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The outlook for women with breast cancer has improved in recent years. Due to the combination of improved treatments and the benefits of mammography screening, breast cancer mortality has decreased steadily since 1989. Yet breast cancer remains a major problem, second only to lung cancer as a leading cause of death from cancer for women. To date, no means to prevent breast cancer has been discovered and experience has shown that treatments are most effective when a cancer is detected early, before it has spread to other tissues. These two facts suggest that the most effective way to continue reducing the death toll from breast cancer is improved early detection and diagnosis. Building on the 2001 report Mammography and Beyond, this new book not only examines ways to improve implementation and use of new and current breast cancer detection technologies but also evaluates the need to develop tools that identify women who would benefit most from early detection screening. Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis encourages more research that integrates the development, validation, and analysis of the types of technologies in clinical practice that promote improved risk identification techniques. In this way, methods and technologies that improve detection and diagnosis can be more effectively developed and implemented.
This book is a comprehensive guide to contrast-enhanced mammography (CEM), a novel advanced mammography technique using dual-energy mammography in combination with intravenous contrast administration in order to increase the diagnostic performance of digital mammography. Readers will find helpful information on the principles of CEM and indications for the technique. Detailed attention is devoted to image interpretation, with presentation of case examples and highlighting of pitfalls and artifacts. Other topics to be addressed include the establishment of a CEM program, the comparative merits of CEM and MRI, and the roles of CEM in screening populations and monitoring of response to neoadjuvant chemotherapy. CEM became commercially available in 2011 and is increasingly being used in clinical practice owing to its superiority over full-field digital mammography. This book will be an ideal source of knowledge and guidance for all who wish to start using the technique or to learn more about it.
Mammography is an important tool for detecting breast cancer at an early stage. When coupled with appropriate treatment, early detection can reduce breast cancer mortality. At the request of Congress, the Food and Drug Administration (FDA) commissioned a study to examine the current practice of mammography and breast cancer detection, with a focus on the FDA's oversight via the Mammography Quality Standards Act (MQSA), to identify areas in need of improvement. Enacted in 1993, MQSA provides a general framework for ensuring national quality standards in facilities performing screening mammography, requires that each mammography facility be accredited and certified, and mandates that facilities will undergo annual inspections. This book recommends strategies for achieving continued progress in assuring mammography quality, including changes to MQSA regulation, as well as approaches that do not fall within the purview of MQSA. Specifically, this book provides recommendations aimed at improving mammography interpretation; revising MQSA regulations, inspections, and enforcement; ensuring an adequate workforce for breast cancer screening and diagnosis; and improving breast imaging quality beyond mammography.
Now in its 3rd Edition, this bestselling volume in the popular Requisites series, by Drs. Debra M. Ikeda and Kanae K. Miyake, thoroughly covers the fast-changing field of breast imaging. Ideal for residency, clinical practice and certification and MOC exam study, it presents everything you need to know about diagnostic imaging of the breast, including new BI-RADS standards, new digital breast tomosynthesis (DBT) content, ultrasound, and much more. Compact and authoritative, it provides up-to-date, expert guidance in reading and interpreting mammographic, ultrasound, DBT, and MRI images for efficient and accurate detection of breast disease. Features over 1,300 high-quality images throughout. Summarizes key information with numerous outlines, tables, ''pearls,'' and boxed material for easy reference. Focuses on essentials to pass the boards and the MOC exam and ensure accurate diagnoses in clinical practice. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. All-new Breast Imaging-Reporting and Data System (BI-RADS) recommendations for management and terminology for mammography, elastography in ultrasound, and MRI. Step-by-step guidance on how to read new 3D tomosynthesis imaging studies with example cases, including limitations, pitfalls, and 55 new DBT videos. More evidence on the management of high risk breast lesions. Correlations of ultrasound, mammography, and MRI with tomosynthesis imaging. Detailed basis of contrast-enhanced MRI studies. Recent nuclear medicine techniques such as FDG PET/CT, NaF PET.
Each year more than 180,000 new cases of breast cancer are diagnosed in women in the U.S. If cancer is detected when small and local, treatment options are less dangerous, intrusive, and costly-and more likely to lead to a cure. Yet those simple facts belie the complexity of developing and disseminating acceptable techniques for breast cancer diagnosis. Even the most exciting new technologies remain clouded with uncertainty. Mammography and Beyond provides a comprehensive and up-to-date perspective on the state of breast cancer screening and diagnosis and recommends steps for developing the most reliable breast cancer detection methods possible. This book reviews the dramatic expansion of breast cancer awareness and screening, examining the capabilities and limitations of current and emerging technologies for breast cancer detection and their effectiveness at actually reducing deaths. The committee discusses issues including national policy toward breast cancer detection, roles of public and private agencies, problems in determining the success of a technique, availability of detection methods to specific populations of women, women's experience during the detection process, cost-benefit analyses, and more. Examining current practices and specifying research and other needs, Mammography and Beyond will be an indispensable resource to policy makers, public health officials, medical practitioners, researchers, women's health advocates, and concerned women and their families.
This book provides a comprehensive description of the screening and clinical applications of digital breast tomosynthesis (DBT) and offers straightforward, clear guidance on use of the technique. Informative clinical cases are presented to illustrate how to take advantage of DBT in clinical practice. The importance of DBT as a diagnostic tool for both screening and diagnosis is increasing rapidly. DBT improves upon mammography by depicting breast tissue on a video clip made of cross‐sectional images reconstructed in correspondence with their mammographic planes of acquisition. DBT results in markedly reduced summation of overlapping breast tissue and offers the potential to improve mammographic breast cancer surveillance and diagnosis. This book will be an excellent practical teaching guide for beginners and a useful reference for more experienced radiologists.
Even with the advent of many new radiographic techniques, mammography remains the most important and effective method of breast examination available today. This outstanding guide, using anatomy and pathology as a starting point, gives you clear and accurate instructions on all facets of performing breast mammograms, from proper positioning to analyzing the findings. In addition to mammography, this teaching guide focuses on the non-radiological aspects of breast carcinoma such as clinical diagnosis, treatment, epidemiology, and risk factors. You'll also learn about screening methods to detect and avoid potential problems. The instructive nature of this text makes it an excellent resource for students and residents. Radiologists and OB/GYN's who need a quick update or refresher will also appreciate its value. Here is the book that belongs on the shelves of every medical school library, residency program, and specialist's office!
Bogen er en grundlæggende lærebog om digital mammografi, hvori digital mammografi og traditionel mammografi også sammenlignes i forhold til screening, diagnoser og radiografisk billedteknik. Der er en komplet billedsamling af cases indenfor digital mammografi.
Featuring over 1,500 mammographic images, this atlas is a comprehensive guide to interpreting mammograms. It presents the full spectrum of manifestations of breast diseases, as well as cases involving the postsurgical and augmented breast. Chapters are organized according to the pattern seen on the mammogram to develop readers' pattern recognition skills and to allow quick and complete definition of etiologies and clinical implications for a particular finding. This edition includes new chapters on the augmented breast, the role of ultrasound and MRI in breast imaging, and imaging-guided breast interventions. The terminology of the BI-RADS® lexicon is used throughout.