Womens Imaging

Women’s imaging encompasses many radiology procedures related to women and the diseases that are most prevalent to women such as breast cancer or gynecological issues. Mammogram, breast ultrasound, breast MRI and breast biopsy are the most commonly used procedures.

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Breast MRI example showing a signal void in right breast (arrow) caused by biopsy on an axial contrast-enhanced in-phase Dixon image. It shows a signal void in right breast (arrow), which corresponded with a MammoMark/CorMark Bread Tie biopsy clip. Image courtesy of AJR.

New scoring system for 'second look' breast lesions could decrease biopsies by 30% or more

A team of experts recently developed the new system to differentiate between malignant and benign "second look" lesions on MRI for women with known breast cancer.

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Black women should start breast cancer screening 8 years earlier, new data suggest

The recommendation is based on an analysis of mortality data from 415,000 U.S. women spanning 2011-2020. 

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Providers chart uptick in number of breast MRI denials issued by insurers

Among vulnerable women with BRCA1/2 mutations, about 14% never received this vital exam after the rejection, MSK researchers reported.

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Lessons learned from 7 years of structured radiology reporting at 1 institution

The University Medical Center Mainz recently surveyed radiologists and referrers to gather feedback on the change. 

Comparison of a 2D digital mammogram and breast tomosynthesis 3D mammography from UCSF.

Radiologist performance has improved since the introduction of DBT for breast cancer screening

Since being approved by the U.S. Food and Drug Administration in 2011, DBT has become the most common method for breast cancer screening, and as of September 2022, 84% of all U.S. mammography screening facilities housed DBT units. 

Example of the four types of breast tissue density. The density of fibroglandular tissue inside the breast impacts the ability to easily see cancers. Cancers are very easy to spot in fatty breasts, but are almost impossible to find in extremely dense breasts. These examples show craniocaudal mammogram findings characterized as almost entirely fatty (far left), scattered areas of fibroglandular density (second from left), heterogeneously dense (second from right), and extremely dense (far right). RSNA

Experts developed a deep learning model that can estimate breast density

When tested, the model achieved a performance comparable to that of human experts.

Is scanning the axilla during diagnostic breast ultrasound necessary?

Experts recently questioned the necessity of scanning the axilla region during diagnostic breast ultrasound, as new data indicate that it is minimally beneficial for cancer detection. 

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Follow-up adherence affected by how and when imaging orders are placed

These are factors that healthcare systems can and should control, experts recently suggested in a new JACR paper.

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