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    Introduction To Clinical Radiology: The Breast: Priscilla J. Slanetz MD, MPH Assistant Professor of Radiology

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    drqazi777
    The document provides an overview of breast imaging strategies and techniques. It discusses that mammography and ultrasound are the primary modalities for imaging the breast, and certain scenarios may also use MRI, CT, or nuclear imaging. Mammographic interpretation involves looking for masses, calcifications, and asymmetries, which can indicate malignancy depending on their morphology, size, and other characteristics. The document also reviews standard mammographic views and projections, as well as how different modalities may be used in clinical scenarios to evaluate patients with palpable lumps or other breast symptoms.

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    Introduction To Clinical Radiology: The Breast: Priscilla J. Slanetz MD, MPH Assistant Professor of Radiology

    Uploaded by

    drqazi777
    67 views10 pages
    The document provides an overview of breast imaging strategies and techniques. It discusses that mammography and ultrasound are the primary modalities for imaging the breast, and certain scenarios may also use MRI, CT, or nuclear imaging. Mammographic interpretation involves looking for masses, calcifications, and asymmetries, which can indicate malignancy depending on their morphology, size, and other characteristics. The document also reviews standard mammographic views and projections, as well as how different modalities may be used in clinical scenarios to evaluate patients with palpable lumps or other breast symptoms.

    Original Description:

    Brief account of Breast Radiology.

    Original Title

    Breast Radiology

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    The document provides an overview of breast imaging strategies and techniques. It discusses that mammography and ultrasound are the primary modalities for imaging the breast, and certain scenarios may also use MRI, CT, or nuclear imaging. Mammographic interpretation involves looking for masses, calcifications, and asymmetries, which can indicate malignancy depending on their morphology, size, and other characteristics. The document also reviews standard mammographic views and projections, as well as how different modalities may be used in clinical scenarios to evaluate patients with palpable lumps or other breast symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    67 views10 pages

    Introduction To Clinical Radiology: The Breast: Priscilla J. Slanetz MD, MPH Assistant Professor of Radiology

    Uploaded by

    drqazi777
    The document provides an overview of breast imaging strategies and techniques. It discusses that mammography and ultrasound are the primary modalities for imaging the breast, and certain scenarios may also use MRI, CT, or nuclear imaging. Mammographic interpretation involves looking for masses, calcifications, and asymmetries, which can indicate malignancy depending on their morphology, size, and other characteristics. The document also reviews standard mammographic views and projections, as well as how different modalities may be used in clinical scenarios to evaluate patients with palpable lumps or other breast symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 10

    Introduction to Clinical Radiology:

    The Breast

    Priscilla J. Slanetz MD, MPH


    Assistant Professor of Radiology
    Imaging Strategies: The Breast

    • Mammography and ultrasound are the two


    primary modalities for imaging the breast
    • Selected clinical scenarios utilize MR, CT
    and/or nuclear imaging
    • Percutaneous biopsies can be guided by
    stereotaxis, ultrasound, CT or MR
    Imaging Strategies: Basics of
    Mammographic Interpretation
    • Overview – breast density, positioning,
    quality control
    • Look for masses, calcifications, and
    asymmetries
    • If present,
    • Mass/asymmetry -- shape, margins, size, density,
    and location
    – Spiculated, irregular and high density suggestive of
    malignancy
    • Calcifications – morphology and distribution
    – Pleomorphic linear branching clustered
    calcifications suggestive of malignancy
    • BIRADS Assessment (0 → 6)
    • BIRADS 0 need additional imaging work-up
    • BIRADS 1 and 2 typically all set
    • BIRADS 3 need short interval follow-up imaging
    • BIRADS 4 and 5 usually warrant biopsy
    • BIRADS 6 is known malignancy
    Standard mammographic
    projections
    The Medio-Lateral Oblique
    (MLO) view

    T T
    B B

    B
    T The Cranio-Caudal (CC) view

    Note that the view is named for the orientation


    of the x-ray tube (which determines the polarization
    of the beam) with respect to the breast
    The Breast…Clinical Approach
    • quadrants in the breast
    • any finding (palpable
    lump, scar, etc… is noted
    on schematic
    • always show the patient
    where you are concerned
    Imaging Strategies: The Breast
    • Indications:
    • Screening (asymptomatic)
    • Symptomatic (lump, thickening, pain, discharge)
    • Mammography
    • Screening
    – Annually beginning at age 40 years; earlier if higher
    risk
    • Diagnostic (symptomatic patient – pain, lump, discharge)
    • Ultrasound
    • To evaluate a palpable abnormality or to further
    characterize a finding on mammography
    • Magnetic resonance imaging (MR)
    • To assess silicone implant integrity, evaluate cancer
    extent, screen high-risk women, and problem solving tool
    42 year old with a palpable lump…
    Mammography first, then…
    An ultrasound reveals a
    round mass which is
    completely anechoic
    consistent with a simple
    cyst

    RCC RMLO
    48 year
    54 year old old
    withwith
    left abreast
    lump… lump

    An irregular shaped mass is seen on


    the mammogram.
    MR of both breasts
    detected the known
    invasive ductal
    cancer in the left
    breast and a
    contralateral
    invasive ductal
    cancer in the right
    breast
    The End

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