Breast Imaging

Breast imaging includes imaging modalities used for breast cancer screenings and planning therapy once cancer is detected. Mammography is the primary modality used. Mammogram technology is moving from 2D full-field digital mammography (FFDM) to breast tomosynthesis, or 3D mammography, which helps reduce false positive exams by allowing radiologists to look through the layers of tissue. Overlapping areas of dense breast tissue on 2D mammograms appear similar to cancers and 3D tomo helps determine if suspect areas are cancer or not. About 50% of women have dense breast tissue, which appears white on mammograms, the same as cancers, making diagnosis difficult. Radiologists use the Breast Imaging Reporting and Data System (BI-RADS) scoring system to define the density of breast tissue. Many states now require patients to be notified if they have dense breasts so they understand their mammograms might be suboptimal and they should use supplemental imaging that can see through the dense areas. This includes tomosythesis, breast ultrasound, automated breast ultrasound (ABUS), breast MRI, contrast enhanced mammography and nuclear imaging, including positron emission mammography (PEM).

breast cancer screening mammography

Malignant architectural distortion ably diagnosed on breast imaging by human-AI combo

Combining ensemble AI models with reads from breast radiologists of mixed experience levels can help health systems consistently diagnose malignant architectural distortion on mammography.

breast cancer screening mammography

Imaging features predict survival in patients with luminal breast cancer

Researchers have developed a prediction model that takes into account both imaging (post-NAC breast MRI) and clinical-pathologic features when forecasting patients' overall survival.

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Most states' breast cancer screening plans do not comply with USPSTF guidelines

Of the 51 plans, just 31% were consistent with the USPSTF recommendations pertaining to the starting age and frequency of screening women who are at average risk of developing breast cancer.

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Abbreviated breast MRI deemed an attractive screening option—sometimes

AB-MRI is a cost-effective means of screening women with dense breast tissue for breast cancer—as long as the per-exam costs don’t top 82% of what would have been spent to perform full-protocol breast MRI.

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AI-based mammo screening protocol reduces radiologist workload by 62%

Researchers reported that the artificial intelligence system was able to interpret more than 114,000 screening mammograms using a reading protocol with high sensitivity and specificity.

coronavirus COVID-19 vaccine vaccination

FDG PET/CT radiomics distinguishes between vaccine-related or metastatic breast cancer lymphadenopathy

The findings could help clinicians manage patients’ treatment when the origin of axillary lymphadenopathy is of concern, experts suggested. 

breast radiologist breast cancer mammography

Screening breast MRI results in more downstream healthcare costs than mammography alone

Women who underwent magnetic resonance imaging experienced more subsequent scans, procedures, healthcare visits and hospitalizations. 

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Experts advocate for ‘one-stop-shop’ cancer screening approach to address COVID-related backlogs

Radiology and other specialties should reimagine a system requiring numerous separate visits for breast, lung, prostate, cervical, colorectal, and skin cancer, editorialists argued.