Breast Imaging

Question 1

Reasons for imaging in breast cancer?

Answer 1

Screening
Diagnosis
Monitoring response

Question 2

Treatmnet of non malignant lumps?

Answer 2

Vacuum assisted excision (VAE)

Question 3

Strengths of mammography?

Answer 3

Whole of both breasts image
High sensitivty for DCIS
Accesible and inexpensive
Reproducible

Question 4

Weakness of mammography?

Answer 4

Ionising radiation
Breast pain/discomfort
Challenging if limited mobility
Low sensitivity for dense breasts

Question 5

Indications for mamography?

Answer 5

50-70 years old for screening or >40 for high risk
Symptomatic assessment >40 years
Follow ups after cancer treatment

Question 6

Advanced mammographic techniques?

Answer 6

3D one (Tomosynthesis)
Contrast enhanced spectral mammography (CESM)
Grey scale US

Question 7

When would tomography be indicated

Answer 7

Dense breasts

Question 8

Why is CESM good/bad?

Answer 8

Good: greater sensitivity for dense breastys

Bad: Increased radiation dose, IV contrast agent, breast pain

Question 9

Indications for grey scale US?

Answer 9

-Pregnancy

Clinical abormaility