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Minimally Invasive Breast Biopsies pp 159–181Cite as

Advances in Breast Imaging: A Dilemma or Progress?

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Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 173))

Abstract

Breast cancer is the leading malignant disease in women in the Western world. It affects 9–12% of women during their lifetime (Heywang-Köbrunner and Schreer 2003). In the United States breast cancer causes more than 43,000 deaths per year, in the countries of the European Union more than 74,000 (Eurostat Datenbank Newcronos, unpublished data). Early detection and effective treatment of breast cancer are the major factors contributing to the decline in the mortality rate. At present, mammography is the gold standard for the detection of breast cancer. Despite recent technical advances, mammography may miss as many as 10–25% of carcinomas, particularly in radiographically dense breasts. Furthermore, the high rate of false-positive mammograms (60–70%) results in a correspondingly high rate of biopsies that impose a heavy psychological burden on women and a heavy financial cost on the healthcare system (Heywang-Köbrunner and Schreer 2003; Elmore et al. 1998). Various additional modalities such as ultrasound (US) or magnetic resonance imaging (MRI) have been introduced to adjunctively either increase cancer detection or to improve discrimination between malignant and benign lesions. Despite complementary use of these imaging modalities, breast cancer is missed in a considerable number of cases (Heywang-Köbrunner and Schreer 2003; Elmore et al. 1998). Over time, substantial insight into the pathophysiology of breast carcinomas and other breast diseases has been gained. This knowledge should be included in breast imaging strategies of the future. Researchers expect to gain more, and particularly more precise and specific, information about breast lesions in the future, leading to earlier diagnosis of breast cancer and a more precise discrimination between benign and malignant tumors.

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Authors and Affiliations

  1. Department of Radiology, General Hospital Vienna, (AKH) Waehringer Guertel 18-20, 1090, Vienna, Austria

    Thomas H. Helbich

Authors
  1. Daniel Flöry
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  2. Michael W. Fuchsjaeger
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  3. Christian F. Weisman
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  4. Thomas H. Helbich
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Corresponding author

Correspondence to Thomas H. Helbich .

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Editors and Affiliations

  1. Gynäkologie und Geburtshilfe, FMH, Aarbergergasse 30, Bern, 3011, Switzerland

    Renzo Brun del Re

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© 2009 Springer-Verlag Berlin Heidelberg

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Flöry, D., Fuchsjaeger, M.W., Weisman, C.F., Helbich, T.H. (2009). Advances in Breast Imaging: A Dilemma or Progress?. In: Brun del Re, R. (eds) Minimally Invasive Breast Biopsies. Recent Results in Cancer Research, vol 173. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-31611-4_10

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  • DOI: https://doi.org/10.1007/978-3-540-31611-4_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-31403-5

  • Online ISBN: 978-3-540-31611-4

  • eBook Packages: MedicineMedicine (R0)

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