Update on Emerging Technologies in Breast Imaging
From the University of Michigan Hospital and Health Systems, Ann Arbor, Michigan.Journal of the National Comprehensive Cancer Network: JNCCN (Impact Factor: 4.18). 11/2012; 10(11):1355-62.
Despite mammography's proven efficacy, there continues to be interest in newer technologies in breast cancer detection and expanded use of established technologies, especially in women with dense breast tissue and those at high risk. This article reflects on the development in the last ten years of some of these modalities and their current use.
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ABSTRACT: Ultrasonography has been used traditionally as an imaging technique for diagnosis and characterization of breast lesions. It has also been increasingly used in the initial staging of breast cancer. Review of the literature suggests that use of ultrasonography, in combination with fine needle aspiration, is an accurate means of staging the axilla, and advances in ultrasound technology have also improved the reliability of results obtained by use of this imaging modality. This review provides an overview of the utility of ultrasonography for assessing patients with breast diseases, with special emphasis on breast cancer and its evolving use in axillary assessment and staging. We also discuss the features of abnormal axillary ultrasound, the accuracy, reliability, and limitations of axillary ultrasound, and finally, the role of axillary ultrasound in the post-ACOSOG Z0011 era.
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ABSTRACT: Ongoing debate about mammography screening for women in their 40s has brought awareness to the opportunities and challenges for achieving optimal breast health in young African American women and in battling health inequities that place them at greater risk for mortality from breast cancer. Despite the screening controversy, a need exists to understand the complex issues related to mammography knowledge, attitudes, and behaviors of young minority women, while empowering them to take an active role in their breast health care. The purpose of this article is to describe the complicated issues related to screening in young African American women within the context of the uncertainty about the evidence surrounding screening practices. Literature was reviewed to garner a comprehensive update of the mammography screening controversy and its impact on mammography practices. Nurses should be aware of the mammography screening controversy and breast cancer risk assessment and how they affect young women's participation in mammography screening. Mammography screening should be a shared decision between the patient and healthcare provider. A better understanding of breast health and its effect on young minority women is needed. Nurses have a prominent role to advocate for, empower, and educate patients as they face the task of deciding whether to begin or continue mammography in their 40s.
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