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Breast Imaging and Image-Guided Biopsy Techniques

  • Marie GanottEmail author
  • Brandy Griffith
  • Scott M. Rudzinski
Chapter

Abstract

Breast imaging is an essential component of breast cancer diagnosis and guides surgery and treatment options. Imaging techniques, such as mammography, ultrasound (US), and magnetic resonance imaging (MRI), enable the detection of breast cancer at earlier stages. Mammography remains the standard screening examination; however, additional imaging studies are useful in evaluating the breast. US is utilized primarily in the diagnostic setting in order to characterize mammographic or palpable findings and assess axillary lymph nodes. Supplemental screening US may also be useful to increase cancer detection in patients with intermediate risk for developing breast cancer and dense breasts. In addition to mammography, high-risk patients may have supplemental annual screening with MRI or screening ultrasound if they are unable to undergo MRI. MRI is also performed to evaluate the extent of disease, the response to neoadjuvant chemotherapy, and silicone implant integrity. In addition, these imaging modalities are also used to guide percutaneous biopsy, enabling minimally invasive tissue diagnosis. At this time, there is insufficient evidence to support the screening use of investigational imaging modalities, such as nuclear medicine breast imaging and positron emission mammography (PEM). However, these topics are briefly discussed for completeness.

Keywords

3D mammogram Aspiration BI-RADS Bracketing Breast-specific gamma imaging (BSGI) Computed tomography (CT) Diagnostic Elastography High-risk screening Magnetic resonance imaging (MRI) Mammogram Molecular breast imaging (MBI) Nuclear medicine breast imaging Positron emission mammography (PEM) Radioactive seed Stereotactic Tomosynthesis Ultrasound (US) Wire localization 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Marie Ganott
    • 1
    Email author
  • Brandy Griffith
    • 2
  • Scott M. Rudzinski
    • 3
  1. 1.Department of RadiologyUniversity of Pittsburgh Medical Center, Magee-Womens HospitalPittsburghUSA
  2. 2.Department of RadiologyThe Ohio State University, Wexner Medical CenterColumbusUSA
  3. 3.Windsong Radiology GroupWilliamsvilleUSA

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