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E-raamat: Clinical Breast Tomosynthesis: A Case-Based Approach

  • Formaat: 490 pages
  • Ilmumisaeg: 03-Aug-2017
  • Kirjastus: Thieme Medical Publishers Inc
  • Keel: eng
  • ISBN-13: 9781638531364
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  • Formaat: 490 pages
  • Ilmumisaeg: 03-Aug-2017
  • Kirjastus: Thieme Medical Publishers Inc
  • Keel: eng
  • ISBN-13: 9781638531364
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Case studies provide a stellar resource for mastering clinical breast tomosynthesis technology

Digital breast tomosynthesis (DBT), popularly called "3D mammography" is a state-of-the-art breast imaging technology that provides the ability to view inside the breast, layer by layer. Advantages of DBT include elimination of superimposed tissue, improved detection of otherwise hidden lesions, and significantly higher cancer detection rates compared to conventional mammography.

Although it is increasingly being implemented in imaging centers, hands-on clinical learning tools have been lacking - until now. Written by renowned breast imaging specialists, this multimedia textbook is the most definitive DBT reference available. The first section is dedicated to DBT fundamentals, including physics, reconstruction methods, acquisition parameters, and patient dose and data size considerations. The next two sections are case-based clinical practice presentations, organized by DBT screening and diagnostic components.

Key Features





The use of 3D breast imaging to detect and differentiate malignancies from normal and benign findings 100 case studies include pertinent clinical information, introductory images, and findings labeled on subsequent images with BI-RADS terminology Full field digital mammography and/or synthetic 2D mammogram images included in all case studies mirror what is typically encountered in DBT breast-imaging programs Clinical pearls on navigating the technology, interpreting images, making diagnoses, and decisions regarding follow-up studies Accompanying online videos further elucidate the still images

This remarkable, interactive reference is a must-have for trainee and practicing radiologists and will also benefit mammography technicians. The detailed case studies and videos demonstrate the full utility of DBT as a screening and diagnostic technology in context with mammography, ultrasound, and MRI of the breast.
Menu of Accompanying Videos xvii
Foreword xxi
Alexis Virginia Nees
Preface xxiii
Contributors xxv
Part I: Introduction to Clinical Breast Tomosynthesis
1 The Physics of Digital Breast Tomosynthesis
2(5)
Walter W. Peppler
2 BI-RADS Nomenclature for Mammography and Ultrasound
7(3)
Lonie R. Salkowski
Tanya W. Moseley
Part II: Cases with Screening Tomosynthesis Evaluation Needing No Further Evaluation
3 Fat-Containing Mass on Baseline Mammogram
10(3)
Lonie R. Salkowski
4 Radiolucent Lesions with Calcifications
13(5)
Tanya W. Moseley
5 Architectural Distortion
18(4)
Tanya W. Moseley
6 Architectural Distortion on a Full-Field Digital Mammogram
22(3)
Lonie R. Salkowski
7 No Skin Edge
25(5)
Tanya W. Moseley
8 Grouped Calcifications
30(4)
Lonie R. Salkowski
9 Scattered Masses
34(6)
Lonie R. Salkowski
10 Treated Breast Cancer
40(4)
Lonie R. Salkowski
11 "Hairy" Skin Edge
44(7)
Tanya W. Moseley
12 Linear Calcifications
51(4)
Lonie R. Salkowski
13 Multiple Masses
55(4)
Tanya W. Moseley
14 Nonpalpable Mass with Mixed Composition
59(3)
Lonie R. Salkowski
15 Calcifications
62(5)
Tanya W. Moseley
16 Architectural Distortion
67(7)
Tanya W. Moseley
17 Oval Mass in High-Risk Patient
74(4)
Lonie R. Salkowski
18 Resolved Clinical Finding
78(5)
Tanya W. Moseley
19 Breast Reduction Years Ago
83(4)
Lonie R. Salkowski
20 Axillary "Calcifications"
87(3)
Tanya W. Moseley
21 Nonpalpable Mass
90(3)
Lonie R. Salkowski
22 Increased Breast Density
93(3)
Lonie R. Salkowski
23 Possible Architectural Distortion
96(3)
Tanya W. Moseley
24 Architectural Distortion
99(9)
Tanya W. Moseley
Part III: Cases with Screening Tomosynthesis Evaluation Needing Further Diagnostic Evaluation
25 Mass with Architectural Distortion
108(4)
Lonie R. Salkowski
26 Developing Asymmetry
112(4)
Lonie R. Salkowski
27 High-Density Mass
116(4)
Lonie R. Salkowski
28 Mass on Baseline Mammogram
120(4)
Lonie R. Salkowski
29 Amorphous Calcifications
124(6)
Lonie R. Salkowski
30 Obscured Mass within Dense Breast Tissue
130(5)
Lonie R. Salkowski
31 Mass Only Seen on One View
135(3)
Lonie R. Salkowski
32 Mass on Baseline Mammogram
138(3)
Lonie R. Salkowski
33 Architectural Distortion
141(4)
Lonie R. Salkowski
34 Grouped Amorphous Calcifications
145(4)
Lonie R. Salkowski
35 Architectural Distortion Only Seen on Tomosynthesis
149(5)
Lonie R. Salkowski
36 Small Spiculated Mass
154(5)
Lonie R. Salkowski
37 Mass on High-Risk Screening Mammogram
159(8)
Tanya W. Moseley
38 Architectural Distortion Best Seen on Digital Breast Tomosynthesis
167(5)
Lonie R. Salkowski
39 Focal asymmetry
172(3)
Tanya W. Moseley
40 Obscured Mass
175(5)
Lonie R. Salkowski
41 Subtle Mass
180(6)
Lonie R. Salkowski
42 Coarse Heterogeneous Calcifications
186(4)
Lonie R. Salkowski
43 Amorphous Calcifications
190(4)
Tanya W. Moseley
44 Developing Asymmetry
194(6)
Lonie R. Salkowski
45 Focal Asymmetry with Architectural Distortion
200(5)
Lonie R. Salkowski
46 Circumscribed Mass on Baseline Mammogram
205(3)
Lonie R. Salkowski
47 Two Areas of Architectural Distortion
208(7)
Lonie R. Salkowski
48 Architectural Distortion within Dense Breast Tissue
215(6)
Lonie R. Salkowski
49 Calcifications and Possible Focal Asymmetry
221(5)
Lonie R. Salkowski
50 Developing Asymmetry
226(5)
Tanya W. Moseley
51 Obscured Mass and Architectural Distortion Findings
231(7)
Lonie R. Salkowski
52 Mass After Reduction Mammoplasty
238(4)
Lonie R. Salkowski
53 Architectural Distortion
242(6)
Lonie R. Salkowski
54 Obscured Mass
248(4)
Tanya W. Moseley
55 Architectural Distortion
252(6)
Lonie R. Salkowski
56 Linear Calcifications
258(6)
Lonie R. Salkowski
57 Developing Asymmetry
264(6)
Lonie R. Salkowski
58 Enlarging Mass
270(4)
Tanya W. Moseley
59 Developing Asymmetry in a Patient with Treated Breast Cancer
274(6)
Lonie R. Salkowski
Part IV: Cases with Screening and Diagnostic Tomosynthesis Evaluations
60 Circumscribed Mass
280(6)
Tanya W. Moseley
61 Developing Asymmetry
286(6)
Lonie R. Salkowski
Part V: Cases with Diagnostic Tomosynthesis Evaluation Recalled from Conventional Screening Mammogram
62 Possible Focal Asymmetry
292(3)
Lonie R. Salkowski
63 Architectural Distortion within Dense Breast Tissue
295(5)
Tanya W. Moseley
64 Architectural Distortion with Negative Ultrasound
300(4)
Lonie R. Salkowski
65 Focal Asymmetry with Architectural Distortion
304(6)
Tanya W. Moseley
66 Focal Asymmetry-One or Two Lesions
310(7)
Lonie R. Salkowski
67 Asymmetry on the Craniocaudal View
317(4)
Tanya W. Moseley
68 Asymmetry on the Craniocaudal View
321(6)
Lonie R. Salkowski
69 Small Adjacent Masses
327(6)
Tanya W. Moseley
70 Oval Mass at 6 O'Clock
333(5)
Tanya W. Moseley
71 Architectural Distortion with Calcifications
338(6)
Lonie R. Salkowski
72 Focal Asymmetry
344(3)
Tanya W. Moseley
73 Architectural Distortion
347(6)
Tanya W. Moseley
74 Calcifications with Architectural Distortion
353(4)
Tanya W. Moseley
75 Asymmetry on the Craniocaudal View
357(3)
Tanya W. Moseley
76 Linear Asymmetry
360(3)
Tanya W. Moseley
77 Architectural Distortion
363(7)
Lonie R. Salkowski
Part VI: Cases with Diagnostic Tomosynthesis Evaluation Presenting with Clinical Indication
78 Right Axillary Palpable Finding and Left Breast Pain
370(5)
Tanya W. Moseley
79 Palpable Masses with No Mammographic Correlate
375(6)
Lonie R. Salkowski
80 Palpable Breast Masses
381(5)
Tanya W. Moseley
81 Asymmetric Breast Tissue or Mass
386(4)
Tanya W. Moseley
82 New Palpable Finding at Site of a Remote Benign Image-Guided Biopsy
390(6)
Lonie R. Salkowski
83 Palpable Breast Mass
396(5)
Tanya W. Moseley
84 Palpable Mass on First Mammogram
401(5)
Lonie R. Salkowski
85 Palpable Thickening
406(4)
Lonie R. Salkowski
86 Right Breast Pain
410(5)
Tanya W. Moseley
87 Breast Pain
415(6)
Lonie R. Salkowski
88 Palpable Axillary Mass
421(4)
Tanya W. Moseley
89 Spiculated Retroareolar Mass with Linear Calcifications
425(7)
Tanya W. Moseley
Part VII: Cases with Known Cancer Diagnosis Needing Additional Evaluation
90 Oval Mass Seen on Digital Breast Tomosynthesis
432(5)
Tanya W. Moseley
91 Retroareolar Extension
437(4)
Tanya W. Moseley
92 Regional Calcifications
441(4)
Tanya W. Moseley
93 Fine-Linear Branching Calcifications
445(5)
Tanya W. Moseley
94 Regional Calcifications
450(5)
Tanya W. Moseley
95 Cancer Occult to Imaging
455(5)
Tanya W Moseley
Part VIII: Intervention: Biopsy Using Tomosynthesis or Stereotactic Guidance
96 Introduction to Localization and Biopsy Using Tomosynthesis
460(1)
Tanya W. Moseley
97 Developing Asymmetry
online only
Tanya W. Moseley
98 Spiculated Mass Not Seen on Ultrasound
online only
Tanya W. Moseley
99 Mass with Indistinct Margins
online only
Tanya W. Moseley
100 Heterogeneous Calcifications
online only
Tanya W. Moseley
101 Palpable Spiculated Masses
online only
Tanya W. Moseley
102 Architectural Distortion
online only
Lonie R. Salkowski
103 Architectural Distortion
online only
Tanya W. Moseley
Index 461