Tuesday, 22 January 2008

Angiosarcoma of the Breast - Pictorial Essay

Katrina N. Glazebrook, Maureen J. Magut, and Carol Reynolds
AJR 2008;190:533-538
http://www.ajronline.org/cgi/content/abstract/190/2/533

With the increasing use of breast conservation therapy for breast cancer, reports of postirradiation angiosarcoma have increased. Both primary and secondary angiosarcomas may present with bruiselike skin discoloration, which may delay the diagnosis. Imaging findings are nonspecific. MRI may be used to determine lesion extent by showing rapid enhancement and washout in high-grade tumors

Physician Workload in Mammography

Rebecca Smith-Bindman, Diana L. Miglioretti, Robert Rosenberg, Robert J. Reid, Stephen H. Taplin, Berta M. Geller, Karla Kerlikowske - the National Institutes of Health Breast Cancer Surveillance Consortium
AJR 2008;190:526-532
http://www.ajronline.org/cgi/content/abstract/190/2/526

Doubling physician annual volume requirements would result in a small impact on overall mammography capacity. Increasing volume requirements to 2,000 mammography examinations annually would require a dramatic increase in the number of mammography examinations interpreted by the higher volume radiologists. Unless previously low-volume radiologists increased their volumes, raising requirements to 2,000 examinations could curtail access to mammography, particularly in rural areas

Screening-Detected and Symptomatic Ductal Carcinoma in Situ: Differences in the Sonographic and Pathologic Features

Hee Jung Shin, Hak Hee Kim, Sun Mi Kim, Gui Young Kwon, Gyungyub Gong, and On Koo Cho
AJR 2008;190:516-525
http://www.ajronline.org/cgi/content/abstract/190/2/516

Our results showed that differences exist in the sonographic features of screening-detected and symptomatic DCIS. Recognition of the many and varied sonographic appearances of DCIS might be helpful to decrease the false-negative rate of bilateral whole-breast sonography and to detect symptomatic mammographically occult DCIS when we use sonography to supplement mammography

Lesion and Patient Characteristics Associated with Malignancy After a Probably Benign Finding on Community Practice Mammography

Constance D. Lehman, Carolyn M. Rutter, Peter R. Eby, Emily White, Diana S. M. Buist, and Stephen H. Taplin
AJR 2008;190:511-515
http://www.ajronline.org/cgi/content/abstract/190/2/511

In community practice, patient and lesion mammographic characteristics can be predictive of the likelihood of a subsequent cancer diagnosis of mammographic lesions designated as probably benign. Careful evaluation of mass margins and of the morphologic features of calcifications can help distinguish a malignant lesion from a probably benign finding

Proton MR Spectroscopy in Normal Breasts Between Pre- and Postmenopausal Women: A Preliminary Study

Jane Wang, Pao-Ling Torng, Tsang-Pai Liu, Kuan-Lin Chen, and Tiffany Ting-Fang Shih
AJR 2008;190:505-510
http://www.ajronline.org/cgi/content/abstract/190/2/505

Breast 1H-MRS shows the differences of water and lipid compositions between pre- and postmenopausal women. Lipids containing methylene and allylic methylene protons had different implications in normal breasts

Correlation of Whole-Breast Vascularity with Ipsilateral Breast Cancers Using Contrast-Enhanced MDCT

Doo Kyoung Kang, Eun Jin Kim, Ho Sung Kim, Joo Sung Sun, and Yong Sik Jung
AJR 2008;190:496-504
http://www.ajronline.org/cgi/content/abstract/190/2/496

Breast cancers were found to be associated with ipsilateral increased whole-breast vascularity in a significant percentage of patients. Increased whole-breast vascularity indicated the growth and metastatic potential of a breast cancer

Role of Sonography in the Detection of Contralateral Metachronous Breast Cancer in an Asian Population

Min Jung Kim, Eun-Kyung Kim, Jin Young Kwak, Byeong-Woo Park, Seung-Il Kim, Joohyuk Sohn, and Ki Keun Oh
AJR 2008;190:476-480
http://www.ajronline.org/cgi/content/abstract/190/2/476

Sonography alone detected 14% of metachronous contralateral breast cancers. The results of this study suggest that annual additional sonography with mammography contributes to the early detection of metachronous cancers. However, sonography every 6 months is unlikely to be helpful for the early detection of metachronous cancer