Breast Imaging Updates

Explore the latest advancements in breast imaging and screening protocols in this 50-minute physician grand rounds presentation. Delve into the importance of breast cancer screening, comparing 2D and 3D mammography techniques, and examining their respective cancer detection rates. Learn about the Oslo Tomosynthesis Screening Trial and the Johns Hopkins Study findings. Discuss optimal screening start ages, analyzing USPSTF recommendations and CISNET analysis. Understand breast density classification, its impact on cancer risk, and explore additional screening options such as Automated Whole Breast Ultrasound (AWBUS) and Breast MRI. Examine risk models, criteria for high-risk patients, and potential harms of screening. Investigate emerging technologies like Molecular Breast Imaging, Contrast Enhanced Mammography, and Thermography. Conclude with guidelines from the American Society of Breast Surgeons for screening initiation and cessation in average-risk women, high-risk women, and those with a history of breast cancer.

Intro
Why do we screen for breast cancer?
2D Mammography Cancer Detection Rate
Screening Mammography
Oslo Tomosynthesis Screening Trial
3D Mammography
Johns Hopkins Study
ACR Phantom Dose
When to Start Screening
CISNET analysis
USPSTF Recommendations
Breast Imaging Screening
Risk Factors
What is breast density?
Radiologists classify breast density using a 4-level density scale
Breast Density Categories
Breast Density and Cancer Risk
Tumor Behavior
Options For Screening
Automated Whole Breast Ultrasound: AWBUS
Connecticut AWBUS Data
Diagnostic/High Risk Breast MRI
Abbreviated Screening Breast MRI
Breast MR vs US vs Mammography
51 year old female
44 year old female
Risk Models
Criteria for High Risk
Harms of Screening?
Molecular Breast Imaging
Contrast Enhanced Mammography
Thermography
American Society of Breast Surgeons
When to start and when to stop
Average Risk Women
High Risk Women
Women with History of Breast Cancer
Questions?