Breast Ultrasound, An Issue of Ultrasound Clinics

Gary Whitman

Description

Breast sonography is commonly used to evaluate mammographic and palpable abnormalities, and this issue covers all of the current applications currently in use. Sonography also plays a role in screening for breast cancer and in evaluating the extent of disease in the breast and the regional lymph nodes. This issue also reviews the use of ultrasound to perform biopsies, guide catheters, and deliver radiation therapy.

Sujets

• Nuclear Medicine
• Radiotherapy
• Medical
• Médecine
• Radiology

Informations

• Publié par: Saunders
• Date de parution: 28 juillet 2011
• Nombre de lectures: 0
• EAN13: 9781455712526
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Ultrasound Clinics , Vol. 6, No. 3, July 2011
ISSN: 1556-858X
doi: 10.1016/S1556-858X(11)00081-8

Contributors
Ultrasound Clinics
Breast Ultrasound
Gary J. Whitman, MD
ISSN  1556-858X
Volume 6 • Number 3 • July 2011

Contents
Cover
Contributors
Forthcoming Issues
CME Accreditation Page and Author Disclosure
Breast Ultrasound
Ultrasound Physics and Technology in Breast Imaging
Ultrasound of Invasive Lobular Carcinoma
Ultrasound-Guided Breast Biopsy
Ultrasonography and Ultrasound-Guided Biopsy of Breast Calcifications
Ultrasound of Breast Implants and Soft Tissue Silicone
Lymph Node Sonography
3-Dimensional Breast Ultrasonography: What Have We Been Missing?
Ultrasound Elastography of Breast Lesions
Index
Ultrasound Clinics , Vol. 6, No. 3, July 2011
ISSN: 1556-858X
doi: 10.1016/S1556-858X(11)00083-1

Forthcoming Issues
Ultrasound Clinics , Vol. 6, No. 3, July 2011
ISSN: 1556-858X
doi: 10.1016/j.cult.2011.07.006
CME
CME Accreditation Page and Author Disclosure

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

Accreditation
The Ultrasound Clinics 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 enduring material activity for a maximum of 15 AMA PRA Category 1 Credit (s )™ for each issue, 60 credits per year. Physicians should claim only the 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 Credit (s) ™ for each issue, 60 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 professional or financial affiliations for themselves or their spouse/partner:
Margaret Adejolu, MRCP, FRCR; Christopher Comstock, MD; Barton Dudlick (Acquisitions Editor); Phan T. Huynh, MD; Savitri Krishnamurthy, MD; Tracy J. Lu; Michael P. McNamara Jr, MD; Emily L. Sedgwick, MD; Declan Sheppard, FRCR; R. Jason Stafford, PhD; and Gary J. Whitman (Guest Editor).
The authors/editors listed below have identified the following professional or financial affiliations for themselves or their spouse/partner:
Matthew J. Bassignani, MD (Test Author) is on the Advisory Board/Committee for Nuance and Fuji Medical Systems.
Vikram S. Dogra, MD (Consulting Editor) is the editor for the Journal of Clinical Imaging Science.
Dennis N. McDonald, MD is an industry funded research/investigator and is on the Speaker’s Bureau for GE Healthcare.
Michael S. Middleton, MD, PhD is a consultant for Merge/Confirma and Siemens; is an industry funded research/investigator for General Electric, Siemens, and Bayer; owns stock with General Electric; and is on the Speakers’ Bureau for Merge/Confirma.
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 Ultrasound Clinics Continuing Medical Education program, call customer service at 1-800-654-2452 or visit us online at www.theclinics.com/home/cme . The CME program is available to subscribers for an additional fee of $196.00.
Ultrasound Clinics , Vol. 6, No. 3, July 2011
ISSN: 1556-858X
doi: 10.1016/j.cult.2011.06.001

CME
Preface
Breast Ultrasound

Gary J. Whitman, MD
Departments of Diagnostic Radiology and Radiation Oncology, The University of Texas MD Anderson Cancer Center, Unit 1350, PO Box 301439, Houston, TX 77230-1439, USA
E-mail address: [e-mail]

Gary J. Whitman, MD, Guest Editor
As I write this, I am in an airplane, flying home to Houston from a family event in Virginia. To my left, my children, Sam and Kayla, are watching The Lion King on a video player, and Susan, my wife, is reading Cutting for Stone by Abraham Verghese. To my right, a soldier-turned-civilian is just returning from a State Department assignment in Afghanistan. No doubt he has made a difference.
Leaning back in my seat, I think about breast ultrasound in the middle of 2011. In the last decade, the advances have been remarkable: smaller, faster, more powerful ultrasound units with better resolution and markedly improved image quality. No question. There is a big difference.
In this issue of Ultrasound Clinics , we explore selected topics in breast sonography. Jason Stafford and I provide an overview of advances in breast ultrasound physics and technology. Margaret Adejolu, Savitri Krishnamurthy, and I then review the sonographic features of invasive lobular carcinoma. Emily Sedgwick provides a review of ultrasound-guided breast biopsies. Phan Huynh discusses ultrasound and ultrasound-guided biopsy of breast calcifications. Michael McNamara and Michael Middleton review breast implants and soft-tissue silicone. Collaborating with Tracy Lu, Margaret Adejolu, Savitri Krishnamurthy, and Declan Sheppard, I provide an update on lymph node sonography. We conclude this issue with two articles on exciting new applications, three-dimensional breast ultrasound, by Dennis McDonald, and elastography, by Chris Comstock.
I would like to thank all of the authors for a wonderful job, especially when so much of this work gets done at night and on weekends. Kudos to all the authors and coauthors! You have made a difference, and you will continue to make a big difference.
Barbara Almarez Mahinda was a tremendous help (as usual) in manuscript preparation, image preparation, and editing. Joyce Bradley did a great job, helping to prepare several articles. Barbara and Joyce, many thanks!
I want to thank Vikram Dogra for his support. Thanks to Barton Dudlick for all of his organizational help and his patience.
When I think of making a difference, I am drawn to my parents. My mom, Nancy Whitman, is a wonderful mother and role model. She is a steady source of encouragement in my life. My dad, Marvin Whitman, passed away in the fall of 2010, as this issue was being developed. My father was a great man, a skilled obstetrician-gynecologist and a true physician educator. He practiced obstetrics and gynecology, mainly before sonography became an everyday tool. His interest in ultrasound was high as he watched sonography blossom. I thank my parents for helping me and for providing the opportunities that made a big difference for me.
Susan, Sam, and Kayla, I thank you for allowing me to work on this project. I often wandered into my home office to work on Ultrasound Clinics . Sometimes, I would leave home a little earlier in the morning or return from work a little later in the evening, trying to c