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Contrast enhanced mammography

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https://www.readbyqxmd.com/read/29768474/sonographic-visualization-of-nipple-blood-flow-can-help-differentiate-paget-disease-from-benign-eczematous-nipple-lesions
#1
Hideaki Ogata, Yukio Mitsuzuka, Naoko Honma, Miho Yoshida, Makoto Sumazaki, Fumi Saito, Masahiro Kobayashi, Kazutoshi Shibuya, Tetsuo Mikami, Hironori Kaneko
PURPOSE: Paget disease of the breast is a rare cancer that originates from the nipple-areolar complex. It is often overlooked and misdiagnosed as benign chronic eczema of the nipple. We aimed to retrospectively verify whether blood flow analysis using Doppler sonography was useful for detecting the presence of Paget disease. METHODS: In this retrospective study, 12 patients with pathologically proven unilateral nipple eczematous lesions (seven with Paget disease and five with simple dermatitis) were included...
2018: PloS One
https://www.readbyqxmd.com/read/29748869/classification-of-breast-masses-using-a-computer-aided-diagnosis-scheme-of-contrast-enhanced-digital-mammograms
#2
Gopichandh Danala, Bhavika Patel, Faranak Aghaei, Morteza Heidari, Jing Li, Teresa Wu, Bin Zheng
Contrast-enhanced digital mammography (CEDM) is a promising imaging modality in breast cancer diagnosis. This study aims to investigate how to optimally develop a computer-aided diagnosis (CAD) scheme of CEDM images to classify breast masses. A CEDM dataset of 111 patients was assembled, which includes 33 benign and 78 malignant cases. Each CEDM includes two types of images namely, low energy (LE) and dual-energy subtracted (DES) images. A CAD scheme was applied to segment mass regions depicting on LE and DES images separately...
May 10, 2018: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29727287/direct-regularization-from-co-registered-contrast-mri-improves-image-quality-of-mri-guided-near-infrared-spectral-tomography-of-breast-lesions
#3
Limin Zhang, Shudong Jiang, Yan Zhao, Jinchao Feng, Brian W Pogue, Keith D Paulsen
An approach using direct regularization from co-registered dynamic contrast enhanced magnetic reson- ance images was used to reconstruct near-infrared spectral tomography patient images, which does not need image segmentation. 20 patients with mammography/ultrasound confirmed breast abnormalities were involved in this paper, and the resulting images indicated that tumor total hemoglobin concentration contrast differentiated malignant from benign cases (p-value = 0.021). The approach prod- uced reconstructed images, which significantly reduced surface artifacts near the source-detector locations (p-value = 4...
May 2018: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/29723846/diagnostic-value-of-nineteen-different-imaging-methods-for-patients-with-breast-cancer-a-network-meta-analysis
#4
Xiao-Hong Zhang, Can Xiao
BACKGROUND/AIMS: We performed a network meta-analysis (NMA) to investigate and compare the diagnostic value of 19 different imaging methods used for breast cancer (BC). METHODS: Cochrane Library, PubMed and EMBASE were searched to collect the relevant literature from the inception of the study until November 2016. A combination of direct and indirect comparisons was performed using an NMA to evaluate the combined odd ratios (OR) and draw the surface under the cumulative ranking curves (SUCRA) of the diagnostic value of different imaging methods for BC...
April 28, 2018: Cellular Physiology and Biochemistry
https://www.readbyqxmd.com/read/29622130/comparison-of-contrast-enhanced-mammography-and-contrast-enhanced-breast-mr-imaging
#5
REVIEW
John Lewin
Contrast-enhanced mammography (CEM) is a contrast-enhanced modality for breast cancer detection that utilizes iodinated contrast and dual-energy imaging performed on a digital mammography unit with only slight modifications. It is approved by the US Food and Drug Administration, commercially available, and in routine clinical use at centers around the world. It has similar sensitivity and specificity to MR Imaging and has advantages in terms of cost, patient acceptability, and examination time. MR Imaging has some advantages compared with CEM, especially in its ability to image the complete axilla and the chest wall...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29606631/workflow-considerations-for-incorporation-of-contrast-enhanced-spectral-mammography-into-a-breast-imaging-practice
#6
Jordana Phillips, Jennifer Steinkeler, Komal Talati, Alexander Brook, Vandana Dialani, Michael Fishman, Priscilla J Slanetz, Tejas S Mehta
No abstract text is available yet for this article.
March 30, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29594402/contrast-enhanced-cone-beam-breast-ct-cbbct-clinical-performance-compared-to-mammography-and-mri
#7
Susanne Wienbeck, Uwe Fischer, Susanne Luftner-Nagel, Joachim Lotz, Johannes Uhlig
OBJECTIVES: To evaluate the diagnostic accuracy of contrast-enhanced (CE) cone-beam breast computed tomography (CBBCT) in dense breast tissue and compare it to non-contrast (NC) CBBCT, mammography (MG) and magnetic resonance imaging (MRI). METHODS: This prospective institutional review board-approved study included 41 women (52 breasts) with American College of Radiology (ACR) density types c or d and Breast Imaging Reporting and Data System (BI-RADS) 4 or 5 assessments in MG or ultrasound (US)...
March 28, 2018: European Radiology
https://www.readbyqxmd.com/read/29516362/contrast-enhanced-spectral-mammography-is-comparable-to-mri-in-the-assessment-of-residual-breast-cancer-following-neoadjuvant-systemic-therapy
#8
Bhavika K Patel, Talal Hilal, Matthew Covington, Nan Zhang, Heidi E Kosiorek, Marc Lobbes, Donald W Northfelt, Barbara A Pockaj
PURPOSE: To evaluate the performance of contrast-enhanced spectral mammography (CESM) compared to MRI in the assessment of tumor response in breast cancer patients undergoing neoadjuvant systemic therapy (NST). METHODS: The institutional review board approved this study. From September 2014 to June 2017, we identified patients with pathologically confirmed invasive breast cancer who underwent NST. All patients had both CESM and MRI performed pre- and post-NST with pathological assessment after surgical management...
May 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29461172/radiomics-based-on-adapted-diffusion-kurtosis-imaging-helps-to-clarify-most-mammographic-findings-suspicious-for-cancer
#9
Sebastian Bickelhaupt, Paul Ferdinand Jaeger, Frederik Bernd Laun, Wolfgang Lederer, Heidi Daniel, Tristan Anselm Kuder, Lorenz Wuesthof, Daniel Paech, David Bonekamp, Alexander Radbruch, Stefan Delorme, Heinz-Peter Schlemmer, Franziska Hildegard Steudle, Klaus Hermann Maier-Hein
Purpose To evaluate a radiomics model of Breast Imaging Reporting and Data System (BI-RADS) 4 and 5 breast lesions extracted from breast-tissue-optimized kurtosis magnetic resonance (MR) imaging for lesion characterization by using a sensitivity threshold similar to that of biopsy. Materials and Methods This institutional study included 222 women at two independent study sites (site 1: training set of 95 patients; mean age ± standard deviation, 58.6 years ± 6.6; 61 malignant and 34 benign lesions; site 2: independent test set of 127 patients; mean age, 58...
February 20, 2018: Radiology
https://www.readbyqxmd.com/read/29451413/quantitative-analysis-of-enhanced-malignant-and-benign-lesions-on-contrast-enhanced-spectral-mammography
#10
Chih-Ying Deng, Yu-Hsiang Juan, Yun-Chung Cheung, Yu-Ching Lin, Yung-Feng Lo, GiGin Lin, Shin-Cheh Chen, Shu-Hang Ng
OBJECTIVE: To retrospectively analyze the quantitative measurement and kinetic enhancement among pathologically proven benign and malignant lesions using contrast-enhanced spectral mammography (CESM). METHODS: We investigated the differences in enhancement between 44 benign and 108 malignant breast lesions in CESM, quantifying the extent of enhancements and the relative enhancements between early (between 2-3 min after contrast medium injection) and late (3-6 min) phases...
February 27, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29374745/intensity-and-pattern-of-enhancement-on-cesm-prognostic-significance-and-its-relation-to-expression-of-podoplanin-in-tumor-stroma-a-preliminary-report
#11
Elzbieta Luczynska, Joanna Niemiec, Sylwia Heinze, Agnieszka Adamczyk, Aleksandra Ambicka, Paulina Marcyniuk, Wojciech Rudnicki, Jerzy W Mitus, Sonia Dyczek, Janusz Rys, Beata Sas-Korczynska
BACKGROUND/AIM: It is possible that the degree of enhancement on contrast-enhanced spectral mammography (CESM), a new diagnostic method, might provide prognostic information for breast cancer patients. Therefore, in a group of 82 breast cancer patients, we analyzed the prognostic significance of degree and pattern of enhancement on CESM as well as its relation to: (a) breast cancer immunophenotype (based on ER/PR/HER2 status) (b) podoplanin expression in cancer stroma (lymphatic vessel density plus podoplanin-positivity of cancer-associated fibroblasts), and (c) other histological parameters...
February 2018: Anticancer Research
https://www.readbyqxmd.com/read/29370106/preliminary-results-of-a-new-auxiliary-mechatronic-near-field-radar-system-to-3d-mammography-for-early-detection-of-breast-cancer
#12
Ashkan Ghanbarzadeh Dagheyan, Ali Molaei, Richard Obermeier, Andrew Westwood, Aida Martinez, Jose Angel Martinez Lorenzo
Accurate and early detection of breast cancer is of high importance, as it is directly associated with the patients' overall well-being during treatment and their chances of survival. Uncertainties in current breast imaging methods can potentially cause two main problems: (1) missing newly formed or small tumors; and (2) false alarms, which could be a source of stress for patients. A recent study at the Massachusetts General Hospital (MGH) indicates that using Digital Breast Tomosynthesis (DBT) can reduce the number of false alarms, when compared to conventional mammography...
January 25, 2018: Sensors
https://www.readbyqxmd.com/read/29362157/contrast-enhanced-cone-beam-breast-ct-analysis-of-optimal-acquisition-time-for-discrimination-of-breast-lesion-malignancy
#13
Johannes Uhlig, Uwe Fischer, Alexey Surov, Joachim Lotz, Susanne Wienbeck
OBJECTIVE: To investigate the optimal acquisition time of contrast-enhanced cone-beam breast-CT (CBBCT) for best discrimination of breast lesion malignancy and whether contrast enhancement can aid in classification of tumor histology. MATERIAL AND METHODS: The study included patients with BI-RADS 4 or 5 lesions identified on mammography and/or ultrasound. All patients were examined by non-contrast (NC-CBBCT) and contrast-enhanced CBBCT (CE-CBBCT) at 2 and 3min after contrast media (CM) injection...
February 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29344009/evaluation-of-nipple-aspirate-fluid-as-a-diagnostic-tool-for-early-detection-of-breast-cancer
#14
REVIEW
Sadr-Ul Shaheed, Catherine Tait, Kyriacos Kyriacou, Richard Linforth, Mohamed Salhab, Chris Sutton
There has been tremendous progress in detection of breast cancer in postmenopausal women, resulting in two-thirds of women surviving more than 20 years after treatment. However, breast cancer remains the leading cause of cancer-related deaths in premenopausal women. Breast cancer is increasing in younger women due to changes in life-style as well as those at high risk as carriers of mutations in high-penetrance genes. Premenopausal women with breast cancer are more likely to be diagnosed with aggressive tumours and therefore have a lower survival rate...
2018: Clinical Proteomics
https://www.readbyqxmd.com/read/29317041/contrast-enhanced-spectral-mammography-a-review
#15
Bhavika K Patel, M B I Lobbes, John Lewin
Contrast-enhanced spectral mammography (CESM) provides low-energy 2D mammographic images comparable to standard digital mammography and a post-contrast recombined image to assess tumor neovascularity similar to magnetic resonance imaging (MRI). The utilization of CESM in the United States is currently low but could increase rapidly given many potential indications for clinical use. This article discusses historical background and literature review of indications and diagnostic accuracy of CESM to date. CESM is a growing technique for breast cancer detection and diagnosis that has levels of sensitivity and specificity on par with contrast-enhanced breast MRI...
February 2018: Seminars in Ultrasound, CT, and MR
https://www.readbyqxmd.com/read/29317035/deciphering-the-breast-density-inform-law-movement-implications-for-practice
#16
Sean D Raj, Valerie Fein-Zachary, Priscilla J Slanetz
Although dense breast tissue is a normal and routine finding on screening mammography, dense breast tissue is associated with an independent increased risk for breast cancer. It is well known that screening mammography has a decreased sensitivity for cancer detection in women with dense breasts. Over the past decade, there has been increased interest generated among patients, physicians, and legislators regarding how best to screen dense-breasted women culminating in 2009 with the passage of a breast density notification law in Connecticut...
February 2018: Seminars in Ultrasound, CT, and MR
https://www.readbyqxmd.com/read/29317032/newer-technologies-in-breast-cancer-imaging-dedicated-cone-beam-breast-computed-tomography
#17
Avice M O'Connell, Andrew Karellas, Srinivasan Vedantham, Daniel T Kawakyu-O'Connor
Dedicated breast computed tomography (CT) is the latest in a long history of breast imaging techniques dating back to the 1960s. Breast imaging is performed both for cancer screening as well as for diagnostic evaluation of symptomatic patients. Dedicated breast CT received US Food and Drug Administration approval for diagnostic use in 2015 and is slowly gaining recognition for its value in diagnostic 3-dimensional imaging of the breast, and also for injected contrast-enhanced imaging applications. Conventional mammography has known limitations in sensitivity and specificity, especially in dense breasts...
February 2018: Seminars in Ultrasound, CT, and MR
https://www.readbyqxmd.com/read/29279165/computer-aided-diagnosis-of-contrast-enhanced-spectral-mammography-a-feasibility-study
#18
Bhavika K Patel, Sara Ranjbar, Teresa Wu, Barbara A Pockaj, Jing Li, Nan Zhang, Mark Lobbes, Bin Zhang, J Ross Mitchell
OBJECTIVE: To evaluate whether the use of a computer-aided diagnosis-contrast-enhanced spectral mammography (CAD-CESM) tool can further increase the diagnostic performance of CESM compared with that of experienced radiologists. MATERIALS AND METHODS: This IRB-approved retrospective study analyzed 50 lesions described on CESM from August 2014 to December 2015. Histopathologic analyses, used as the criterion standard, revealed 24 benign and 26 malignant lesions. An expert breast radiologist manually outlined lesion boundaries on the different views...
January 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29273223/personalised-screening-is-this-the-way-forward
#19
REVIEW
F J Gilbert, A Selamoglu
Screening with mammography has been implemented in many countries across the world with most offering 2-yearly examinations between the ages of 50-69 years. Robust modelling tools that include breast density and single nucleotide polymorphisms (SNPs) have been developed to predict which women are most likely to develop breast cancer. Mammographic sensitivity is poor in women with the densest category of breast tissue, and even women with heterogeneously dense tissue may benefit from additional supplemental imaging...
April 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29221721/factors-affecting-the-precision-of-lesion-sizing-with-contrast-enhanced-spectral-mammography
#20
M Del Mar Travieso-Aja, P Naranjo-Santana, C Fernández-Ruiz, W Severino-Rondón, D Maldonado-Saluzzi, M Rodríguez Rodríguez, V Vega-Benítez, O P Luzardo
AIM: To evaluate the precision of the pre-surgical measurement of the size of breast cancer by contrast-enhanced spectral mammography (CESM). MATERIAL AND METHODS: This was a retrospective study of 204 breast cancers. Variables related to tumour biology and anthropometric variables were recorded and considered when evaluating the efficacy of CESM in predicting tumour size. Microscopic measurement of the largest diameter of the tumour at pathology was chosen as the reference standard...
March 2018: Clinical Radiology
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