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Improving Breast Imaging Quality Standards

Author: National Research Council

Publisher: National Academies Press

Published: 2005-10-27

Total Pages: 241

ISBN-13: 0309096480

Mammography is an important tool for detecting breast cancer at an early stage. When coupled with appropriate treatment, early detection can reduce breast cancer mortality. At the request of Congress, the Food and Drug Administration (FDA) commissioned a study to examine the current practice of mammography and breast cancer detection, with a focus on the FDA's oversight via the Mammography Quality Standards Act (MQSA), to identify areas in need of improvement. Enacted in 1993, MQSA provides a general framework for ensuring national quality standards in facilities performing screening mammography, requires that each mammography facility be accredited and certified, and mandates that facilities will undergo annual inspections. This book recommends strategies for achieving continued progress in assuring mammography quality, including changes to MQSA regulation, as well as approaches that do not fall within the purview of MQSA. Specifically, this book provides recommendations aimed at improving mammography interpretation; revising MQSA regulations, inspections, and enforcement; ensuring an adequate workforce for breast cancer screening and diagnosis; and improving breast imaging quality beyond mammography.

Improving Breast Imaging Quality Standards

Author: National Research Council

Publisher:

Published: 2005-09-27

Total Pages: 240

ISBN-13: 9780309385343

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Mammography is an important tool for detecting breast cancer at an early stage. When coupled with appropriate treatment, early detection can reduce breast cancer mortality. At the request of Congress, the Food and Drug Administration (FDA) commissioned a study to examine the current practice of mammography and breast cancer detection, with a focus on the FDAâ (TM)s oversight via the Mammography Quality Standards Act (MQSA), to identify areas in need of improvement. Enacted in 1993, MQSA provides a general framework for ensuring national quality standards in facilities performing screening mammography, requires that each mammography facility be accredited and certified, and mandates that facilities will undergo annual inspections. This book recommends strategies for achieving continued progress in assuring mammography quality, including changes to MQSA regulation, as well as approaches that do not fall within the purview of MQSA. Specifically, this book provides recommendations aimed at improving mammography interpretation; revising MQSA regulations, inspections, and enforcement; ensuring an adequate workforce for breast cancer screening and diagnosis; and improving breast imaging quality beyond mammography.

Assessing and Improving the Interpretation of Breast Images

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2015-10-23

Total Pages: 94

ISBN-13: 0309378389

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Millions of women undergo screening mammography regularly with the hope of detecting breast cancer at an earlier and more curable stage. But the ability of such screening to accurately detect early cancers depends on the quality of mammography, including high-quality image acquisition and interpretation. To help ensure the quality of mammography, Congress passed the Mammography Quality Standards Act (MQSA) in 1994 and last reauthorized it in 2004. In advance of its expected reauthorization in 2007, Congress requested a consensus study from the Institute of Medicine (IOM) recommending ways to improve the quality of mammography, with an emphasis on image interpretation. The resulting report, Improving Breast Imaging Quality Standards, highlighted the need to decrease variability in mammography interpretation in the United States and identified gaps in the evidence needed to develop best practices. The consensus committee found that mammography interpretation remained quite variable, and that this variability limited the full potential of mammography to reduce breast cancer mortality by detecting breast cancers at an early stage. In May 2015, the IOM convened a workshop to address this issue. The participants discussed challenges in the delivery of high-quality mammography, the impact of training and experience on interpretive performance, how best to measure interpretive performance, and the potential impact of new technologies and supplemental imaging on interpretation of breast screening and diagnostic images. Assessing and Improving the Interpretation of Breast Images summarizes the presentations and discussions from this workshop.

Mammography and Beyond

Author: National Research Council

Publisher: National Academies Press

Published: 2001-06-04

Total Pages: 34

ISBN-13: 0309075505

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X-ray mammography screening is the current mainstay for early breast cancer detection. It has been proven to detect breast cancer at an earlier stage and to reduce the number of women dying from the disease. However, it has a number of limitations. These current limitations in early breast cancer detection technology are driving a surge of new technological developments, from modifications of x-ray mammography such as computer programs that can indicate suspicious areas, to newer methods of detection such as magnetic resonance imaging (MRI) or biochemical tests on breast fluids. To explore the merits and drawbacks of these new breast cancer detection techniques, the Institute of Medicine of the National Academy of Sciences convened a committee of experts. During its year of operation, the committee examined the peer-reviewed literature, consulted with other experts in the field, and held two public workshops. In addition to identifying promising new technologies for early detection, the committee explored potential barriers that might prevent the development of new detection methods and their common usage. Such barriers could include lack of funding from agencies that support research and lack of investment in the commercial sector; complicated, inconsistent, or unpredictable federal regulations; inadequate insurance reimbursement; and limited access to or unacceptability of breast cancer detection technology for women and their doctors. Based on the findings of their study, the committee prepared a report entitled Mammography and Beyond: Developing Technology for Early Detection of Breast Cancer, which was published in the spring of 2001. This is a non-technical summary of that report.

Contrast-Enhanced Mammography

Author: Marc Lobbes

Publisher: Springer

Published: 2019-04-29

Total Pages: 160

ISBN-13: 303011063X

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This book is a comprehensive guide to contrast-enhanced mammography (CEM), a novel advanced mammography technique using dual-energy mammography in combination with intravenous contrast administration in order to increase the diagnostic performance of digital mammography. Readers will find helpful information on the principles of CEM and indications for the technique. Detailed attention is devoted to image interpretation, with presentation of case examples and highlighting of pitfalls and artifacts. Other topics to be addressed include the establishment of a CEM program, the comparative merits of CEM and MRI, and the roles of CEM in screening populations and monitoring of response to neoadjuvant chemotherapy. CEM became commercially available in 2011 and is increasingly being used in clinical practice owing to its superiority over full-field digital mammography. This book will be an ideal source of knowledge and guidance for all who wish to start using the technique or to learn more about it.

Digital Mammography

Author: Etta D. Pisano

Publisher: Lippincott Williams & Wilkins

Published: 2004

Total Pages: 24

ISBN-13: 0781741424

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Bogen er en grundlæggende lærebog om digital mammografi, hvori digital mammografi og traditionel mammografi også sammenlignes i forhold til screening, diagnoser og radiografisk billedteknik. Der er en komplet billedsamling af cases indenfor digital mammografi.

Breast MRI

Author: R. Edward Hendrick

Publisher: Springer Science & Business Media

Published: 2007-12-14

Total Pages: 257

ISBN-13: 0387735070

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With a focus on the basic imaging principles of breast MRI rather than on mathematical equations, this book takes a practical approach to imaging protocols, which helps radiologists increase their diagnostic effectiveness. It walks the reader through the basics of MRI, making it especially accessible to beginners. From a detailed outline of equipment prerequisites for obtaining high quality breast MRI to instructions on how to optimize image quality, expanded discussions on how to obtain optimized dynamic information, and explanations of good and bad imaging techniques, the book covers the topics that are most relevant to performing breast MRI.

Image Quality and Positioning Problem-Solving for Breast Imagers

Author: Louise Miller

Publisher:

Published: 2020-04-24

Total Pages:

ISBN-13: 9781734975512

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The Image Evaluation & Positioning Problem Solving for Breast Imagers: Meeting EQUIP Standards manual was created to address specific imaging standards outlined by the FDA's Enhancing Quality Imaging Using the Inspection Program (EQUIP). Each of the eight categories that affect image quality are discussed in detail in this work, including reasonable expectations for meeting those standards and positioning problem solving with corrective actions. The manual is designed to be used by radiologists and technologists alike and will higher the standards for mammographic image quality.The manual features forwards by eminent Breast Imaging Radiologists: Drs. Daniel Kopans and Michael Linver.

Breast Imaging

Author: Debra M. Ikeda

Publisher: Mosby

Published: 2010-10-27

Total Pages: 445

ISBN-13: 9780323051989

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Breast Imaging: The Requisites, 2nd Edition, by Debra Ikeda, MD, presents all of today's core knowledge about diagnostic imaging of the breast. Clinically oriented and easy to use, it shows you how to interpret the full range of imaging studies for the most accurate diagnoses. Updates include all-new digital mammography images throughout.new, full-color chapters on PET-CT imaging for high-risk patients and patients with breast disease.new images and data on MR imaging.and new ultrasound images, with an emphasis on ultrasound of normal structures. Compact yet authoritative, this work is an ideal reference for both board preparation and clinical practice. Focus on the essentials needed to pass the boards and ensure accurate diagnoses in clinical practice. Interpret the findings generated from each high-tech imaging modality used to image the breast, including digital mammography, MRI and MRI-guided procedures, ultrasound, and PET-CT imaging. Get outstanding visual guidance with more than 700 superb illustrations that demonstrate a full range of mammography approaches and findings. Grasp key information quickly with numerous outlines, tables, ''pearls,'' and boxed material for easy reference. Benefit from expert coverage of risk factors, image interpretation and workup, breast masses and calcifications, cancer and its treatment, silicone breast implants, the postoperative breast, clinical problems, invasive procedures, and much more. Stay up to date with all-new digital mammography images throughout.new, full-color chapters on PET-CT imaging for high-risk patients and patients with breast disease.new images and data on MR imaging.and new ultrasound images, with an emphasis on ultrasound of normal structures. Gain new insight into today's hottest topics, including breast MR imaging for high-risk patients, staging, and treatment planning, and PET-CT imaging for diagnosis, staging, and treatment planning. The must-have reference for accurate diagnosis of breast disease now improved with all new Digital mammography images.

Breast Tomosynthesis E-Book

Author: Liane E Philpotts

Publisher: Elsevier Health Sciences

Published: 2016-11-02

Total Pages: 350

ISBN-13: 0323377459

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The use of tomosynthesis in breast imaging is growing rapidly due to its superior ability to identify and characterize normal findings, benign lesions, and breast cancer, as well as its optimal performance with dense breast tissue. Providing unparalleled coverage of this breakthrough breast imaging modality, Breast Tomosynthesis explains how this new modality can lead to enhanced interpretation and better patient outcomes. This new reference is an indispensable guide for today's practitioner looking to keep abreast of the latest developments with correlative findings, practical interpretation tips, physics, and information on how tomosynthesis differs from conventional 2D FFDM mammography. Over 900 high-quality images offer visual guidance to effectively reading and interpreting this key imaging modality. Includes over 900 high-quality tomosynthesis and mammography images representing the spectrum of breast imaging. Features the latest Breast Imaging Reporting and Data System (or BI-RADS) standards updated in February 2014. Highlights practical tips to interpreting this new modality and how it differs from 2D mammography. Details how integration of tomosynthesis drastically changes lesion work-up and overall workflow in the department. "Tomo Tips" boxes offer tips and pitfalls for expert clinical guidance.