New evidence on breast Magnetic Resonance Imaging (MRI) screening has become available since the American Cancer Society (ACS) last issued guidelines for the early detection of breast cancer in 2003. A guideline panel has reviewed this evidence and developed new recommendations for women at different defined levels of risk. Screening MRI is recommended for women with an approximately 20-25% or greater lifetime risk of breast cancer,including women with a strong family history of breast or ovarian cancer and women who were treated for Hodgkin disease. There are several risk subgroups for which the available data are insufficient to recommend for or against screening, including women with a personal history of breast cancer, carcinoma in situ, atypical hyperplasia, and extremely dense breasts on mammography. Diagnostic uses of MRI were not considered to be within the scope of this review.
Abstract. We present a new approach for the non-rigid registration of contrastenhanced breast MRI using normalised mutual information. A hierarchical transformation model of the motion of the breast has been developed: The global motion of the breast is modelled using affine transformation models while the local motion of the breast is modelled using spline-based free-form deformation (FFD) models. The algorithm has been applied to the fully automated registration of 3D breast MRI. In particular, we have compared the results of the proposed nonrigid registration algorithm to those obtained using rigid and affine registration techniques. The results clearly indicate that the non-rigid registration algorithm is much better able to recover the motion and deformation of the breast than rigid or affine registration algorithms.
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