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Background: Young age and dense breasts are risk factors for false negative mammography even in the digital era, symptomatic settings included. Research question: is digital breast tomosynthesis, alone or with FFDM, more sensitive than FFDM in women under 60 years with symptoms suggestive of breast cancer. No reader read the same case twice; each read the same proportion of cases under each condition, in randomised order.

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Chapter Outline. Indications for Breast Ultrasound and Magnetic Resonance. Approximately one in eight women in the United States will develop cancer of the breast during her lifetime, and this incidence appears to be increasing.

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Women with dense breast tissue are at a disadvantage. Compelling evidence shows that density in the highest quartile represents a 4- to 6-times higher risk of breast cancer. These circumstances have prompted a push for supplementary screening tests.

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The Breast Imaging Division is dedicated to women's health and to providing up-to-date and compassionate breast-cancer screening and diagnostic care. We participate in NCCC's Comprehensive Breast Care Program, an integrated approach to breast cancer patient care which coordinates care from the departments of radiology, surgery, oncology, pathology, and radiation oncology. The division performs screening exams utilizing both traditional mammography and MRI.

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Scintimammography uses small amounts of radioactive material, a special camera and a computer to help investigate a breast abnormality. Scintimammography can detect cancer even when dense breast tissue and breast implants are present. It can reduce unnecessary procedures by helping determine whether a biopsy is needed.

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Author information: 1 From the Department of Radiology X. Purpose To evaluate the diagnostic performance of quantitative parameters derived from dual-energy CT for the preoperative diagnosis of metastatic sentinel lymph nodes SLNs in participants with breast cancer. Materials and Methods For this prospective study, dual-phase contrast agent-enhanced CT was performed in female participants with breast cancer from June to December Quantitative dual-energy CT parameters and morphologic parameters were compared between metastatic and nonmetastatic SLNs.

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Axillary lymph node status is the single most important prognostic indicator in patients with breast cancer. Axillary lymph node dissection, the traditional method of staging breast cancer, is associated with significant morbidity. Sentinel lymph node biopsy has become standard in patients being treated for breast cancer with clinically negative lymph nodes.

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The cTNM describes the local involvement of the breast Tregional lymph nodes N and systemic disease, i. Systemic disease or stage 4 disease is not included in the table. This results in the possible diagnoses of DCIS, localized cancer, locoregionally advanced cancer and cancer with distant metastases. One might think that this staging is largely based on the findings of physical examination, but it is mostly based on the results of imaging and image-guided biopsy.

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