Scribd
Upload
174 views10 pages

Breast Imaging Strategies Overview

The document provides an overview of breast imaging strategies and techniques. It discusses that mammography and ultrasound are the primary modalities for imaging the breast, and certain scenarios may also use MRI, CT, or nuclear imaging. Mammographic interpretation involves looking for masses, calcifications, and asymmetries, which can indicate malignancy depending on their morphology, size, and other characteristics. The document also reviews standard mammographic views and projections, as well as how different modalities may be used in clinical scenarios to evaluate patients with palpable lumps or other breast symptoms.

Uploaded by

drqazi777
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
174 views10 pages

Breast Imaging Strategies Overview

The document provides an overview of breast imaging strategies and techniques. It discusses that mammography and ultrasound are the primary modalities for imaging the breast, and certain scenarios may also use MRI, CT, or nuclear imaging. Mammographic interpretation involves looking for masses, calcifications, and asymmetries, which can indicate malignancy depending on their morphology, size, and other characteristics. The document also reviews standard mammographic views and projections, as well as how different modalities may be used in clinical scenarios to evaluate patients with palpable lumps or other breast symptoms.

Uploaded by

drqazi777
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

Introduction to Clinical Radiology:

The Breast

Priscilla J. Slanetz MD, MPH


Assistant Professor of Radiology
Imaging Strategies: The Breast

• Mammography and ultrasound are the two


primary modalities for imaging the breast
• Selected clinical scenarios utilize MR, CT
and/or nuclear imaging
• Percutaneous biopsies can be guided by
stereotaxis, ultrasound, CT or MR
Imaging Strategies: Basics of
Mammographic Interpretation
• Overview – breast density, positioning,
quality control
• Look for masses, calcifications, and
asymmetries
• If present,
• Mass/asymmetry -- shape, margins, size, density,
and location
– Spiculated, irregular and high density suggestive of
malignancy
• Calcifications – morphology and distribution
– Pleomorphic linear branching clustered
calcifications suggestive of malignancy
• BIRADS Assessment (0 → 6)
• BIRADS 0 need additional imaging work-up
• BIRADS 1 and 2 typically all set
• BIRADS 3 need short interval follow-up imaging
• BIRADS 4 and 5 usually warrant biopsy
• BIRADS 6 is known malignancy
Standard mammographic
projections
The Medio-Lateral Oblique
(MLO) view

T T
B B

B
T The Cranio-Caudal (CC) view

Note that the view is named for the orientation


of the x-ray tube (which determines the polarization
of the beam) with respect to the breast
The Breast…Clinical Approach
• quadrants in the breast
• any finding (palpable
lump, scar, etc… is noted
on schematic
• always show the patient
where you are concerned
Imaging Strategies: The Breast
• Indications:
• Screening (asymptomatic)
• Symptomatic (lump, thickening, pain, discharge)
• Mammography
• Screening
– Annually beginning at age 40 years; earlier if higher
risk
• Diagnostic (symptomatic patient – pain, lump, discharge)
• Ultrasound
• To evaluate a palpable abnormality or to further
characterize a finding on mammography
• Magnetic resonance imaging (MR)
• To assess silicone implant integrity, evaluate cancer
extent, screen high-risk women, and problem solving tool
42 year old with a palpable lump…
Mammography first, then…
An ultrasound reveals a
round mass which is
completely anechoic
consistent with a simple
cyst

RCC RMLO
48 year
54 year old old
withwith
left abreast
lump… lump

An irregular shaped mass is seen on


the mammogram.
MR of both breasts
detected the known
invasive ductal
cancer in the left
breast and a
contralateral
invasive ductal
cancer in the right
breast
The End

You might also like