BookNiketa Chotai, Supriya Kulkarni.
Summary: This book covers all the essential aspects of breast imaging necessary for the preparation of MMed, MD, FRCR and FRANZCR exams. The main focus is on mammogram and breast ultrasound along with basics of breast MRI and breast interventions. With the increasing popularity of these qualifying exams among radiology residents in Asia, Great Britain as well as Australia and dearth of relevant resources on the topic, this book will serve as a valuable resource for the candidates. The book is also aligned with preparations required for the FRCPC (Canada) and the American Board of Radiology. The book is divided into two sections - first section includes chapters on basics of breast imaging along with a chapter on emerging technologies while the second section includes 50 exam-relevant cases covering imaging findings utilizing appropriate BI-RADS lexicon, possible differentials, next recommended investigation and appropriate management in accordance with American College of Radiology lexicon, BI-RADS system and MRI correlation, whenever available. Readers also get familiar with the indications for breast MRI. The book is written by experts in breast imaging with relevant teaching experience. Written by an experts with strong teaching experience, this book is not only suitable for exams but is also useful for practicing breast and non-breast radiologists as well as breast care clinicians, keen to learn fundamentals of breast imaging.
Contents:
Intro
Preface
Acknowledgments
Contents
About the Authors
Abbreviations
Part I: Basics of Breast Imaging
1: General Considerations in Breast Imaging
1.1 Anatomy
1.2 Anatomy of Axillary Nodes (Figs. 1.2 and 1.3)
1.3 Scheduling
1.4 Patient History and Clinical Details
Suggested Readings
2: Mammography
2.1 Mammographicy Technique
2.2 Quality Assurance in Mammography
2.3 Positioning
2.4 Breast Compression
2.5 Labeling
2.6 Breast Composition
2.7 Assessing the Adequacy of Mammographic Views
2.8 Approach to Reading a Mammogram Suggested Readings
3: Additional Views
Suggested Readings
4: Breast Ultrasound
Suggested Readings
5: Breast MRI
5.1 Screening
High-Risk Screening
Foreign Body Injections
Surveillance
5.2 Diagnostic
Suggested Readings
6: Screening
6.1 Average-Risk Population Screening Guidelines
6.2 High-Risk Population Screening Guidelines
Suggested Readings
7: Digital Breast Tomosynthesis
7.1 Performance of DBT for Screening
7.2 DBT and Calcifications
7.3 DBT and Radiation Dose
7.4 DBT and Synthetic View
7.5 DBT and Time 7.6 DBT for Diagnostic Workup
7.7 DBT Biopsy and Contrast-Enhanced DBT
Suggested Readings
8: BI-RADS Lexicon
Suggested Reading
9: Organization of Breast Imaging Reports
9.1 Indication for Examination
9.2 Breast Composition Description
9.3 Clear Description of any Important Findings
Mammograms
Ultrasound
MRI
9.4 Comparison with Prior Study
9.5 Assessment Category
9.6 Management
Suggested Reading
10: Emerging Technologies
10.1 Contrast Enhanced Mammogram (Fig. 10.1)
10.2 Elastography (Fig. 10.2) Static Ultrasound Elastography: Strain Imaging
Dynamic Ultrasound Elastography: Shear Wave Imaging
Automated Breast Ultrasound (ABUS) (Fig. 10.3)
Suggested Readings
Part II: Case Based Review
11: Calcifications
11.1 Case 11.1
Questions
Answers
Notes
Breast Calcifications
Morphology
Distribution
11.2 Case 11.2
Questions
Answers
Notes
Ductal and Lobular Proliferations
Atypical Ductal Hyperplasia (ADH)
Lobular Neoplasia (LN)
Management
11.3 Case 11.3
Questions
Answers
Notes
Fibrocystic Change (FCC)
11.4 Case 11.4 Questions
Answers
Notes
Secretory Calcifications (Plasma Cell Mastitis)
11.5 Case 11.5
Questions
Answers
Notes
Ductal Carcinoma In Situ (DCIS)
Management
11.6 Case 11.6
Questions
Answers
Notes
Paget's Disease
11.7 Case 11.7
Questions
Answers
Notes
Recurrent DCIS
Radiological-Pathological (Rad-Path) Concordance
Category 1: Concordant Malignancy
Category 2: Discordant Malignancy
Category 3: Concordant Benign
Category 4: Discordant Benign
Category 5: Borderline or High Risk
Suggested Readings