providing timely articles reviewing the state of the art in patient care.

Accreditation
The Radiologic Clinics of North America is planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Virginia School of Medicine and Elsevier. The University of Virginia School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The University of Virginia School of Medicine designates this educational activity for a maximum of 15 AMA PRA Category 1 Credits™ for each issue, 90 credits per year. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for a maximum of 15 AMA PRA Category 1 Credits™ for each issue, 90 credits per year.
Credit can be earned by reading the text material, taking the CME examination online at http://www.theclinics.com/home/cme , and completing the evaluation. After taking the test, you will be required to review any and all incorrect answers. Following completion of the test and evaluation, your credit will be awarded and you may print your certificate.

Faculty Disclosure/Conflict Of Interest
The University of Virginia School of Medicine, as an ACCME accredited provider, endorses and strives to comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards of Commercial Support, Commonwealth of Virginia statutes, University of Virginia policies and procedures, and associated federal and private regulations and guidelines on the need for disclosure and monitoring of proprietary and financial interests that may affect the scientific integrity and balance of content delivered in continuing medical education activities under our auspices.
The University of Virginia School of Medicine requires that all CME activities accredited through this institution be developed independently and be scientifically rigorous, balanced and objective in the presentation/discussion of its content, theories and practices.
All authors/editors participating in an accredited CME activity are expected to disclose to the readers relevant financial relationships with commercial entities occurring within the past 12 months (such as grants or research support, employee, consultant, stock holder, member of speakers bureau, etc.). The University of Virginia School of Medicine will employ appropriate mechanisms to resolve potential conflicts of interest to maintain the standards of fair and balanced education to the reader. Questions about specific strategies can be directed to the Office of Continuing Medical Education, University of Virginia School of Medicine, Charlottesville, Virginia.
The faculty and staff of the University of Virginia Office of Continuing Medical Education have no financial affiliations to disclose.

The authors/editors listed below have identified no financial or professional relationships for themselves or their spouse/partner
Lawrence W. Bassett, MD, Robyn L. Birdwell, MD (Guest Editor); Carl J. D'Orsi, MD; Barton Dudlick, (Acquisitions Editor); Stephen Feig, MD; Dianne Georgian-Smith, MD; Anne C. Hoyt, MD; J. Dirk Iglehart, MD; Theodore E. Keats, MD (Test Author); Karen K. Lindfors, MD, MPH; Martha B. Mainiero, MD; Helga Marques, MS; Frank H. Miller, MD (Consulting Editor); Carolyn E. Mountford, DPhil; Mary S. Newell, MD; Thomas Oshiro, PhD; Lauren R. Rechtman, MA; Mark Rosen, MD, PhD; Alan G. Sechtin, MD; Edward A. Sickles, MD; Susan Weinstein, MD; and Zheng Zhang, PhD.
The authors/editors listed below have identified the following financial or professional relationships for themselves or their spouse/partner:
Wendie A. Berg, MD, PhD is a consultant for Naviscan, Inc., SuperSonic, and Imagine; is an industry funded research/investigator for Naviscan, Inc; and has a complimentary license for E-Film from Merge Healthcare.
John M. Boone, PhD is an industry funded research/investigator for Fuji Medical Systems, Hologic Corporation, and Creativ Microtech, and owns stock in Artemis.
Rachel F. Brem, MD is a consultant for U-Systems and Philips, and is on the Advisory Committee/Board for and owns stock in Dilon and iCAD.
Mark A. Helvie, MD is an industry funded research/investigator for General Electric.
Daniel B. Kopans, MD receives research support from General Electric, and receives invention royalties without patent from Cook, Inc.
Thomas J. Lawton, MD is a consultant for Clarient, Inc.
Margarita L. Zuley, MD has received a grant from Hologic, Inc.
Disclosure of Discussion of Non-FDA Approved Uses for Pharmaceutical Products and/or Medical Devices.
The University of Virginia School of Medicine, as an ACCME provider, requires that all faculty presenters identify and disclose any off-label uses for pharmaceutical and medical device products. The University of Virginia School of Medicine recommends that each physician fully review all the available data on new products or procedures prior to clinical use.

To Enroll
To enroll in the Radiologic Clinics of North America Continuing Medical Education program, call customer service at 1-800-654-2452 or sign up online at http://www.theclinics.com/home/cme . The CME program is available to subscribers for an additional annual fee USD 245.
Radiologic Clinics of North America , Vol. 48, No. 5, September 2010
ISSN: 0033-8389
doi: 10.1016/S0033-8389(10)00174-0

Forthcoming Issues
Radiologic Clinics of North America , Vol. 48, No. 5, September 2010
ISSN: 0033-8389
doi: 10.1016/j.rcl.2010.08.003

Preface
Breast Imaging

Robyn L. Birdwell, MD
Department of Radiology, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115, USA
E-mail address: [e-mail]


Robyn L. Birdwell, MD Guest Editor
It has been decades since the presence of a doctor sitting in a dark room peering at low-resolution film mammograms was representative of all that was available for imaging of the breast. “Mammography” alone no longer encompasses the work performed by those radiologists and technologists who dedicate all or some of their careers to the field of breast care. “Breast Imaging” is a more appropriate subspecialty title and, perhaps, adding “and Intervention” would even better describe all that women may expect when they make an appointment for imaging evaluation of the breast.
The presentations included in this issue of Radiologic Clinics of North America were chosen in an attempt to include both updated information on topics familiar to the imager as well as data related to emerging technologies. Included are treatises on the efficacy and costs of screening for breast cancer; the basics, practical issues, and advances in digital mammography; the ultrasound depiction of cystic breast masses and the ACRIN 6666 experience; an in-depth assessment of the mixed literature regarding management of risk lesions found at core biopsy; the increasing role played by ultrasound in both imaging and interventional procedures directed toward lymph node assessment; both current and advanced imaging with breast MRI; some early experience with breast CT; and molecular imaging as it applies to the breast.
It is hoped that the reader will be both educated and inspired by the magnitude of interest, energy, resources, and imagination that play such important roles