BREAST IMAGING ISBN: 978-1-4160-5199-2
Copyright © 2011 by Saunders, an imprint of Elsevier Inc.
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The editors of Breast Imaging are very excited about the
introduction of this new and unique textbook for many
1. It has been designed to be the most up-to-date and
comprehensive product for health care professionals
who deal with breast diseases and especially physicians
who interpret breast imaging exams.
2. It will provide an in-depth review on all aspects of
breast imaging, including the newest technologies.
The chapter authors are acknowledged as leading
experts in the field.
3. It offers unique learning opportunities, including the
ability to access the textbook for information on-line
at a computer near the interpreting physician’s workstation.
For example, if the interpreting physician has
questions about a breast imaging examination they
are interpreting they can immediately access this
textbook on-line for help.
Section 1 begins with a chapter on the history of the
origins and development of the subspecialty of breast
imaging. The next chapter, overseen by the lead author
of the American Cancer Society Guidelines for Breast
Cancer Screening, provides an opportunity to learn the
newest information on the epidemiology of breast cancer
and the impact of early detection on patient survival. The
final chapter addresses controversies about breast cancer
screening with mammography. The authors are acknowledged
international experts in this arena. They provide
evidence-based data that supports annual screening beginning
at age 40, and this information will be important for
interpreting physicians and other health care providers
responding to questions from referring physicians and
patients concerning screening mammography.
Section 2 encompasses comprehensive updates on
breast imaging technologies. Leading experts in these
technologies offer the current status of digital mammography,
computer-aided detection, positioning, clinical image
evaluation, and quality control in mammography. Experts
in breast ultrasound and breast MRI have contributed
additional chapters with thorough reviews and updates
on these modalities. This section ends with a chapter
that provides the most recent version of the American
College of Radiology’s Breast Imaging Reporting and Data
System, authored by the overall Chair of the ACR BI-RADS
Committee and Subcommittee Chairs for Mammography,
Ultrasound, and MRI.
Sections 3, 4, and 5 are focused on imaging-pathology
correlation. The authors of these chapters are pathologists
and radiologists who specialize in breast diseases. Today
the majority of breast biopsies are imaging guided, and the
pathology results will determine subsequent patient management.
We are confident that this publication provides
the most comprehensive review of correlated imagingpathology
Section 3 presents the imaging and histology of the normal
breast. We believe that this is fundamental to understand
the imaging and histology of benign and malignant
Section 4 focuses on the Imaging of Benign Breast Diseases.
The breast pathology and imaging authors worked
together to provide a comprehensive review of the majority
of benign lesions with histology and imaging correlates.
There are chapters addressing both cystic and solid benign
entities. In addition, proliferative lesions and benign calcifications
are reviewed. Importantly, there is a review of
high-risk benign breast lesions that may require excisional
biopsy after an imaging-guided core needle biopsy.
Section 5 follows with a comprehensive review of the
pathology and imaging of breast malignancies, ranging
from ductal carcinoma-in-situ and invasive carcinomas to
rare malignancies. There is also information about the role
of imaging with neoadjuvant chemotherapy.
Section 6 introduces the current status of “Appropriateness
Criteria” for the breast imaging workup. We are entering
the era of “evidence-based medicine”, which will
require justification of our imaging protocols in the future
health care system. The American College of Radiology
Appropriateness Criteria were developed to identify
appropriate workup protocols, justified by evidence in
the scientific literature, for breast imaging findings associated
with clinical findings or recalled from a screening
mammogram. The authors of these chapters have been
members of the ACR Appropriateness Criteria committee
for breast imaging.
Section 7 presents the status of current imaging-guided
interventional procedures. It also presents the pathologist’s
evaluation of the biopsy specimens and how they
are processed. Finally, it addresses the breast imager’s role
in determining post-biopsy management.
Section 8 reviews the imaging findings in the surgically
altered breast. Evaluating imaging studies after major surgery
can be a challenge. However, the authors of these
chapters are known experts in evaluating the post-surgical
Section 9 is a comprehensive update on the current
regulations in breast imaging. Like it or not, breast imaging
is the most regulated field in radiology, and one of the
most regulated in all of medicine. We are fortunate to have
recruited the most authoritative contributors for each
of these chapters that address MQSA and Accreditation
Programs, The Medical Audit, Coding and Billing, and
Section 10 introduces Emerging Technologies in breast
imaging. Each of the authors of these chapters is actively
involved in research studies on these new and promising
technologies of the future. It is an exciting venture.
We wish to thank our contributing authors for their
excellent submissions to this book. We also want to thank
our patients, families, friends, and coworkers for their
help and patience in this endeavor. In summary, after our
hard work we are proud to provide this new and unique