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MRI of the breasts has the highest sensitivity to detect breast cancer when compared with other imaging modalities such as breast ultrasound or mammography. In the screening for breast cancer for high-risk women, sensitivity of MRI ranges from 83 to 94% while specificity (the confidence that a lesion is cancerous and not a false positive ...
In patients where MRI is contraindicated (certain implantable devices, certain kidney conditions) or in those who prefer to avoid MRI (claustrophobia), molecular breast imaging is a viable alternative. MBI has shown to increase detection of breast cancer in dense breasts by 7-16 cancers per 1000 screens. [1] [3] [5]
The authors of this Cochrane review write: "If we assume that screening reduces breast cancer mortality by 15% and that overdiagnosis and over-treatment is at 30%, it means that for every 2,000 women invited for screening throughout 10 years, one will avoid dying of breast cancer and 10 healthy women, who would not have been diagnosed if there ...
Microcalcifications on MRI. [10] BI-RADS score of 4 or 5 on mammography, ultrasound, or MRI. [11] A suspicious hard palpable lump [9] Skin changes like crusting, scaling, or dimpling of the breast, which may signal an underlying breast cancer [9] Abnormal nipple discharge [7] [9]
Breast MRI is a technology typically reserved for high-risk patients and patients recently diagnosed with breast cancer. [3] Lastly, scintimammography is used in a subgroup of patients who have abnormal mammograms or whose screening is not reliable on the basis of using traditional mammography or ultrasound. [4]
Comedocarcinoma is a kind of breast cancer that demonstrates comedonecrosis, which is the central necrosis [1] of cancer cells within involved ducts. Comedocarcinomas are usually non-infiltrating and intraductal tumors, characterized as a comedo-type, high-grade ductal carcinoma in situ (DCIS).
In DCIS, abnormal cells are found in the lining of one or more milk ducts in the breast. In situ means "in place" and refers to the fact that the abnormal cells have not moved out of the mammary duct and into any of the surrounding tissues in the breast ("pre-cancerous" indicates that it has not yet become an invasive cancer).
The Breast Imaging-Reporting and Data System (BI-RADS) is a quality assurance tool originally designed for use with mammography.The system is a collaborative effort of many health groups but is published and trademarked by the American College of Radiology (ACR).