{"title":"Emerging Psycho-oncological Unmet Needs of Breast Cancer Patients","authors":"J. Tsang","doi":"10.12809/hkjr22mared","DOIUrl":"https://doi.org/10.12809/hkjr22mared","url":null,"abstract":"","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42967443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Pancreaticoduodenal Fistula is a Rare Complication of Intraductal Papillary Mucinous Neoplasm: a Case Report","authors":"Ahc Wong, E. Lai, E. Wong","doi":"10.12809/hkjr2217262","DOIUrl":"https://doi.org/10.12809/hkjr2217262","url":null,"abstract":"","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45364519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prasanth Gurijala, Geethu Punnen, T. Mani, S. Keshava
{"title":"Location of the Internal Mammary Arteries in Relation to the Lateral Border of the Sternum: A Key to Avoid Injury during Computed Tomography-Guided Biopsy of Anterior Mediastinal Masses","authors":"Prasanth Gurijala, Geethu Punnen, T. Mani, S. Keshava","doi":"10.12809/hkjr2217277","DOIUrl":"https://doi.org/10.12809/hkjr2217277","url":null,"abstract":"","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44033388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"First-Line Therapy for Metastatic Castration-sensitive Prostate Cancer: a Network Meta-analysis","authors":"K. Zheng, Akh Fong, S. Chan, T. So","doi":"10.12809/hkjr2217393","DOIUrl":"https://doi.org/10.12809/hkjr2217393","url":null,"abstract":"","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49257611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ruptured Ectopic Pregnancy after Previous Hysterectomy: a Case Report","authors":"YY Man, Yn Tam","doi":"10.12809/hkjr2217292","DOIUrl":"https://doi.org/10.12809/hkjr2217292","url":null,"abstract":"","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46951545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic Accuracy of Unenhanced Abbreviated Diffusion-Weighted Magnetic Resonance Imaging Versus Postcontrast Abbreviated Breast Magnetic Resonance Imaging for Breast Cancer","authors":"Yj Kim","doi":"10.12809/hkjr2117203","DOIUrl":"https://doi.org/10.12809/hkjr2117203","url":null,"abstract":"","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47491417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Chow, T. Wong, C. Chau, R. Chan, T. Chan, D. Lui, A. Yung, Asl Fung, Jkf Ma
{"title":"Breast Manifestations in Patients with Systemic Lupus Erythematosus","authors":"D. Chow, T. Wong, C. Chau, R. Chan, T. Chan, D. Lui, A. Yung, Asl Fung, Jkf Ma","doi":"10.12809/hkjr2117202","DOIUrl":"https://doi.org/10.12809/hkjr2117202","url":null,"abstract":"","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48765783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
[...]malignant lesions with high water content such as mucinous carcinoma or triple-negative cancer with extensive necrosis might not be picked up by DWI-unenhanced MRI owing to the high apparent diffusion coefficient values within these lesions. The conventional hookwire localisation has been increasingly replaced by newer wireless localisation techniques such as radioactive seeds, magnetic seeds, radar reflectors, and radiofrequency identification tag localisers owing to their increased scheduling flexibility. Abbreviated magnetic resonance imaging (MRI) for breast cancer screening: rationale, concept, and transfer to clinical practice.
{"title":"Breast Cancer Imaging and Detection","authors":"W. Chu","doi":"10.12809/hkjr2112ed","DOIUrl":"https://doi.org/10.12809/hkjr2112ed","url":null,"abstract":"[...]malignant lesions with high water content such as mucinous carcinoma or triple-negative cancer with extensive necrosis might not be picked up by DWI-unenhanced MRI owing to the high apparent diffusion coefficient values within these lesions. The conventional hookwire localisation has been increasingly replaced by newer wireless localisation techniques such as radioactive seeds, magnetic seeds, radar reflectors, and radiofrequency identification tag localisers owing to their increased scheduling flexibility. Abbreviated magnetic resonance imaging (MRI) for breast cancer screening: rationale, concept, and transfer to clinical practice.","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46045314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Chan, T. Wong, W. Fung, T. Chan, C. Chau, C. Lui, Kf Ma
iNtRODUCtiON Ultrasonography is useful in the evaluation of clinically and mammographically detected breast masses. It is particularly useful in dense breasts that are more common in Asian women than in Caucasian women. According to the ACR BI-RADS Atlas (2013), hyperechogenicity is defined as having increased echogenicity relative to fat or equal to fibroglandular tissue.1 This pictorial essay reviews breast lesions that are hyperechoic or heterogeneous with hyperechoic components on ultrasonography. Imaging features are highlighted to help differentiate between different echogenic lesions, and additional sonographic features that warrant biopsy. Benign and malignant lesions with pathological proof are shown with imaging and causes of echogenic appearance of breast lesions; their diagnosis, investigation and management are discussed.
{"title":"Sonographic and Mammographic Features of Different Echogenic Breast Lesions: A Pictorial Essay","authors":"R. Chan, T. Wong, W. Fung, T. Chan, C. Chau, C. Lui, Kf Ma","doi":"10.12809/hkjr2117143","DOIUrl":"https://doi.org/10.12809/hkjr2117143","url":null,"abstract":"iNtRODUCtiON Ultrasonography is useful in the evaluation of clinically and mammographically detected breast masses. It is particularly useful in dense breasts that are more common in Asian women than in Caucasian women. According to the ACR BI-RADS Atlas (2013), hyperechogenicity is defined as having increased echogenicity relative to fat or equal to fibroglandular tissue.1 This pictorial essay reviews breast lesions that are hyperechoic or heterogeneous with hyperechoic components on ultrasonography. Imaging features are highlighted to help differentiate between different echogenic lesions, and additional sonographic features that warrant biopsy. Benign and malignant lesions with pathological proof are shown with imaging and causes of echogenic appearance of breast lesions; their diagnosis, investigation and management are discussed.","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45979640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Fung, E. Fung, K. Kwok, Skl Chan, L. Wong, W. Mak, D. Cho
Objectives: To analyse the pathological results from tomosynthesis-guided vacuum-assisted breast biopsy (VAB) of tomosynthesis-detected sonographically occult non-calcified breast lesions. Methods: We performed a retrospective review of patients who had undergone tomosynthesis-guided VAB from December 2017 to May 2019. Imaging findings and pathological outcome were evaluated. The technical success rate and complications of tomosynthesis-guided VAB were reviewed. Results: In our centre, all sonographically occult non-calcified lesions detected on digital breast tomosynthesis (DBT) with grade ≥4a or above according to Breast Imaging Reporting and Data System (BI-RADS) are selected for VAB under tomosynthesis guidance. Among the 41 cases reviewed, sampling was successful in 40 (97.6%). Among the 40 cases with pathologies, three malignancies, 14 high-risk lesions and 23 benign lesions were identified. All three malignancies in our study presented as architectural distortion, which was the main feature of the majority of DBTdetected sonographically occult non-calcified breast lesions (n = 38, 95%); the remaining two had focal asymmetry (n = 2, 5%). The positive predictive value for malignancy of architectural distortion detected on DBT only was 7.9%. All reported complications were clinically insignificant haematomas (n = 7, 17.5%). Conclusion: Tomosynthesis-guided VAB is a safe and effective method for evaluation of sonographically occult lesions detected on DBT. The feature associated with the majority of these lesions was architectural distortion.
{"title":"Tomosynthesis-guided Vacuum-assisted Breast Biopsy of Sonographically Occult Non-calcified Breast Lesions Detected on Tomosynthesis","authors":"W. Fung, E. Fung, K. Kwok, Skl Chan, L. Wong, W. Mak, D. Cho","doi":"10.12809/hkjr2117182","DOIUrl":"https://doi.org/10.12809/hkjr2117182","url":null,"abstract":"Objectives: To analyse the pathological results from tomosynthesis-guided vacuum-assisted breast biopsy (VAB) of tomosynthesis-detected sonographically occult non-calcified breast lesions. Methods: We performed a retrospective review of patients who had undergone tomosynthesis-guided VAB from December 2017 to May 2019. Imaging findings and pathological outcome were evaluated. The technical success rate and complications of tomosynthesis-guided VAB were reviewed. Results: In our centre, all sonographically occult non-calcified lesions detected on digital breast tomosynthesis (DBT) with grade ≥4a or above according to Breast Imaging Reporting and Data System (BI-RADS) are selected for VAB under tomosynthesis guidance. Among the 41 cases reviewed, sampling was successful in 40 (97.6%). Among the 40 cases with pathologies, three malignancies, 14 high-risk lesions and 23 benign lesions were identified. All three malignancies in our study presented as architectural distortion, which was the main feature of the majority of DBTdetected sonographically occult non-calcified breast lesions (n = 38, 95%); the remaining two had focal asymmetry (n = 2, 5%). The positive predictive value for malignancy of architectural distortion detected on DBT only was 7.9%. All reported complications were clinically insignificant haematomas (n = 7, 17.5%). Conclusion: Tomosynthesis-guided VAB is a safe and effective method for evaluation of sonographically occult lesions detected on DBT. The feature associated with the majority of these lesions was architectural distortion.","PeriodicalId":41549,"journal":{"name":"Hong Kong Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49415576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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