Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.

359 results found
Article

Hyperechoic breast lesions

There are a number of lesions that appear hyperechoic on ultrasound. Such lesions can be either completely or partly hyperechoic and include both benign and malignant entities. Benign fat containing breast lesions lipoma of the breast fibroadenolipoma (hamartoma) of the breast focal regions...
Article

Balloon breast brachytherapy

Balloon breast brachytherapy (BBB) is a technique for delivering radiation treatment in women with early-stage breast cancer. It is given after lumpectomy, or surgical removal of a small breast neoplasm, and is a shorter alternative to the more traditional method of external beam radiation for s...
Article

Tubular carcinoma of the breast

Tubular carcinoma of the breast is a subtype of invasive ductal carcinoma (IDC).  Epidemiology These account for ~1% of breast cancers. The peak age at presentation may be comparatively younger than with other types of breast cancer 7. Associations ductal carcinoma in situ (DCIS): can be an ...
Article

Breast imaging and the technologist

Breast screening and diagnostic programmes cannot exist without the technologists. They play an indispensable role in the acquisition of mammogram and ultrasound images  in both screening and diagnostic settings. The mammogram technologist: the primary responsibility of the "mammo tech" is the ...
Article

Reversed CC view

The reversed CC view is an additional view. It is useful for the study of breasts with surgical scars in the lower quadrants. The ability to see the scar through the compressor paddle offers to the mammographer the possibility to flatten it properly, reducing the formation of scar folds as well ...
Article

Tangential views

Tangential views are useful to differentiate intracutaneous radiopaque particles in a tattoo from intraparenchymal microcalcifications. Mammographic findings close to the skin such as masses, microcalcifications, skin dimpling or shaded areas always pose a problem of differential diagnosis. Va...
Article

Asymmetry in breast size

Asymmetry in breast size can arise from a number of factors. Pathology Breasts are rarely absolutely the same size or volume. Normal variation is common. Most females have slight discrepancies in breast size. Asymmetric progressive breast enlargement is unusual but known. The role of the breas...
Article

Kaiser score: breast MRI classification flowchart

The Kaiser score is an evidence-based clinical decision rule to distinguish benign from malignant lesions in breast MRI. It incorporates five BI-RADS descriptors: spiculations suspicious protrusion from the lesion surface that has concave lateral aspects this includes classical spiculations, ...
Article

Tuberous breasts

Tuberous breasts are congenital deformities of breast. They are defined by reduced parenchymal volume and herniation of breast tissue through the nipple-areola complex. Epidemiology The exact incidence is not clear. However, it is a common cause of patients presenting with breast asymmetry. Pr...
Article

Spot view (mammography)

A spot view (also known as a spot compression view or focal compression view) is an additional mammographic view performed by applying the compression to a smaller area of tissue using a small compression paddle, increasing the effective pressure on that spot. This results in better tissue separ...
Article

Mediolateral oblique view

The mediolateral oblique (MLO) view is one of the two standard mammographic views, alongside the craniocaudal (CC) view.  It is the most important projection as it allows depiction of most breast tissue.  Adequacy The representation of the pectoral muscle on the MLO view is a key component in...
Article

Breast echotexture

Breast echotexture refers to the background tissue appearance on breast sonography, analogous to breast density/amount of fibroglandular tissue on mammography and MRI. There are three categories of tissue composition according to the BI-RADS lexicon 1: homogeneous background echotexture – fat ...
Article

Ultrasound evaluation of breast cysts

Ultrasound evaluation of breast cysts is the modality of choice. Obstruction of the ducts, often appearing as the result of epithelial hyperplastic processes or stromal fibrosis, or both processes lead to the formation of cysts, disabling the drainage of the terminal ducts of the lobules. In al...
Article

Automated full-field volumetric ultrasound

An automatic full-field volumetric breast ultrasound scanner (AFFBUS) is a developing technology which was initiated to overcome the drawback of dense breast and to get a three-dimensional view of the breast.  Components scan station view station Scan station Automatic ultrasound imaging ac...
Article

Fibrocystic change (breast)

Fibrocystic change of the breast (also known as diffuse cystic mastopathy) is a benign alteration in the terminal ductal lobular unit of the breast with or without associated fibrosis. It is seen as a wide spectrum of altered morphology in the female breast from innocuous to those associated wit...
Article

Pectoralis major muscle

The pectoralis major muscle is a large fan-shaped muscle of the pectoral region, overlying the anterior chest wall but often considered an upper limb muscle due to its function.  Summary origin: medial clavicle, sternum, costal cartilages, and external oblique aponeurosis insertion: bicipital...
Article

Radiation-induced breast changes

Radiation-induced breast changes are a consequence of radiotherapy toxicity over the breast tissues either related to targeted breast cancer treatment or other thoracic malignancies (eg. lung cancer).  Radiographic features The radiation-induced breast changes may be seen in either dedicated b...
Article

Usual ductal hyperplasia

Usual ductal hyperplasia, also known as epithelial hyperplasia, is a benign proliferation of normal cells in breast ducts and lobules. Epidemiology The mean age of patients with epithelial hyperplasia is 54 years 1. Clinical presentation Epithelial hyperplasia is usually asymptomatic and fou...
Article

Abscess

Abscesses are focal confined collections of suppurative inflammatory material and can be thought of as having three components 1: a central core consisting of necrotic inflammatory cells and local tissue peripheral halo of viable neutrophils surrounded by a 'capsule' with dilated blood vessel...
Article

Terminal duct lobular unit

Each lobe of the breast is drained by a collecting duct terminating in the nipple. The collecting duct drains several side branches, each arising from a terminal duct lobular unit (TDLU), the basic functional and histopathological unit of the breast. The terminal duct lobular unit is composed of...

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