Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Breast, third edition, is an invaluable resource not only for radiologists, but for all health care professionals involved in the management of breast disease. From screening and diagnostic mammography and tomosynthesis, ultrasound, and MR to contrast-enhanced mammography and molecular imaging, Drs. Wendie Berg and Jessica Leung, along with their expert author team, provide carefully updated information in a concise, bulleted format. Thousands of high-quality illustrations highlight not only image acquisition and interpretation, but also screening guidelines, breast anatomy, genetic testing, image-guided procedures, determining the extent of disease and much more. This book provides essential, clinically-focused details for everyday breast imaging.
- Features more than 4,000 annotated, updated images throughout, including imaging findings complemented by histopathologic and clinical correlates of the spectrum of breast disease
- Provides timely coverage of less common but important topics such as gender reassignment, disease-causing mutations and risk assessment, malignancy in pregnancy, nodal disease in breast cancer care, and male breast disease
- Discusses new technologies, including abbreviated MR, contrast-enhanced mammography, and automated breast ultrasound
- Includes updated information on evolving medical, oncologic, surgical, and radiation, and oncoplastic treatment of the breast cancer patient, along with discussion of ongoing trials and future directions
- Offers expanded and updated information on dense breast reporting, screening recommendations, patients at elevated risk, and imaging paradigms in patients with dense breasts, as well as analysis of various updated breast cancer screening guidelines
- Uses bulleted, succinct text for fast and easy comprehension of essential information
Inhalt
Anatomy and Normal Variants
Anatomy
Breast Overview
Embryology and Normal Development
Nipple-Areolar Complex and Skin
Segmental Anatomy
Pectoralis Muscle and Chest Wall
Neurovascular Supply
Lymph Nodes and Lymphatics
Axilla
Normal Variants
Axillary Breast Tissue
Pectoralis Muscle and Chest Wall Variants
Sternalis Muscle
Imaging
Modalities
Mammography: Positioning
Mammography: Diagnostic
Tomosynthesis
Contrast-Enhanced Mammography/Tomosynthesis
Ultrasound
Elastography
Automated Breast Ultrasound
Magnetic Resonance Imaging
Diffusion-Weighted Imaging (MR)
MR Spectroscopy
Molecular Breast Imaging (MBI and BSGI)
Dedicated Breast PET (PEM)
PET/CT
Interpretive Criteria
Approach to the Lexicons of Breast Imaging
Mammography BI-RADS Lexicon and Usage
Ultrasound BI-RADS Lexicon and Usage
MR BI-RADS Lexicon and Usage
Probably Benign Lesions
Molecular Breast Imaging Lexicon (Includes BSGI)
Breast PET Lexicon and Usage
Lesion Imaging Characteristics
Masses
Circumscribed and Obscured Margins
Intramammary Lymph Node
Fat-Containing Mass
Microlobulated Margins
Indistinct Margins
Spiculated Margins
High-Density Mass
Calcifications, Typically Benign
Typically Benign Calcifications
Round Calcifications
Milk of Calcium
Calcifications, Not Typically Benign
Punctate Calcifications
Coarse Heterogeneous Calcifications
Amorphous Calcifications
Fine Pleomorphic Calcifications
Fine Linear Calcifications
Calcification Distribution
Diffuse Distribution of Calcifications
Regional Distribution of Calcifications
Grouped Distribution of Calcifications
Linear Distribution of Calcifications
Segmental Distribution of Calcifications
Additional Findings
One-View-Only Findings
Asymmetries
Developing Asymmetry
Architectural Distortion
Trabecular Thickening, Edema
Multiple Bilateral Similar Findings
Duct Ectasia
Solitary Dilated Duct
Ultrasound Lesion Characteristics
Margins, Not Circumscribed (US)
Echogenic Rim (US)
Lesion Orientation (US)
Posterior Acoustic Features: Enhancement & Shadowing (US)
Posterior Shadowing (US)
Echogenicity: Anechoic (US)
Echogenicity: Isoechoic, Hypoechoic, and Mixed (US)
Echogenicity: Hyperechoic (US)
Heterogeneous Internal Echogenicity (US)
Simple Cyst (US)
Complicated Cyst With Debris (US)
Clustered Microcysts (US)
Intraductal Mass (US)
Complex Cystic and Solid Masses
Calcifications (US)
MR Findings
Background Parenchymal Enhancement (MR)
T2 Hyperintensity (MR)
Kinetic Assessment (MR)
Dark Internal Septations (MR)
Rim Enhancement (MR)
Focus (MR)
Focal Area, Regional, and Diffuse Enhancement (MR)
Linear Enhancement (MR)
Segmental Enhancement (MR)
Clumped and Clustered Ring Enhancement (MR)
Clustered Ring Enhancement (MR) [DELETE AFTER WENDIE DONE WITH IT]
Histopathologic Diagnoses
Approach to Histopathologic Diagnoses
Benign Lesions
Tubular Adenoma and Nipple Adenoma
Adenosis, Sclerosing Adenosis, Microglandular Adenosis
Apocrine Metaplasia
Columnar Cell Lesions
Cyst, Ruptured/Inflamed
Fat Necrosis, Oil Cyst
Hamartoma (Fibroadenolipoma)
Fibroadenoma
Fibroadenomatoid Change
Fibrocystic Changes
Fibrosis
Hematoma
Lipoma and Angiolipoma
Myoepithelial Neoplasms
Myofibroblastoma
Papilloma, Benign
PASH
Risk Lesions
Radial Scar, Radial Sclerosing Lesions
Atypical Ductal Hyperplasia
Atypical Lobular Hyperplasia
Flat Epithelial Atypia
Lobular Carcinoma In Situ (Classic)
Mucocele-Like Lesions
Atypical Papilloma
Locally Aggressive Lesions
Fibromatosis
Granular Cell Tumor
Phyllodes Tumor: Benign
Malignant Lesions
DCIS, General
DCIS, Low Grade
DCIS, Intermediate Grade
DCIS, High Grade
DCIS, Micropapillary
Invasive Ductal Carcinoma NOS, General
Invasive Ductal Carcinoma NOS, Grade 1, 2, 3
Invasive Lobular Carcinoma
Invasive Lobular Carcinoma, Pleomorphic
Lobular Carcinoma In Situ, Pleomorphic
Mixed Invasive Ductal and Lobular Carcinoma
Apocrine Carcinoma
Invasive Micropapillary Carcinoma
Luminal A and B Cancers
HER2-Positive Cancer
Triple-Negative and Basal-Like Breast Cancer
Adenoid Cystic Carcinoma
Medullary Carcinoma
Metaplastic Carcinoma
Mucinous Carcinoma
Tubular Carcinoma
Tubulolobular Carcinoma
Encapsulated Papillary Carcinoma
Papillary Carcinoma, Invasive
Phyllodes Tumor: Borderline and Malignant
Sarcomas
Lymphoma, Primary Breast
Signs and Symptoms
Approach to Signs and Symptoms of Disease
Nipple
Nipple Discharge
Nipple Retraction and Inversion
Paget Disease of the Nipple
Skin
Epidermoid Cyst
Sebaceous Cyst
Skin Lesions, Other
Erythema
Skin Retraction
Skin Thickening
Axilla
Axillary Adenopathy
Axillary Nodal Calcification
Metastatic Adenopathy, Unknown Primary
Breast
Palpable Lump or Thickening
Pain
Shrunken Breast
Vascular Entities
…