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Automated whole-breast ultrasound (AWBU) is a technique that produces volumetric images of the breast and is largely independent of operator skill. It utilizes high-frequency ultrasound to help perform a diagnostic evaluation of the lactiferous ducts ( duct sonography ) [ 5 ] and make dilated ducts and intraductal masses visible.
Breast ultrasounds may be used with or without a mammogram. Breast ultrasound is the use of medical ultrasonography to perform imaging of the breast. It can be used as either a diagnostic or a screening procedure. [38] It may be used either with or without a mammogram. [39]
A patient can expect to receive an injection of radiopharmaceutical agent intravenously in the arm contralateral to the breast under investigation. After waiting 5–10 minutes, the breast tissue is placed into the MBI system and a series of images are obtained. Imaging time for both breasts is approximately 40 minutes.
The UK's NHS Breast Screening Programme, the first of its kind in the world, began in 1988 and achieved national coverage in the mid-1990s. It provides free breast cancer screening mammography every three years for all women in the UK aged from 50 and up to their 71st birthday.
The largest (Hellquist et al) [97] and longest running (Tabar et al) [98] breast cancer screening studies in history re-confirmed that regular mammography screening cut breast cancer deaths by roughly a third in all women ages 40 and over (including women ages 40–49). This renders the USPSTF calculations off by half.
While many screening tests (such as the fecal occult blood test or PSA test) are non-invasive, it is important to note that mammography (breast cancer screening) involves ionizing radiation exposure. [10] The breast is highly radiation sensitive, and it receives an approximate dose of 2.6 milligrays per mammography screening. [11]
Staging breast cancer is the initial step to help physicians determine the most appropriate course of treatment. As of 2016, guidelines incorporated biologic factors, such as tumor grade, cellular proliferation rate, estrogen and progesterone receptor expression, human epidermal growth factor 2 (HER2) expression, and gene expression profiling into the staging system.
The entire breast is scanned in an automated manner, and the procedure yields volumetric image data of the breast. [1] The resulting image data can be read at any convenient time by the radiologist, who is freed from performing the scan. [2] This allows selected scan planes to be visualized, and also allows the data to be displayed as a ...
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