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Público·12 miembros

Breast Imaging: Diagnosis And Intervention (Med...



Dr. Brem is the principal investigator of numerous clinical trials including molecular imaging approaches for the improved detection of breast cancer as well as identifying additional areas of unsuspected cancer in women with newly diagnosed breast cancer, as well as, Dr. Brem has published more than 80 journal articles and manuscripts related to breast cancer, and is the recipient of numerous honors and awards. She also is the Director of the GW Mobile Mammography Program which focuses on screening mammography in the underserved community in DC, Maryland and Virginia. Dr. Brem works extensively with members of the Hill to further education, awareness and legislature to optimize breast cancer diagnosis and treatment. As a breast cancer survivor herself, she understands and is committed to the science and the personal aspects of breast cancer.




Breast Imaging: Diagnosis and Intervention (Med...



We summarise here the information to be provided to women and referring physicians about percutaneous breast biopsy and lesion localisation under imaging guidance. After explaining why a preoperative diagnosis with a percutaneous biopsy is preferred to surgical biopsy, we illustrate the criteria used by radiologists for choosing the most appropriate combination of device type for sampling and imaging technique for guidance. Then, we describe the commonly used devices, from fine-needle sampling to tissue biopsy with larger needles, namely core needle biopsy and vacuum-assisted biopsy, and how mammography, digital breast tomosynthesis, ultrasound, or magnetic resonance imaging work for targeting the lesion for sampling or localisation. The differences among the techniques available for localisation (carbon marking, metallic wire, radiotracer injection, radioactive seed, and magnetic seed localisation) are illustrated. Type and rate of possible complications are described and the issue of concomitant antiplatelet or anticoagulant therapy is also addressed. The importance of pathological-radiological correlation is highlighted: when evaluating the results of any needle sampling, the radiologist must check the concordance between the cytology/pathology report of the sample and the radiological appearance of the biopsied lesion. We recommend that special attention is paid to a proper and tactful approach when communicating to the woman the need for tissue sampling as well as the possibility of cancer diagnosis, repeat tissue sampling, and or even surgery when tissue sampling shows a lesion with uncertain malignant potential (also referred to as "high-risk" or B3 lesions). Finally, seven frequently asked questions are answered.


Breast MRI is a highly advanced technology that uses magnets and radio waves to produce images of soft tissue in the breast. When used with screening and diagnostic mammography, MRI technology provides additional information for the early detection and diagnosis of breast disease. Breast MRI can also serve as an additional safeguard for women with a high risk of breast cancer.


A very thin needle is used to draw cells from the area of the breast that has suspicious changes in order to provide a diagnosis without surgical intervention. There is minor discomfort with this procedure, which typically lasts just a few seconds.


The program is designed to provide trainees interested in honing their skills in more than one subspecialty of Radiology with comprehensive and structured training in their areas of interest. This one-year program can be divided into up to four different rotations, which will be tailored to the areas of interest of the applicant. The fellows can choose between different rotations including body imaging, cardiothoracic imaging, pediatric radiology, neuroradiology, breast imaging and interventional radiology.


We provide a full spectrum of breast imaging tests at three locations of University of Chicago Medicine, which are Hyde park, River East, and Orland Park. We offer all breast imaging exams that include 3D mammography, sonography, magnetic resonance imaging, and interventional procedures. Our screening clinic provides service to the surrounding community and we are a referral center for the evaluation of patients with difficult diagnostic problems. Our diagnostic clinic specializes in taking care of patients with newly diagnosed breast cancer as well as breast cancer survivors. We work collaboratively with the breast interdisciplinary team comprising of medical and radiation oncologists, surgeons, and pathologists. At our weekly multi-disciplinary conference, all of the clinical, imaging, and pathologic data for each new cancer patient is discussed, and personalized management plans are created for each patient.


We work within a fully digital environment for mammography screening and diagnosis. We use a stereotactic table and a tomosynthesis machine equipped with biopsy capability for image-guided biopsy procedures and use state-of-the-art ultrasound units for diagnosis and intervention. We have access to 3.0 Tesla MRI magnets with dedicated breast coils and computer-assisted visualization and analysis tools for evaluating breast magnetic resonance examinations.


The activities of the Breast Imaging faculty encompass a broad range of research activities in both the basic and clinical domains. The breast imaging section is a national leader in research efforts in the development of new imaging techniques that focus on the early detection and diagnosis of disease. The Section has an active and robust research program that is represented by direct faculty awards and/or participation in several federally funded grants and industry-sponsored clinical trials. A number of sources including the National Institutes of Health (NIH) and many non-federal granting agencies such as the American Cancer Society supports our well-established research activities. Our translational research efforts involve close collaboration between breast radiologists, medical physicists, pathologists, and oncologists. We collaborate with Dr. Gregory Karczmar and colleagues, to optimize imaging methods for the detection of small cancers, using novel MRI techniques. Our investigations, with Dr. Maryellen Giger and medical physics colleagues, continue, with emphasis on multimodality applications for quantitative imaging analysis methods in breast imaging.


The combined department of Breast Imaging at Mount Sinai Hospital, Princess Margaret Hospital, and Women's College Hospital offers a very comprehensive and integrated multimodality one-year Breast Imaging fellowship. We offer world-class experience with a very large number of clinical cases, diverse and rare pathology, leading-edge technology, and a comprehensive research and teaching program. As a result of our large practice and state-of-the-art technology, we are able to offer our fellows in-depth exposure to all aspects of screening, diagnostic, interventional, and academic breast imaging experiences. Our graduates have come to us from varied continents and have been successful in continuing in either academic or community practices of their choice in different parts of the world.


You also get the opportunity to collaborate closely with surgeons, oncologists, and other caregivers to optimize the diagnosis and treatment of patients with head and neck, liver, lung, breast, and gastrointestinal cancers.


We use a variety of imaging techniques for early detection and comprehensive diagnosis. As a student in our department, you gain experience in using CT and MRI for atherosclerosis; CT and MR angiography for vascular diseases; CT for colon cancer; PET for oncology; and digital mammography, MRI, ultrasound, and computer-aided diagnosis for breast cancer. We also provide radiological screenings for atherosclerosis as well as colon, breast, and lung cancers.


Our board-certified radiologists are experts in a variety of imaging procedures, including breast imaging, computed tomography (CT), diagnostic radiology, magnetic resonance imaging (MRI) and ultrasound. Our dedicated staff of interventional radiologists specialize in the diagnosis and treatment of a broad spectrum of medical conditions, including nonoperative treatment of certain cancers.


Loyola Medicine offers a complete spectrum of imaging services ranging from radiographs and ultrasounds to CT scans, MRIs and nuclear medicine. Our radiologists perform the latest interventional techniques for the vascular, musculoskeletal and nervous systems as well as the abdomen and breast.


Professional interpretation and interventional procedures are provided by South Texas Radiology Group, P.A. (STRG). With over 70 Board-Certified Radiologists, some with sub-specialization in fields such as neuroradiology, musculoskeletal, body, cardiac, breast and interventional radiology, STRG has experience and a reputation that spans more than fifty years.


Recent literature supports the use of screening MRI for women with a personal history of breast cancer and dense breast tissue, as well as when a woman has a recent diagnosis of breast cancer.


Of the breast imaging modalities, MRIs have been shown to demonstrate the most accurate extent of disease of any of the breast imaging modalities. Our breast imaging specialists also look at the contralateral breast when there is a new breast cancer diagnosis. The data demonstrates that 3% to 5% of women will have asynchronous contralateral breast cancer, which is critical to diagnose at the time of breast cancer treatment.


Mammography uses low-dose x-ray technology to detect the presence of breast tumors and distinguish between cancerous and non-cancerous growths. It is commonly recognized as an essential early intervention and diagnostic tool for women. However, it is also used for men with certain symptoms. Annual mammograms are recommended for all women over the age of 40 for breast cancer prevention and early intervention.


Specializing in breast cancer detection and treatment, the Mountainside Medical Center Women's Imaging Center provides a full spectrum of services for prevention, screening, diagnosis and treatment of breast disease. At Mountainside Medical Center's Women's Imaging Center, our commitment is to provide the most advanced diagnostic equipment and medical staff needed to accurately interpret -- and act on -- the results. This combination of technology, unsurpassed expertise and preventative techniques allows us to screen for potential problems faster, more accurately and more comfortably. 041b061a72


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