Breast Imaging Summary

Breast imaging plays a critical role in breast screening and diagnosis.

Screening and diagnostic mammography allow the detection and evaluation of clinically occult breast cancer. The mammogram report should be worded n accordance with the terminology of the Breast Imaging Reporting and Data System (BI-RADS™) lexicon, so that the findings and recommendaions are clearly communicated.

Percutaneous imaging-guided breast biopsy an allow expeditious diagnosis of early, nonpalpable breast cancers. Close ommunication between the clinical staff and the breast-imaging radiologist llows optimal utilization of the excellent technology available for early detection and diagnosis of breast cancer.

Laura Liberman and Timothy L. Feng
Breast cancer detection demonstration project: five-year summary report. CA 2003

References

1. American College of Radiology (ACR). Illustrated breast imaging reporting and data system (BI-RADS^TM. 3nd ed. Reston [VA]: American College of Radiology, 1998.
2. Beahrs OH, Henson DE, Hutter RVP, Kennedy BJ, eds. Manual for Staging of Cancer, 4th ed. Philadelphia: JB Lippincott, 1992; 149-154.
3. Carter CL, Allen C, Henson DE. Relation of tumor size, lymph node status, and survival in 24740 breast cancer cases. Cancer 1989; 63:181-187.
4. Cody HS III, Laughlin EH, Trillo C et al. Have changing treatment patterns affected outcome for operable breast cancer? Ten year follow-up in 1288 patients, 1965-1978. Ann Surg 1991; 213:297-307.
5. Silverstein MJ, Gierson ED, Waisman JR et al. Axillary lymph node dissection for T1a breast carcinoma: is it indicated? Cancer 1994; 73:664-667.
6. Mustafa IA, Cole B, Wanebo HJ et al. The impact of histopathology on nodal metastases in minimal breast cancer. Arch Surg 1997; 132:384-391.
7. Port ER, Tan LK, Borgen PI et al. Incidence of axillary lymph node metastases in T1a and T1b breast carcinoma. Ann Surg Onc 1998; 5:23-27.
8. Kopans DB. Breast Imaging, 2nd ed. Philadelphia: Lippincott-Raven Publishers, 1998
9. Kopans DB, ed. Health Effects of Exposure to Low Levels of Ionizing Radiation: BEIR V. Washington, DC: National Academy Press, 1990.
10. Kopans DB. Breast Imaging, 2 1998; 105.
11. Feig SA, Hendrick RE. Radiation risk from screening mammography of women aged 40-49 years. Monogr Natl Cancer Inst 1997; 22:119-124.
12. Shapiro S. Evidence on screening for breast cancer from a randomized trial. Cancer 1977; 39:2772-2782.
13. Shapiro S, Venet W, Strax P et al. Ten- to fourteen-year effect of screening on breast cancer mortality. J Natl Cancer Inst 1982; 69:349-355.
14. Shapiro S. Periodic screening for breast cancer: the HIP randomized controlled trial. Monogr Natl Cancer Inst 1997; 22:27-30.