Digital Breast Tomosynthesis

Digital Breast Tomosynthesis: Technique and Cases -- Media Center Information -- Title Page -- Copyright -- Contents -- List of Videos -- Foreword -- Preface -- Contributors -- Abbreviations -- Glossary -- 1 Introduction -- 1.1 References -- 2 The Physics of Tomosynthesis -- 2.1 Introduction -- 2.2 Data Acquisition and Scanning -- 2.3 Image Reconstruction -- 2.3.1 Analytical Reconstruction -- 2.3.2 Iterative Reconstruction -- 2.3.3 Combined Reconstruction Methods -- 2.3.4 Visualization -- 2.4 Artifacts -- 2.5 Dose -- 2.6 Overview of Existing Systems -- 2.7 Technical Quality Assurance -- 2.8 References -- 3 Clinical Evaluation of Digital Breast Tomosynthesis -- 3.1 Introduction -- 3.2 Mammography versus Mammography Plus Tomosynthesis -- 3.3 Tomosynthesis versus Additional Mammographic Views -- 3.4 Mammography versus Tomosynthesis -- 3.5 Summary -- 3.6 References -- 4 Innovations and Future Developments -- 4.1 Introduction -- 4.2 Synthesized Digital Two-dimensional Mammography -- 4.3 Computer-aided Detection in Tomosynthesis -- 4.4 Tomosynthesis-guided Interventions -- 4.5 Contrast-enhanced Tomosynthesis -- 4.6 References -- 5 Illustrative Case Reports -- 5.1 Introduction -- 5.2 Cases -- 5.2.1 Case 1 -- 5.2.2 Case 2 -- 5.2.3 Case 3 -- 5.2.4 Case 4 -- 5.2.5 Case 5 -- 5.2.6 Case 6 -- 5.2.7 Case 7 -- 5.2.8 Case 8 -- 5.2.9 Case 9 -- 5.2.10 Case 10 -- 5.2.11 Case 11 -- 5.2.12 Case 12 -- 5.2.13 Case 13 -- 5.2.14 Case 14 -- 5.2.15 Case 15 -- 5.2.16 Case 16 -- 5.2.17 Case 17 -- 5.2.18 Case 18 -- 5.2.19 Case 19 -- 5.2.20 Case 20 -- 5.2.21 Case 21 -- 5.2.22 Case 22 -- 5.2.23 Case 23 -- 5.2.24 Case 24 -- 5.2.25 Case 25 -- 5.2.26 Case 26 -- 5.2.27 Case 27 -- 5.2.28 Case 28 -- 5.2.29 Case 29 -- 5.2.30 Case 30 -- 5.2.31 Case 31 -- 5.2.32 Case 32 -- 5.2.33 Case 33 -- 5.2.34 Case 34 -- 5.2.35 Case 35 -- 5.2.36 Case 36 -- 5.2.37 Case 37 -- 5.2.38 Case 38.

This book provides a comprehensive description of the screening and clinical applications of digital breast tomosynthesis (DBT) and offers straightforward, clear guidance on use of the technique. Informative clinical cases are presented to illustrate how to take advantage of DBT in clinical practice. The importance of DBT as a diagnostic tool for both screening and diagnosis is increasing rapidly. DBT improves upon mammography by depicting breast tissue on a video clip made of cross‐sectional images reconstructed in correspondence with their mammographic planes of acquisition. DBT results in markedly reduced summation of overlapping breast tissue and offers the potential to improve mammographic breast cancer surveillance and diagnosis. This book will be an excellent practical teaching guide for beginners and a useful reference for more experienced radiologists.

Digital Breast Tomosynthesis: Technique and Cases is a comprehensive and timely introduction to a significant technological advance in breast cancer imaging. This state-of-the-art guide explains the technique of digital breast tomosynthesis (DBT), describes results from available clinical studies, offers recommendations for the use of DBT in routine practice, and discusses the latest developments and possible future trends in DBT. The main part of the book contains 45 highly illustrated case reports that allow readers to explore the practical aspects of DBT and deepen their knowledge of this important new modality in breast imaging. Key Features: Presents 45 superbly illustrated case reports showcasing the application of DBT to clinical practice Examines the results of all currently available clinical trials and studies Evaluates the use of DBT alongside mammography and versus mammography Includes high-quality images from the various modalities in breast imaging: 2D mammography, DBT, and ultrasound, to enable comparison of their strengths and limitations Combines expertise in the fields of radiology and gynecology with an interdisciplinary team of contributors Provides video clips of the DBT data set for most cases on the Thieme MediaCenter Authoritative and up to date, this volume is essential for radiology practitioners, residents, and fellows who wish to learn about the potential of DBT and stay at the forefront of technological developments in their field. The wealth of clinically relevant information is useful for any radiologist considering the establishment of DBT as a new imaging tool in their practice.

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.

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.

Digital Breast Tomosynthesis: Technique and Cases is a comprehensive and timely introduction to a significant technological advance in breast cancer imaging. This state-of-the-art guide explains the technique of digital breast tomosynthesis (DBT), describes results from available clinical studies, offers recommendations for the use of DBT in routine practice, and discusses the latest developments and possible future trends in DBT. The main part of the book contains 45 highly illustrated case reports that allow readers to explore the practical aspects of DBT and deepen their knowledge of this important new modality in breast imaging. Key Features: Presents 45 superbly illustrated case reports showcasing the application of DBT to clinical practice Examines the results of all currently available clinical trials and studies Evaluates the use of DBT alongside mammography and versus mammography Includes high-quality images from the various modalities in breast imaging: 2D mammography, DBT, and ultrasound, to enable comparison of their strengths and limitations Combines expertise in the fields of radiology and gynecology with an interdisciplinary team of contributors Provides video clips of the DBT data set for most cases on the Thieme MediaCenter Authoritative and up to date, this volume is essential for radiology practitioners, residents, and fellows who wish to learn about the potential of DBT and stay at the forefront of technological developments in their field. The wealth of clinically relevant information is useful for any radiologist considering the establishment of DBT as a new imaging tool in their practice.

Case studies provide a stellar resource for mastering clinical breast tomosynthesis technology Digital breast tomosynthesis (DBT), popularly called "3D mammography" is a state-of-the-art breast imaging technology that provides the ability to view inside the breast, layer by layer. Advantages of DBT include elimination of superimposed tissue, improved detection of otherwise hidden lesions, and significantly higher cancer detection rates compared to conventional mammography. Although it is increasingly being implemented in imaging centers, hands-on clinical learning tools have been lacking - until now. Written by renowned breast imaging specialists, this multimedia textbook is the most definitive DBT reference available. The first section is dedicated to DBT fundamentals, including physics, reconstruction methods, acquisition parameters, and patient dose and data size considerations. The next two sections are case-based clinical practice presentations, organized by DBT screening and diagnostic components. Key Features The use of 3D breast imaging to detect and differentiate malignancies from normal and benign findings 100 case studies include pertinent clinical information, introductory images, and findings labeled on subsequent images with BI-RADS terminology Full field digital mammography and/or synthetic 2D mammogram images included in all case studies mirror what is typically encountered in DBT breast-imaging programs Clinical pearls on navigating the technology, interpreting images, making diagnoses, and decisions regarding follow-up studies Accompanying online videos further elucidate the still images This remarkable, interactive reference is a must-have for trainee and practicing radiologists and will also benefit mammography technicians. The detailed case studies and videos demonstrate the full utility of DBT as a screening and diagnostic technology in context with mammography, ultrasound, and MRI of the breast.

This issue of Radiologic Clinics of North America focuses on Breast Imaging, and is edited by Dr. Sarah M. Friedewald. Articles will include: Evidence to Support Screening Women in Their 40s; Evidence to Support Screening Women Annually; High Risk Screening and Use of Risk Assessment Models; Breast Tomosynthesis: Clinical Evidence; Breast Tomosynthesis: Practical Considerations; Synthesized Digital Mammography Imaging; Breast Density Legislation and Clinical Evidence; Whole Breast Screening Ultrasound Implemenation; Breast MRI in the Newly Diagnosed Breast Cancer Patient; MRI: Future Imaging Techniques; Breast PET-MR; Update on Pre-Operative Needle Localization Techniques, and more!