cover image - Diagnostic Imaging: Breast, 4th Edition
ISBN: 9780443284472
Copyright: 2027
Page Count: 1322
Imprint: Elsevier
List Price: $357.99

Diagnostic Imaging: Breast, 4th Edition

by Jessica W. T. Leung, MD, FACR, FSBI and Nicole S. Winkler, MD

Hardcover

cover image - Diagnostic Imaging: Breast, 4th Edition
ISBN: 9780443284472
Copyright: 2027
Page Count: 1322
Imprint: Elsevier
List Price: $357.99

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Covering the entire spectrum of this fast-changing field, the fourth edition of Diagnostic Imaging: Breast is an invaluable, everyday resource for general radiologists and breast imaging specialists; surgical, medical, and radiation oncologists; pathologists; all health care providers in the breast cancer arena as well as trainees—anyone who requires an easily accessible, highly visual reference in this complex area of imaging. Drs. Jessica W. T. Leung, Nicole S. Winkler, and a team of highly regarded multidisciplinary experts provide up-to-date information in concise yet detailed chapters to help you make informed decisions at the point of care. The text is lavishly illustrated, precisely delineated, and extensively referenced, making it a useful learning tool for readers at all levels of experience as well as a handy reference for daily clinical practice.
    • Provides comprehensive, expert information on breast anatomy and normal variants, physical principles of breast MR, techniques for performing image-guided biopsies and preoperative localization, the role of imaging in determining the extent of disease, and principles of breast cancer treatment with surgery, oncoplastics, radiation therapy, and chemotherapy
    • Discusses updated and standard imaging protocols, treatment plans, and image-guided and surgical procedures with an eye toward trending topics in frontline breast imaging
    • Contains new BI-RADS details across all relevant chapters as well as updated information from the American College of Radiology, American Society of Breast Surgeons, and National Comprehensive Cancer Network on evolving medical, surgical, and radiation treatment of breast cancer patients, along with discussion of ongoing trials and future directions in patient care
    • Includes details on 2024 federal screening guidelines that ensure equity and access
    • Features more than 4,000+ high-quality print images, illustrations, and videos (with an additional 5,000+ images in the complimentary eBook) to help evaluate breast symptoms, such as palpable lumps, nipple discharge, and axillary adenopathy
    • Uses a bulleted, image-rich layout with short chapters designed for quick access to critical content on terminology, characteristics seen in various imaging studies on the same anatomic location, differential diagnoses, pathological and clinical issues to consider, and more
    • Provides a diagnostic checklist and updated references with each chapter
    • Includes an eBook that allows you access to everything in the print version as well as new text, new videos, and thousands of additional images and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud
  • SECTION 1: ANATOMY AND NORMAL VARIANTS

    ANATOMY

    Breast Overview
    Embryology and Normal Development
    Segmental Anatomy
    Nipple-Areolar Complex and Skin
    Neurovascular Supply
    Lymph Nodes and Lymphatics
    Axilla
    Pectoralis Muscle and Chest Wall

    NORMAL VARIANTS

    Axillary Breast Tissue
    Muscle and Chest Wall Variants
    Sternalis Muscle

    SECTION 2: IMAGING

    BREAST IMAGING OVERVIEW

    Approach to Screening
    Screening Mammography
    Diagnostic Mammography
    Mammography Positioning
    Tomosynthesis
    Breast Density
    Ultrasound
    Magnetic Resonance Imaging
    Interval Cancers
    Missed Cancers

    SPECIAL TOPICS IN SCREENING AND DIAGNOSTIC IMAGING

    Screening at Age Extremes (< 40, > 70 Years)
    Screening in 5th Decade (40-49 Years)
    Screening Intervals: Annual vs. Biennial
    Screening Ultrasound
    Automated Breast Ultrasound
    Elastography
    Risk Assessment Models
    Indications and Management of Genetic Testing
    BRCA1 and BRCA2 Mutation Carriers
    Screening MR
    Abbreviated Breast MR
    Diffusion-Weighted Imaging (MR)
    MR Spectroscopy
    CAD and Double Reading: Mammography and Tomosynthesis
    Contrast-Enhanced Mammography Overview
    Contrast-Enhanced Mammography Lexicon and Usage
    Contrast-Enhanced Mammography-Directed Core Needle Biopsy
    Molecular Breast Imaging (MBI and BSGI)
    Dedicated Breast PET (PEM)
    PET/CT

    SECTION 3: INTERPRETIVE CRITERIA

    Approach to Lexicons of Breast Imaging
    Mammography BI-RADS Lexicon and Usage
    Probably Benign Lesions
    Ultrasound BI-RADS Lexicon and Usage
    MR BI-RADS Lexicon and Usage
    Molecular Breast Imaging Lexicon (Includes BSGI)
    Breast PET Lexicon and Usage

    SECTION 4: LESION IMAGING CHARACTERISTICS

    MASSES

    Circumscribed and Obscured Margins
    Fat-Containing Mass
    High-Density Mass
    Indistinct Margins
    Intramammary Lymph Node
    Microlobulated Margins
    Spiculated Margins

    CALCIFICATIONS, TYPICALLY BENIGN

    Typically Benign Calcifications
    Round Calcifications
    Layering Calcifications

    CALCIFICATIONS, NOT TYPICALLY BENIGN

    Amorphous Calcifications
    Coarse Heterogeneous Calcifications
    Fine Pleomorphic Calcifications
    Fine Linear Calcifications

    CALCIFICATION DISTRIBUTION

    Diffuse Distribution of Calcifications
    Grouped Distribution of Calcifications
    Regional Distribution of Calcifications
    Linear Distribution of Calcifications
    Segmental Distribution of Calcifications

    ADDITIONAL FINDINGS

    Architectural Distortion
    Asymmetries
    Developing Asymmetry
    Duct Ectasia
    Multiple Bilateral Similar Findings
    One-View-Only Findings
    Solitary Dilated Duct
    Trabecular Thickening, Edema

    ULTRASOUND LESION CHARACTERISTICS

    Non-Mass Lesion (US)
    Calcifications (US)
    Clustered Microcysts (US)
    Complex Cystic and Solid Masses (US)
    Complicated Cyst With Debris (US)
    Cyst, Simple (US)
    Echogenicity: Anechoic (US)
    Echogenicity: Hyperechoic (US)
    Echogenicity: Hypoechoic (US)
    Echogenicity: Isoechoic (US)
    Echogenic Rim (US)
    Echogenicity: Heterogeneous/Mixed (US)
    Intraductal Mass (US)
    Lesion Orientation (US)
    Margins, Not Circumscribed (US)
    Posterior Features (US)

    MR FINDINGS

    Background Parenchymal Enhancement (MR)
    Kinetic Assessment (MR)
    T2 Hyperintensity (MR)
    Dark Internal Septations (MR)
    Mass (MR)
    Focal Area, Regional, and Diffuse Enhancement (MR)
    Clumped and Clustered Ring Enhancement (MR)
    Linear Enhancement (MR)
    Segmental Enhancement (MR)
    Rim Enhancement (MR)

    SECTION 5: HISTOPATHOLOGIC DIAGNOSES

    Pathology Methods
    Approach to Histopathologic Diagnoses
    Imaging-Histopathologic Discordance

    BENIGN LESIONS

    Adenosis, Sclerosing Adenosis, Microglandular Adenosis
    Apocrine Metaplasia
    Columnar Cell Lesions
    Cyst, Ruptured/Inflamed
    Fat Necrosis, Oil Cyst
    Fibroadenoma
    Fibroadenomatoid Change
    Fibrocystic Change
    Fibrosis
    Hamartoma (Fibroadenolipoma)
    Hematoma
    Lipoma and Angiolipoma
    Papilloma, Benign
    PASH
    Radial Scar, Benign Sclerosing Lesions
    Tubular Adenoma and Nipple Adenoma

    RISK LESIONS

    Atypical Ductal Hyperplasia
    Atypical Lobular Hyperplasia
    Atypical Papilloma
    Flat Epithelial Atypia
    Lobular Carcinoma In Situ, Classic
    Lobular Carcinoma In Situ, Pleomorphic
    Mucocele-Like Lesions

    LOCALLY AGGRESSIVE LESIONS

    Fibromatosis
    Granular Cell Tumor
    Myoepithelial Neoplasms
    Myofibroblastoma
    Phyllodes Tumor: Benign
    Phyllodes Tumor: Borderline and Malignant

    MALIGNANT LESIONS

    Adenoid Cystic Carcinoma
    Apocrine Carcinoma
    DCIS, General
    DCIS, Low Grade
    DCIS, Intermediate Grade
    DCIS, High Grade
    DCIS, Micropapillary 702 Encapsulated Papillary Carcinoma
    HER2-Positive Cancer
    Invasive Ductal Carcinoma NST, Grade 1, 2, 3
    Invasive Lobular Carcinoma, Classic
    Invasive Lobular Carcinoma, Pleomorphic
    Invasive Micropapillary Carcinoma
    Luminal A and B Cancers
    Lymphoma, Primary Breast
    Anaplastic Large Cell Lymphoma
    Medullary Carcinoma
    Metaplastic Carcinoma
    Mixed Invasive Ductal and Lobular Carcinoma
    Mucinous Carcinoma
    Papillary Carcinoma, Invasive
    Sarcomas
    Triple-Negative and Basal-Like Breast Cancer
    Tubular and Tubulolobular Carcinoma

    SECTION 6: SIGNS AND SYMPTOMS

    Approach to Signs and Symptoms of Disease
    NIPPLE
    Nipple Discharge
    Nipple Retraction and Inversion
    Paget Disease of Nipple

    SKIN

    Epidermoid Cyst
    Erythema
    Sebaceous Cyst
    Skin Lesions, Other
    Skin Retraction
    Skin Thickening

    AXILLA

    Axillary Adenopathy
    Axillary Nodal Calcification
    Metastatic Node, Unknown Primary

    BREAST
    Pain
    Palpable Lump or Thickening

    VASCULAR ENTITIES

    Benign Lesions of Vascular Origin
    Mondor Disease

    SECTION 7: SPECIAL TOPICS HORMONAL CHANGES

    Hormonal Supplementation
    Hormone Blocking: Endocrine Therapy

    GENDER REASSIGNMENT

    Transgender Patients: Terminology and Normal Appearances
    Transgender Patients: Surveillance and Cancer

    PREGNANCY

    Galactocele
    Lactating Adenoma
    Lactation
    Pregnancy-Associated Breast Cancer

    INFECTIONS AND INFLAMMATION

    Abscess

  • Jessica W. T. Leung, MD, FACR, FSBI, Professor of Diagnostic Radiology, Deputy Chair of Breast Imaging, University of Texas MD Anderson Cancer Center, Houston, Texas, USA and Nicole S. Winkler, MD, Associate Professor, Department of Radiology and Imaging Sciences, University of Utah Huntsman Cancer Institute, Salt Lake City, Utah, USA
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