ABSTRACT
ABSTRACT: Granulomatous mastitis is a rare benign inflammatory disease of the breast, predominantly affecting women of childbearing age. Because of its low prevalence, the literature is limited, and its treatment algorithm is unclear. However, it is important to understand this disease for timely diagnosis and treatment. Our overview with imaging examples of biopsy-proven cases aims to improve our knowledge and to determine when it would be appropriate to include it in the differential diagnosis.
Subject(s)
Granulomatous Mastitis , Mastitis , Biopsy , Breast/diagnostic imaging , Diagnosis, Differential , Diagnostic Imaging , Female , Granulomatous Mastitis/diagnostic imaging , Humans , Mastitis/diagnostic imaging , RadiologistsABSTRACT
PURPOSE: Breast magnetic resonance imaging (MRI) quality may vary across the United States. Our aim was to investigate the quality of outside breast MRIs presenting for second opinion at a tertiary cancer center following implementation of the American College of Radiology (ACR) Breast MRI Accreditation Program. MATERIALS AND METHODS: We retrospectively reviewed the technical quality of the MRI studies of 100 consecutive cases submitted for second opinion in 2013. The image quality was blindly reviewed per ACR Breast MRI Accreditation Program by three fellowship-trained breast radiologists and one breast imaging fellow. RESULTS: In total, 88 of the 100 cases were referred from facilities in the United States. Sixty (68%) of the 88 cases had at least one technical deficiency. In 10 cases (11%), more than five different technical deficiencies occurred. The most frequently encountered deficiencies were related to artifacts (74%), with shimming (Nâ¯=â¯17) and motion (Nâ¯=â¯16) being the most common. In total, 38% of cases (Nâ¯=â¯33) had a deficient T2-weighted sequence, mostly due to low signal to noise ratio (Nâ¯=â¯25). A total of 27% cases (Nâ¯=â¯24) had deficiencies in the delayed phase postcontrast T1-weighted sequence, mainly due to low signal to noise ratio (Nâ¯=â¯21) and 23% had deficiencies in the early phase postcontrast T1-weighted sequence, predominantly due to low signal to noise ratio as well. (Nâ¯=â¯19). CONCLUSION: Our study demonstrates variability of breast MRI quality across the United States. Radiologists should become familiar with the requirements of the ACR breast MRI accreditation program and strive to meet the expected standards in order to enhance patient quality and safety.
Subject(s)
Breast Neoplasms , Magnetic Resonance Imaging , Accreditation , Artifacts , Breast/diagnostic imaging , Breast Neoplasms/diagnostic imaging , Humans , Magnetic Resonance Imaging/standards , Retrospective Studies , United StatesABSTRACT
This report describes the clinical presentation, imaging findings, and treatment options of a case of metastatic malignant phyllodes.
Subject(s)
Breast Neoplasms/diagnostic imaging , Mammography/methods , Phyllodes Tumor/diagnostic imaging , Breast/diagnostic imaging , Breast/pathology , Breast Neoplasms/drug therapy , Breast Neoplasms/pathology , Female , Humans , Middle Aged , Palliative Care , Phyllodes Tumor/drug therapy , Phyllodes Tumor/pathology , Ultrasonography, MammaryABSTRACT
This review will discuss changes relevant to breast cancer caregivers in the fifth edition of the Breast Imaging Reporting and Data System.
