Tuesday, 16 October 2007

Review of Interval Breast Cancers

A True Screening Environment for Review of Interval Breast Cancers: Pilot Study to Reduce Bias
Paula B. Gordon, Marilyn J. Borugian, and Linda J. Warren Burhenne
Radiology 2007;245 411-415

http://radiology.rsnajnls.org/cgi/content/abstract/245/2/411?etoc


Whenever the interpreting radiologist is aware of a higher-than-usual possibility of cancer, it can influence the interpretation such that the study is more likely to be interpreted as positive.

US Strain Imaging

Differentiating Benign from Malignant Solid Breast Masses with US Strain Imaging
Elizabeth S. Burnside, Timothy J. Hall, Amy M. Sommer, Gina K. Hesley, Gale A. Sisney, William E. Svensson, Jason P. Fine, Jinfeng Jiang, and Nicholas J. Hangiandreou
Radiology 2007;245 401-410

http://radiology.rsnajnls.org/cgi/content/abstract/245/2/401?etoc

We found that when radiologists integrate US strain imaging features with conventional US characteristics, the differentiation of malignant and benign solid breast masses improves

Monday, 8 October 2007

Current Status of Breast MR Imaging * Part 2. Clinical Applications

Current Status of Breast MR Imaging * Part 2. Clinical Applications
Christiane K. Kuhl
Radiology 2007;244 672-691
http://radiology.rsnajnls.org/cgi/content/abstract/244/3/672?etoc

All of the published studies are highly concordant in finding that breast MR is the most accurate imaging technique currently available for local breast cancer staging

Inflammatory Breast Cancer: DCE MR

Inflammatory Breast Cancer: Dynamic Contrast-enhanced MR in Patients Receiving Bevacizumab Initial Experience
Arpi Thukral, David M. Thomasson, Catherine K. Chow, Reyes Eulate, Suparna B. Wedam, Sandeep N. Gupta, Betty J. Wise, Seth M. Steinberg, David J. Liewehr, Peter L. Choyke, and Sandra M. Swain
Radiology 2007;244 727-735
http://radiology.rsnajnls.org/cgi/content/abstract/244/3/727?etoc

We found that the MR-derived integrated area under the gadolinium concentration curve and general kinetic model parameters forward transfer rate constant and backflow compartmental rate constant extravascular and extracellular to plasma were the most strongly associated with changes in inflammatory breast cancer response after treatment with bevacizumab alone and combination bevacizumab therapy and chemotherapy

Contrast-enhanced Subharmonic US

Breast Lesions: Imaging with Contrast-enhanced Subharmonic US Initial Experience
Flemming Forsberg, Catherine W. Piccoli, Daniel A. Merton, Juan J. Palazzo, and Anne L. Hall
Radiology 2007;244 718-726
http://radiology.rsnajnls.org/cgi/content/abstract/244/3/718?etoc

Subharmonic imaging may increase the ability to diagnose breast cancer compared with current techniques (albeit on the basis of findings in a very small subject group).

Randomized Trial of Screen-Film versus Full-Field Digital Mammography

Randomized Trial of Screen-Film versus Full-Field Digital Mammography with Soft-Copy Reading in Population-based Screening Program: Follow-up and Final Results of Oslo II Study
Per Skaane, Solveig Hofvind, and Arnulf Skjennald
Radiology 2007;244 708-717
http://radiology.rsnajnls.org/cgi/content/abstract/244/3/708?etoc

The Oslo II follow-up study results have demonstrated a significantly higher cancer detection rate at full-field digital mammography than at screen-film mammography, whereas the positive predictive values were comparable for the two imaging modalities.

Evaluation of Computer-aided Detection Systems

Evaluation of Computer-aided Detection Systems in the Detection of Small Invasive Breast Carcinoma
Richard L. Ellis, Andrew A. Meade, Michelle A. Mathiason, Kathy M. Willison, and Wende Logan-Young
Radiology 2007;245 88-94
http://radiology.rsnajnls.org/cgi/content/abstract/245/1/88?etoc

A statistically significant difference was observed in study and image sensitivity in our mammography data set with small (<16>

Enhancing Nonmass Lesions in the Breast

Enhancing Nonmass Lesions in the Breast: Evaluation with Proton (1H) MR Spectroscopy
Lia Bartella, Sunitha B. Thakur, Elizabeth A. Morris, D. David Dershaw, Wei Huang, Eugenia Chough, Maria C. Cruz, and Laura Liberman
Radiology 2007;245 80-87
http://radiology.rsnajnls.org/cgi/content/abstract/245/1/80?etoc

Our study data show that the information obtained at proton (1H) MR spectroscopy may decrease the number of biopsy recommendations for benign enhancing nonmass lesions.

Should Breast Imaging Practices Convert to Digital Mammography? A Response

Should Breast Imaging Practices Convert to Digital Mammography? A Response
from Members of the DMIST Executive Committee

Etta D. Pisano, R. Edward Hendrick, Martin Yaffe, Emily F. Conant, and Constantine Gatsonis
Radiology 2007;245 12-13
http://radiology.rsnajnls.org/cgi/content/full/245/1/12?etoc

Further analysis of Digital Mammographic Imaging Screening Trial (DMIST) results and future studies of digital mammography in light of DMIST are the best ways to learn exactly how digital mammography should be used.

Digital Mammography: Do We Need to Convert Now?

Digital Mammography: Do We Need to Convert Now?
David Gur
Radiology 2007;245 10-11
http://radiology.rsnajnls.org/cgi/content/full/245/1/10?etoc

Digital mammography is better for the patient and for our future medical practice, even if the diagnostic performance does not actually improve in the subsets of younger or premenopausal women by as much as seems to be indicated from the Digital Mammographic Imaging Screening Trial project (DMIST).