Monday, 19 November 2007

Breast Lymphoma: Imaging Findings

Breast Lymphoma: Imaging Findings of 32 Tumors in 27 Patients
Wei Tse Yang, Deanna L. Lane, Huong T. Le-Petross, Lynne V. Abruzzo, and Homer A. Macapinlac
Radiology 2007;245 692-702
Abstract

Breast lymphomas manifest most frequently as a lobular or irregular mass with indistinct margins at mammography, and a solid, hypervascular irregular mass with indistinct margins or an echogenic boundary at US

Pure Ductal Carcinoma in Situ

Pure Ductal Carcinoma in Situ: Kinetic and Morphologic MR Characteristics Compared with Mammographic Appearance and Nuclear Grade
Sanaz A. Jansen, Gillian M. Newstead, Hiroyuki Abe, Akiko Shimauchi, Robert A. Schmidt, and Gregory S. Karczmar
Radiology 2007;245 684-691
Abstract

Lesions with a mammographic appearance of a soft-tissue mass or pleomorphic, linear, or linear-branching calcifications, as well as mammographically occult (ie, depicted at MR only) lesions, were more likely to exhibit plateau or washout enhancement characteristics than were lesions with amorphous or indistinct calcifications and might represent more aggressive disease.

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).