Multimodality Breast Imaging: A Correlative Atlas

by Beverly Hashimoto

Overview

Comprehensive visual guide emphasizing a multimodality approach to breast cancer diagnosis

The second edition of this generously illustrated case-based reference provides a systematic visual collection of pathologic entities and a detailed assessment of how to optimize sonographic technique as well as how to approach the integration of mammography, sonography, MRI and PET/CT in breast cancer diagnosis. The book begins with a focus on teaching practical methods to analyze and incorporate mammographic, sonographic, and magnetic resonance findings in the clinical setting. The closing chapters are devoted to illustrating the applications of PET as demonstrated by specific clinical cases.

Features of the second edition:

• Emphasis on the importance of high-resolution sonography
• Three new chapters on the use of MRI and PET in breast imaging
• Numerous new case studies -- including helpful pearls and pitfalls -- that focus on common and uncommon examples of metastatic and non-metastatic disease
• Charts and outlines that provide rapid reference for the clinical workup of a lesion
• More than 800 images that help identify both mammographic and sonographic abnormalities

This thorough reference is ideal for radiologists, mammographers, oncologists, gynecologists and all clinicians looking to broaden their visual sonographic experience. Its user-friendly format makes it a handy text for radiology residents in breast rotations.

Product Details

ISBN-13:	9781638533122
Publisher:	Thieme Publishers New York
Publication date:	01/01/2011
Sold by:	Barnes & Noble
Format:	eBook
Pages:	664
File size:	45 MB
Note:	This product may take a few minutes to download.

About the Author

Deputy Chief of Radiology; Section Head Ultrasound, Virginia Mason Medical Center, Seattle, WA, USA

Table of Contents

Pattern Approach to Breast Sonography Contents
Pattern Approach to MRI Contents
1. Approach to Mammographic Analysis
2. Sonographic Technique and Cross-Correlation with Mammography
3. Approach to Magnetic Resonance Imaging
4. PET-CT in Breast Cancer Diagnosis
Circumscribed Masses
5. Circumscribed Masses: Fat-Containing Masses
6. Circumscribed Masses: Medium- or High-Density Masses
Irregular Masses
7. Irregular Masses: Benign Masses
8. Irregular Masses: Malignant Masses
Calcifications
9. Calcifications: Large Linear
10. Calcifications: Milk of Calcium
11. Calcifications: Large Round
12. Calcifications: Round Lucent Center
13. Calcifications: Eggshell/Rim
14. Calcifications: Coarse/Popcorn–Fibroadenoma
15. Calcifications: Dystrophic
16. Calcifications: Small Round/Punctate
17. Calcifications: Amorphous/Indistinct Microcalcifications
18. Calcifications: Hetergeneous/Pleomorphic Microcalcifications
19. Calcifications: Fine Linear/Branching Microcalcifications
Asymmetry
20. Global Asymmetry
21. Focal Asymmetry
Architectural Distortion
22. Peripheral Architectural Distortion
23. Central Architectural Distortion
Male Breast
24. Benign Male Breast
25. Malignant Male Breast
Postsurgical Findings
26. Augmentation Mammoplasty
27. Reduction Mammoplasty
28. After Diagnostic or Therapeutic Procedures for Neoplasm
Masses Poorly Identified Mammographically
29. Patient Unable to Tolerate Mammogram
30. Palpable Masses
31. Mammogram Underestimates Tumor Size
32. Mass in Unusual Locations
33. Ductal Abnormalities
34. Mammographically Occult MRI Lesions
Applications of PET-CT
35. Staging
36. Assessing Response to Therapy
37. Identifications of Recurrent Disease
38. Additional Malignancies
39. Unknown Primary
40. Pitfalls of PET

Editorial Reviews

Reviewer: Dana Smetherman, MD (Ochsner Clinic Foundation)
Description: This book combines a didactic review of the different modalities used in breast imaging with an atlas of the imaging appearance of common breast pathology. It updates the first edition published in 2003.
Purpose: According to the editor, the purpose is to familiarize readers with the typical imaging presentation of breast pathology and help them develop a systematic approach to classifying breast imaging findings. The later chapters provide an atlas of diagnostic imaging findings in breast disease, incorporating not only mammography and ultrasound, but also MRI and PET.
Audience: The intended audience is practicing radiologists who specialize in breast imaging. Certainly, the sections covering PET and PET/CT would be useful to this audience, who are often not as familiar with this modality as they are with mammography, ultrasound, and breast MRI. Some of the other material may be familiar to those with extensive subspecialty experience in breast imaging. This book might prove even more useful to general radiologists, breast imaging fellows, and residents.
Features: The first four chapters describe the applications of each of the four modalities predominantly used for imaging of breast disease (mammography, ultrasound, MRI, and PET-CT). The book emphasizes the importance of integrating information from different kinds of imaging tests to optimize characterization of and evaluation for extent of disease in breast carcinoma. The explanations of basic imaging techniques and applications are clear and concise and would serve as a good introduction for residents. Subsequent chapters (with the exception of the final two) begin with an algorithm, followed by multiple examples of the different categories outlined in the algorithm. The illustrations and annotations are uniformly excellent and easy to understand. The book is organized much like a series of lectures, each elucidating the decision-making process involved in classifying breast findings and making management recommendations. This format is very helpful if used in this fashion, but might be less useful to readers looking for a standalone atlas focused only on multiple imaging examples of each pathologic entity.
Assessment: Overall, this book effectively demonstrates how to synthesize the imaging findings for various breast pathologic entities from multiple modalities with a practical algorithm geared toward making decisions about management. The ability to incorporate the findings from multiple imaging modalities into the assessment of breast disease has increasingly become necessary for breast imagers. Though not a classic teaching file of cases, the book, with the combination of decision-making algorithms and examples of imaging findings, successfully teaches many of the real-life skills used by experienced breast imagers.

Doody's Review Service

Praise for the previous edition:

"Well organised and beautifully illustrated...A good book for trainee breast radiologists and radiographers...[and] an extremely useful reference textbook for more experienced practitioners."—RAD Magazine

[Five stars] Clear and concise...a good introduction for residents...the illustrations and annotations are uniformly excellent and easy to understand...very helpful.—Doody's Review

From the Publisher

Reviewer: Dana Smetherman, MD (Ochsner Clinic Foundation)
Description: This book combines a didactic review of the different modalities used in breast imaging with an atlas of the imaging appearance of common breast pathology. It updates the first edition published in 2003.
Purpose: According to the editor, the purpose is to familiarize readers with the typical imaging presentation of breast pathology and help them develop a systematic approach to classifying breast imaging findings. The later chapters provide an atlas of diagnostic imaging findings in breast disease, incorporating not only mammography and ultrasound, but also MRI and PET.
Audience: The intended audience is practicing radiologists who specialize in breast imaging. Certainly, the sections covering PET and PET/CT would be useful to this audience, who are often not as familiar with this modality as they are with mammography, ultrasound, and breast MRI. Some of the other material may be familiar to those with extensive subspecialty experience in breast imaging. This book might prove even more useful to general radiologists, breast imaging fellows, and residents.
Features: The first four chapters describe the applications of each of the four modalities predominantly used for imaging of breast disease (mammography, ultrasound, MRI, and PET-CT). The book emphasizes the importance of integrating information from different kinds of imaging tests to optimize characterization of and evaluation for extent of disease in breast carcinoma. The explanations of basic imaging techniques and applications are clear and concise and would serve as a good introduction for residents. Subsequent chapters (with the exception of the final two) begin with an algorithm, followed by multiple examples of the different categories outlined in the algorithm. The illustrations and annotations are uniformly excellent and easy to understand. The book is organized much like a series of lectures, each elucidating the decision-making process involved in classifying breast findings and making management recommendations. This format is very helpful if used in this fashion, but might be less useful to readers looking for a standalone atlas focused only on multiple imaging examples of each pathologic entity.
Assessment: Overall, this book effectively demonstrates how to synthesize the imaging findings for various breast pathologic entities from multiple modalities with a practical algorithm geared toward making decisions about management. The ability to incorporate the findings from multiple imaging modalities into the assessment of breast disease has increasingly become necessary for breast imagers. Though not a classic teaching file of cases, the book, with the combination of decision-making algorithms and examples of imaging findings, successfully teaches many of the real-life skills used by experienced breast imagers.

Doody Reviews