Breast Ultrasound: BI-RADS Update and Imaging Pathologic

  • Alexander MundingerEmail author


Radiology and pathology share some characteristics such as intensive multidisciplinary cooperation, standardised communication and discussion of any discrepancy. Both disciplines have to survey many details to detect and characterise index lesions within the breast based on a perception concept that resembles the recognition of a signal within noise. Appropriate correlation of all imaging and pathological findings with clinical symptoms, underlying risk and anamnestic information is prerequisite for quality assurance. Both disciplines also depend on continuous education and international exchange to achieve and maintain highest standards. To date interdisciplinary conferences have become standard in breast centres. The consensus on radiologic-pathologic correlation is one of several critical parameters to fulfil state-of-the-art management of patients with breast disease. Management options focus on a second expert opinion, the gaining of additional information by minimally invasive tissue sampling or surgical re-biopsy or imaging follow-up to exclude the new development of breast cancer.


Diagnostic ultrasound Diagnosis Breast neoplasm Benign breast disease Clinical issues BI-RADS ultrasound State-of-the-art equipment Imaging Colour Doppler Three-dimensional ultrasound Elastography Tissue harmonic imaging Automated volume ultrasound Mammography MRI Histology minimally invasive procedures Needle biopsy Assessment axilla Lymph node excision 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Radiological Department and Breast CentreNiels-Stensen-ClinicsOsnabrückGermany

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