Antecedents: A Half-Century of Imaging the Breast

Kopans, Daniel B.

doi:10.1093/jbi/wby016

Cited by 4 publications

(4 citation statements)

References 88 publications

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“…Gynecomastia is the most common mass in the male breast; it is usually painless, concentric, soft, and mobile. The mammographic features include a fan-shaped mass radiating from the retroareolar area to the upper outer quadrant, with straight or concave margins that can be indistinct from the surrounding tissues . Lipoma of the male breast has no significant appearance on mammography, and epidermal inclusion cysts are usually regular and sometimes calcified .…”

Section: Discussionmentioning

confidence: 93%

Breast Mass in a Man

Ali

2018

JAMA Surg

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A previously healthy 40-year-old man presented with a 3-month history of a right breast mass slowly enlarging with associated pain. The patient denied history of local trauma, and his family history was negative regarding breast or ovarian cancers. The patient had no history of liver disease, hormonal therapy, or radiation to the chest wall.The physical examination disclosed an obese man with no signs of hypogonadism or liver failure. There was a 3 × 4-cm hard, irregular, mobile nodule in the retroareolar area of the right breast, tethered to the overlying skin but not fixed to the underlying muscle. There were no other masses on the chest wall. The ipsilateral lymph nodes were palpable. The left breast and axilla were normal. Right mediolateral oblique mammography (Figure , A) and computed tomography scan of the chest (Figure, B) are shown.

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Section: Discussionmentioning

confidence: 93%

Breast Mass in a Man

Ali

2018

JAMA Surg

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“…Shadowing is the result of attenuation of sound beam by desmoplastic host response to breast cancer rather than being tumor to itself and was suggestive of malignancy 15 . In contrast posterior acoustic enhancement or absent distal sound beam modulation were non-specific findings 16 . Rahbar et al 13 reported frequency for attenuation of 75% in benign masses.…”

Section: Discussionmentioning

confidence: 97%

Evaluate role of High-Resolution Ultrasonography in evaluation of breast masses and its correlation with Fine Needle Aspiration Cytology

Dr. Ashish S Rudrawadi,

Dr. Laxminarayan Ambajirao Gachchi,

Dr Shariq Mohammed M

et al. 2023

IARJMSR

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Introduction: Breast carcinoma is the most common malignant tumor among women. It contributes to a significant proportion of all cancers in women worldwide (25%). Ultrasound is a helper tool used in union with mammography and clinical examination of breast in breast lesion screening. In patients with dense breast tissue, USG is a valuable aid in picking up and characterizing lesions. It has a highly capable in spotting lesions but is poor in specificity. To boost specificity, the ACR introduced the BIRADS to categorize breast masses. Material and Methods: This is a prospective and observational study conducted in the Department of Radiodiagnosis, Al-Ameen medical college and Hospital from October 2021 to September 2022 presenting with complaints of palpable breast lesions and referred to the department of radiology. Structured proforma was used to collect the data. All the subjects who fulfilled the inclusion criteria were subjected to ultrasonography and FNAC. A high-resolution duplex Dopplersonography study using HITACHI ALOKA F-37 ultrasound machines with 5-13MHz linear transducer will be done. Results: In the study 20% had Family History of Breast Cancer. In the study on USG, margin was Circumscribed in 44%, 16% had indistinct, 28% had Micro lobulated and 12% had Spiculated. In the study on USG Echogenicity was Hypoechoic (66%), anechoic (24%), Complex cystic and solid (8%) and Isoechoic (2%). In the study on USG Posterior Echo Intensity was Post acoustic Enhancement in 18%, Shadowing in 30% and No, posterior features in 52%. In the study the study 96% had no infiltration and 4% had infiltration. In the study on Sono BIRADS, 46% were benign, 24% were Probably benign, 14% were Suspicious of malignancy and 16% were Highlysuspicious of malignancy. Conclusions: From the study it was concluded that High-Resolution Ultrasonography (BIRADS) had Sensitivity of 81.25%, specificity of 94.12%, PPV of 86.67%, NPV of 91.43%, Diagnostic Accuracy was 90%. Thus, USG is a reliable first line investigation in cases of breast lesions due to its good sensitivity and a primary diagnosis can be arrived at and the need for other investigations such as FNAC and Biopsy can be decided upon.

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“…Compression is one of these requirements, with no other objective than to reduce breast thickness to its minimal achievable value. This compression has beneficial effects on image quality, such as decreased scattered radiation and therefore improved contrast and detection of lesions, shorter acquisition time and thus less motion artifacts and lower radiation dose, better facilitation of breast immobilization, and reduced unwanted magnification …”

Section: Introductionmentioning

confidence: 99%

Self-compression Technique vs Standard Compression in Mammography

et al. 2019

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IMPORTANCE Many women dread undergoing mammography, and some may not attend or reattend breast cancer screening because of the discomfort or pain induced by breast compression. OBJECTIVE To evaluate the noninferiority of the self-compression mammography technique for reducing breast thickness compared with standard compression. DESIGN, SETTING, AND PARTICIPANTS This prospective, parallel-group, noninferiority randomized clinical trial was conducted from May 7, 2013, to October 26, 2015, at 6 cancer care centers in France. Participants were women aged 50 to 75 years, without a history of recent breast surgical procedure or treatment, and who could perform self-compression. Analyses were performed on intention-to-treat basis from January 27, 2017, to March 30, 2018. INTERVENTIONS Patients were randomized 1:1 to the self-compression group or the standard compression group. MAIN OUTCOMES AND MEASURES Primary end point was breast thickness expressed as the mean of 4 views: right and left craniocaudal and right and left mediolateral oblique. The predefined noninferiority margin was a difference of 3 mm, with a 1-sided 95% CI. Secondary end points included compression force, image quality, requirement for additional views, pain, and patient satisfaction and radiographer assessment questionnaires. RESULTS Among the 549 women randomized, 548 (97.3%) completed the trial. Of these, 275 (48.8%) (mean [SD] age, 61.35 [6.34] years) were randomized to the self-compression arm and 273 (48.5%) (mean [SD] age, 60.84 [6.41] years) to the standard compression arm. The difference in the mean thickness between the 2 arms was lower than the noninferiority margin, with an upper 1-sided 95% CI less than 3 mm (-0.17; 95% CI,−ϱ to 1.89 mm; P < .05). Compression force was higher in the self-compression group compared with the standard compression arm for the 4 mammographic views. Pain was statistically significantly lower in the self-compression group (n = 274) compared with the standard compression group (n = 269) (median [interquartile range (IQR)] score, 2 [1-5] vs 3 [1-5]; P = .009). No difference was reported in the image quality scores of the 2 groups or in the number of additional views performed (median [IQR] extra views, 2 [2-2] vs 2 [2-3] extra views; P = .64), whatever the indication, including insufficient image quality (29 [16.8%] vs 27 [15.0%] insufficient quality views; P = .65). No adverse effects or pain were reported by the participants after the self-compression mammography. CONCLUSIONS AND RELEVANCE Self-compression does not appear to be inferior to standard compression mammography in achieving minimal breast thickness without increasing pain or compromising image quality; this technique may be an effective option for women who want to be involved in their breast examination. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02866591

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Antecedents: A Half-Century of Imaging the Breast

Cited by 4 publications

References 88 publications

Breast Mass in a Man

Breast Mass in a Man

Evaluate role of High-Resolution Ultrasonography in evaluation of breast masses and its correlation with Fine Needle Aspiration Cytology

Self-compression Technique vs Standard Compression in Mammography

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