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Correction to: Utilization of Texture Analysis in Differentiating Benign and Malignant Breast Masses: Comparison of Grayscale US, Shear Wave Elastography, and Radiomic Features. 更正:利用纹理分析区分良性和恶性乳腺肿块:灰度超声、剪切波弹性成像和放射线学特征的比较。
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae063
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引用次数: 0
Patient- vs Technologist-Controlled Mammography Compression: A Prospective Comparative Study of Patient Discomfort and Breast Compression Thickness. 患者与技术人员控制的乳腺 X 射线压迫:患者不适感与乳房压迫厚度的前瞻性比较研究。
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae052
Joshua Gaudette, Sai Kilaru, Alexis Davenport, Sushil Hanumolu, David Pinkney, Sabala Mandava, Amy Williams, Xiaoqin Amy Tang

Objective: We assess whether mammographic patient-assisted compression (PAC) has an impact on breast compression thickness and patient discomfort compared with technologist-assisted compression (TAC).

Methods: A total of 382 female patients between ages 40 and 90 years undergoing screening mammography from February 2020 to June 2021 were recruited via informational pamphlet to participate in this IRB-approved study. Patients without prior baseline mammograms were excluded. The participating patients were randomly assigned to the PAC or TAC study group. Pre- and postmammogram surveys assessed expected pain and experienced pain, respectively, using a 100-mm visual analogue scale and the State-Trait Anxiety Inventory. Breast compression thickness values from the most recent mammogram were compared with the patient's recent prior mammogram.

Results: Between the 2 groups, there was no significant difference between the expected level of pain prior to the mammogram (P = .97). While both study groups reported a lower level of experienced pain than was expected, the difference was greater for the PAC group (P <.0001). Additionally, the PAC group reported significantly lower experienced pain during mammography compared with the TAC group (P = .014). The correlation of trait/state anxiety scores with pre- and postmammogram pain scores was weak among the groups. Lastly, the mean breast compression thickness values for standard screening mammographic views showed no significant difference in the PAC group when compared with the patient's prior mammogram.

Conclusion: Involving patients in compression reduces their pain independent of the patient's state anxiety during mammography while having no effect on breast compression thickness. Implementing PAC could improve the mammography experience.

目的:我们评估了乳腺造影患者辅助加压(PAC)与技术人员辅助加压(TAC)相比,是否会影响乳房加压厚度和患者不适感:我们评估与技术人员辅助加压(TAC)相比,患者辅助加压(PAC)是否会对乳房加压厚度和患者不适感产生影响:2020年2月至2021年6月期间,共有382名年龄在40岁至90岁之间的女性患者接受了乳腺X光筛查,她们都是通过信息宣传册被招募来参与这项经IRB批准的研究的。未进行过基线乳房 X 光检查的患者被排除在外。参与研究的患者被随机分配到 PAC 或 TAC 研究组。乳房X光检查前和检查后调查分别使用100毫米视觉模拟量表和状态-特质焦虑量表评估预期疼痛和体验疼痛。将最近一次乳房 X 光检查得出的乳房压缩厚度值与患者最近一次乳房 X 光检查得出的乳房压缩厚度值进行比较:两组患者在乳房 X 光检查前的预期疼痛程度没有明显差异(P = 0.97)。虽然两组研究人员报告的疼痛程度均低于预期,但 PAC 组的差异更大(P 结论:让患者参与压迫可减少乳房疼痛:让患者参与按压可减轻他们在乳房 X 光检查过程中的疼痛,而与患者的焦虑状态无关,同时对乳房按压厚度没有影响。实施 PAC 可改善乳腺 X 光检查体验。
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引用次数: 0
Idiopathic Granulomatous Mastitis: Imaging Findings and Outcomes with Nonsteroidal Treatment in a Predominantly Hispanic Population. 特发性肉芽肿性乳腺炎:在以西班牙裔为主的人群中,非类固醇治疗的成像结果和疗效。
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae051
Lucien Rizzo, Linda Hovanessian-Larsen, Mary Yamashita, Xiaomeng Lei, Steven Cen, Jennifer Choi, Tiffany Lee, Sandy Lee

Objective: We describe the demographics, clinical presentation, imaging findings, and treatment response among 235 cases of biopsy-proven idiopathic granulomatous mastitis (IGM) at a single institution.

Methods: An institutional review board-approved retrospective search of the breast imaging database was performed to select patients with biopsy-proven IGM between 2017 and 2022. Retrospective review evaluated clinical presentation, imaging findings with US and mammography, and treatment recommendations (antibiotics, nonsteroidal anti-inflammatory drugs [NSAIDs], warm compresses, or observation only). Response to treatment was evaluated on follow-up US. A favorable treatment response was a decrease in size or resolution of disease on follow-up imaging. Statistical analysis using Poisson regression was performed to evaluate the clinical outcomes associated with each treatment.

Results: A total of 235 patients met the selection criteria with a mean age of 38 years (18 to 68). The majority of patients were Hispanic (95%, 223/235). Of all patients, 75.3% (177/235) received treatment (consisting of 1 or any combination of antibiotics, NSAIDs, warm compresses), 24.7% (58/235) were treated with observation, 78.7% (185/235) returned for follow-up imaging, and 21.3% (50/235) were lost to follow-up. Of those with follow-up imaging, disease improvement was seen in 70.3% (102/145) of patients who received treatment compared with 72.5% (29/40) of patients treated by observation alone. Multivariate analysis further showed no difference in clinical outcomes among the treatment of unifocal, multifocal, or recurrent IGM.

Conclusion: Nonsteroidal treatment of IGM showed no significant improvement on follow-up imaging compared to treatment with observation alone in a predominantly Hispanic patient population.

目的我们描述了一家机构的 235 例经活检证实的特发性肉芽肿性乳腺炎(IGM)患者的人口统计学特征、临床表现、影像学结果和治疗反应:经机构审查委员会批准,对乳腺成像数据库进行了回顾性检索,筛选出2017年至2022年间活检证实的特发性肉芽肿性乳腺炎患者。回顾性研究评估了临床表现、US和乳腺X光成像结果以及治疗建议(抗生素、非甾体抗炎药[NSAIDs]、热敷或仅观察)。治疗反应通过随访的 US 进行评估。治疗反应良好是指随访影像学检查中病灶缩小或消退。采用泊松回归法进行统计分析,以评估与每种治疗方法相关的临床结果:共有 235 名患者符合选择标准,平均年龄为 38 岁(18 至 68 岁)。大多数患者为西班牙裔(95%,223/235)。在所有患者中,75.3%(177/235)接受了治疗(包括抗生素、非甾体抗炎药、热敷的一种或任意组合),24.7%(58/235)接受了观察治疗,78.7%(185/235)返回接受随访成像,21.3%(50/235)失去了随访机会。在接受随访成像的患者中,70.3%(102/145)的患者接受了治疗,而 72.5%(29/40)的患者仅接受了观察治疗。多变量分析进一步显示,治疗单灶、多灶或复发性 IGM 的临床结果没有差异:结论:在以西班牙裔为主的患者群体中,非甾体类药物治疗 IGM 与单纯观察治疗相比,在随访成像上没有明显改善。
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引用次数: 0
Current Concepts in Molecular Breast Imaging. 分子乳腺成像的当前概念。
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae076
Miral M Patel, Beatriz E Adrada, Mary S Guirguis, Gary Whitman, Tanya W Moseley, Gaiane M Rauch

Molecular breast imaging (MBI) is a functional imaging modality that utilizes technetium 99m sestamibi radiotracer uptake to evaluate the biology of breast tumors. Molecular breast imaging can be a useful tool for supplemental screening of women with dense breasts, for breast cancer diagnosis and staging, and for evaluation of treatment response in patients with breast cancer undergoing neoadjuvant systemic therapy. In addition, MBI is useful in problem-solving when mammography and US imaging are insufficient to arrive at a definite diagnosis and for patients who cannot undergo breast MRI. Based on the BI-RADS lexicon, a standardized lexicon has been developed to aid radiologists in MBI reporting. In this article, we review MBI equipment, procedures, and lexicon; clinical indications for MBI; and the radiation dose associated with MBI.

分子乳腺成像(MBI)是一种利用锝99m sestamibi放射性示踪剂摄取来评估乳腺肿瘤生物学的功能成像方式。乳腺分子成像是一种有用的工具,可用于乳腺致密女性的补充筛查,乳腺癌诊断和分期,以及评估接受新辅助全身治疗的乳腺癌患者的治疗反应。此外,当乳房x光检查和超声成像不足以做出明确诊断时,以及无法进行乳房MRI检查的患者,MBI在解决问题方面也很有用。基于BI-RADS词典,已经开发了一个标准化的词典,以帮助放射科医生在MBI报告。在本文中,我们回顾了MBI设备、程序和词汇;MBI的临床适应症;以及与MBI相关的辐射剂量。
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引用次数: 0
Expressions of Appreciation.
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae088
Michael A Cohen
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引用次数: 0
Acellular Dermal Matrix: Imaging Features With Histopathology Correlation. 细胞真皮基质:影像学特征与组织病理学相关性。
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae054
Alysha Dhami, Cooper D Rutland, Arash Momeni, Uzma Waheed

Acellular dermal matrix (ADM) is an immunologically inert graft, typically from cadaveric skin, often used in postmastectomy breast reconstruction. Created from decellularized dermal tissues that have been treated to remove DNA and antigenic donor cells (leaving extracellular matrix), ADM is often used as a structural scaffold or sling to reinforce and support the structure and position of a breast implant during postoperative integration in implant-based breast reconstruction; ADM can also be used to fill cosmetic defects. Advantages of ADM use include improved cosmesis and reduced capsular contracture rates. On US, ADM can be seen as a subtle band with variable echogenicity adjacent to the implant. When folded on itself or redundant, ADM may present as a palpable oval mass with indistinct or circumscribed margins and variable echogenicity. On mammography, ADM can be seen as a circumscribed oval equal density mass when redundant and folded on itself; a layered appearance may be evident on tomosynthesis. On MRI, presence and absence of enhancement have been documented. Imaging findings likely vary depending on the degree of host tissue remodeling and incorporation, and when biopsied, histopathologically, ADM may be difficult to distinguish from scarring. Successful imaging diagnosis of ADM is aided by clinical knowledge of the intraoperative use and configuration of ADM, which may help differentiate ADM from new or recurrent malignancy and avoid unnecessary biopsy.

细胞外基质(ADM)是一种免疫惰性移植物,通常取自尸体皮肤,常用于乳房切除术后的乳房重建。ADM由去细胞化的真皮组织制成,经过处理以去除DNA和抗原性供体细胞(留下细胞外基质),ADM通常用作结构支架或吊带,以加固和支撑乳房植入物的结构和位置,并在术后整合植入物的乳房重建过程中发挥作用;ADM还可用于填充外观缺陷。使用 ADM 的优点包括改善外观和降低包膜挛缩率。在 US 上,可以看到 ADM 在假体附近形成一条细微的带状回声。当 ADM 自身折叠或多余时,可表现为可触及的椭圆形肿块,边缘模糊不清或呈环状,回声多变。在乳腺 X 光检查中,当 ADM 自身有赘生物和折叠时,可表现为周缘椭圆形等密度肿块;在断层扫描中可能会出现明显的分层外观。在磁共振成像上,有增强和无增强的记录。影像学检查结果可能因宿主组织重塑和合并的程度而异,在活组织病理学检查时,ADM 可能很难与瘢痕区分开来。成功的 ADM 影像诊断离不开临床对 ADM 术中使用和构型的了解,这有助于将 ADM 与新发或复发的恶性肿瘤区分开来,避免不必要的活检。
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引用次数: 0
Improving Wellness Through Reading Room Design and Flexible Scheduling Options.
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae094
Hamad Muhammad, Millie Puglia, Stephanie Colvin, Stefanie Zalasin, Ceren Yalniz, Kathryn W Zamora, Stefanie Woodard

Breast radiologists have high rates of burnout. Some contributing factors include the sedentary nature of the occupation, reading room design and isolation associated with higher volumes, and increased remote interpretation. Reading rooms can also be filled with numerous distractions and produce conditions that do not support optimal workflow. Identifying and addressing these issues may help prolong physician careers and increase overall productivity. This article presents approaches to improve wellness for breast imaging radiologists and reduce the overall rate of burnout.

乳腺放射科医生的职业倦怠率很高。造成这一现象的一些因素包括这一职业的久坐性、阅片室的设计和与较高阅片量相关的隔离以及远程口译的增加。阅片室也可能充斥着大量分散注意力的因素,造成无法支持最佳工作流程的条件。发现并解决这些问题有助于延长医生的职业生涯并提高整体工作效率。本文介绍了改善乳腺成像放射医师健康状况和降低整体倦怠率的方法。
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引用次数: 0
Framework for Successful Integration of Health Services Research Into a Breast Imaging Career. 将健康服务研究成功融入乳腺成像职业生涯的框架。
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae042
Randy C Miles, Shinn-Huey Chou, Leslie R Lamb, Anand Narayan, Nhat-Tuan Tran, Janie M Lee

Health services research (HSR) is a multidisciplinary field of inquiry that examines how health care is structured, providing valuable data on health care outcomes and delivery. Over the past few decades, a shift in the U.S. health care system toward value-based care has placed a priority on health services topics. Health services research has been central to the evolution of breast imaging over this period, with increased emphasis placed on the following: (1) design of appropriate-use criteria for imaging services; (2) determination of cost-effectiveness of imaging protocols and screening regimens guiding policy; and (3) evaluation of policy related to reimbursement for diagnostic imaging and image-guided procedures. Examples of HSR topics that can be applied directly to breast imaging include evaluation of health care availability and accessibility, analysis of health care use patterns, exploration of patient preferences, assessment of technological innovation, development and implementation of clinical practice guidelines and screening strategies, and examination of health care organization and delivery models. Breast imaging radiologists who perform HSR are uniquely positioned to advocate for patients, to promote transformative health care interventions, and to influence policy changes and public health initiatives in breast imaging through analysis of health care data and translation of their research findings. In this Training and Professional Development article, we aim to provide practical approaches to explore interest in HSR and to describe a framework for successful integration of HSR into a breast imaging career.

医疗服务研究(HSR)是一个多学科的研究领域,它研究医疗服务的结构,为医疗服务的结果和提供提供宝贵的数据。在过去的几十年里,美国医疗保健系统向以价值为基础的医疗保健转变,这使医疗服务课题成为优先事项。在此期间,医疗服务研究一直是乳腺成像技术发展的核心,并越来越重视以下方面:(1) 设计成像服务的适当使用标准;(2) 确定成像方案和筛查方案的成本效益,并以此作为政策指导;(3) 评估与诊断成像和图像引导程序报销相关的政策。可直接应用于乳腺成像的人类健康研究课题包括:评估医疗服务的可用性和可及性、分析医疗服务的使用模式、探索患者的偏好、评估技术创新、制定和实施临床实践指南和筛查策略,以及检查医疗服务的组织和提供模式。从事 HSR 的乳腺成像放射医师具有得天独厚的优势,他们可以通过分析医疗保健数据和转化研究成果,为患者代言,促进医疗保健干预措施的变革,影响乳腺成像方面的政策变化和公共卫生举措。在这篇 "培训与职业发展 "的文章中,我们旨在提供实用的方法来激发对 HSR 的兴趣,并描述将 HSR 成功融入乳腺成像职业生涯的框架。
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引用次数: 0
Correction to: The Impact of Virtual Reality on Anxiety and Pain During US-Guided Breast Biopsies: A Randomized Controlled Clinical Trial. 更正:虚拟现实对 US 引导下乳腺活检期间焦虑和疼痛的影响:随机对照临床试验。
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae061
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引用次数: 0
Correction to: Role of Supplemental Breast MRI in Screening Women with Mammographically Dense Breasts: A Systematic Review and Meta-analysis. 更正:补充性乳腺 MRI 在筛查乳腺钼靶致密女性中的作用:系统回顾与元分析》。
IF 2 Q3 ONCOLOGY Pub Date : 2025-01-25 DOI: 10.1093/jbi/wbae060
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引用次数: 0
期刊
Journal of Breast Imaging
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