Breast imaging : a core review PDF
Preview Breast imaging : a core review
Breast Imaging A Core Review Breast Imaging A Core Review EDITORS Biren A. Shah, MD Senior Staff Radiologist, Division of Breast Imaging Henry Ford Health System Clinical Associate Professor Wayne State University School of Medicine Detroit, Michigan Sabala R. Mandava, MD Senior Staff Radiologist, Division of Breast Imaging Director, Breast Imaging Fellowship Associate Program Director, Women’s Imaging Fellowship Henry Ford Health System Clinical Assistant Professor Wayne State University School of Medicine Detroit, Michigan Senior Executive Editor: Jonathan W. Pine, Jr. Product Manager: Amy G. Dinkel Production Product Manager: Priscilla Crater Senior Manufacturing Coordinator: Beth Welsh Senior Designer: Stephen Druding Production Service: SPi Global © 2014 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business Two Commerce Square 2001 Market Street Philadelphia, PA 19103 USA LWW.com All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. Printed in China Library of Congress Cataloging-in-Publication Data Breast imaging (2013) Breast imaging : a core review / editors, Biren A. Shah, Sabala R. Mandava. — First edition. p. ; cm. Includes bibliographical references. ISBN 978-1-4511-7639-1 I. Shah, Biren A., editor. II. Mandava, Sabala, editor. III. Title. [DNLM: 1. Mammography—methods. 2. Breast Neoplasms—radiography. WP 815] RG493.5.R33 618.1'907572—dc23 2013018324 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book, call our customer service department at (800) 638–3030 or fax orders to (301) 223–2320. International customers should call (301) 223–2300. Visit Lippincott Williams & Wilkins on the Internet: at LWW.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6 pm, EST. 10 9 8 7 6 5 4 3 2 1 To my parents, Ashok and Jyoti Shah, to whom I owe everything I am. They have guided me by their life principles and strong work ethic. To my sister, Binita Ashar, for her sound advice and constant encouragement. To my wife, Dharmishtha Shah, for her endless support and love. To my two sons, Aren and Deven, who make life worthwhile. —BIREN A. SHAH To my husband, Rajesh, and my children, Milind and Ariana, for their unwavering love and support. —SABALA R. MANDAVA CONTRIBUTORS Donovan M. Bakalyar, PhD, FACR Senior Staff Scientist Department of Diagnostic Radiology Henry Ford Health System Detroit, Michigan Hassana Barazi, MD Staff Radiologist Valley Imaging Consultants, LLC. Midwest Center for Advanced Imaging Rush-Copley Medical Center Aurora, Illinois Brandon A. Behjatnia, DO, MPT Clinical Instructor Department of Radiology Michigan State University East Lansing, Michigan Women’s Imaging Radiologist Diagnostic Center for Women Miami, Florida Amy S. Campbell, MD Assistant Professor Co-Director, Breast Imaging Department of Radiology and Radiological Science Medical University of South Carolina Charleston, South Carolina Walter Huda, PhD Professor of Radiology Department of Radiology and Radiological Science Medical University of South Carolina Charleston, South Carolina Saumil R. Kadakia, MD Radiologist Associated Radiologists, Ltd. Mesa, Arizona Madelene C. Lewis, MD Assistant Professor Assistant Program Director, Diagnostic Radiology Residency Program Department of Radiology Medical University of South Carolina Charleston, South Carolina Ralph P. Lieto, MSE, FAAPM, FACR Radiation Safety Officer/Medical Physicist Radiation Safety Office St. Joseph Mercy Health System Ann Arbor, Michigan Sabala R. Mandava, MD Senior Staff Radiologist, Division of Breast Imaging Director, Breast Imaging Fellowship Associate Program Director, Women’s Imaging Fellowship Henry Ford Health System Clinical Assistant Professor Wayne State University School of Medicine Detroit, Michigan Colleen H. Neal, MD Clinical Assistant Professor Department of Radiology University of Michigan Ann Arbor, Michigan Jay Prakash Patel, MD Breast and Musculoskeletal Radiologist Quantum Radiology Marietta, Georgia Elizabeth Popovski, MD, MSc Radiologist Department of Radiology—The Permanente Medical Group Kaiser Foundation Hospitals Roseville and Sacramento, California Jane G. Seto, DO Staff Radiologist Department of Radiology Freeman Health System Joplin, Missouri Biren A. Shah, MD Senior Staff Radiologist, Division of Breast Imaging Henry Ford Health System Clinical Associate Professor Wayne State University School of Medicine Detroit, Michigan Emily C. Siegal, MD Senior Staff Radiologist Division of Breast Imaging Henry Ford Health System Clinical Assistant Professor Wayne State University School of Medicine Detroit, Michigan Paul J. Spicer, MD Assistant Professor Department of Radiology University of Kentucky Lexington, Kentucky Afua Y. Thompson, MD Assistant Professor Department of Radiology Meharry Medical College Staff Radiologist Department of Radiology Nashville General Hospital Nashville, Tennessee Samantha Tunnecliffe, RT(R)(M) Mammography Supervisor Department of Radiology, Division of Breast Imaging Henry Ford Health System Detroit, Michigan Jenny H. Wang, DO Diagnostic Radiologist Department of Radiology Mercy St. Vincent Medical Center Toledo, Ohio SERIES FOREWORD My idea for the series began when some senior residents asked our attending staff to help them prepare for the new ABR Core Examination. At the time, I knew very little about the new format for the exam, other than that it would be a computer-based exam with multiple-choice questions. I started looking for resources that would help our residents prepare for this exam. As I researched, I found very little in the way of review guides, banks of questions, etc. that the residents could use. And so the germ of an idea began to take shape. As my area of practice is predominantly breast imaging, I thought of putting together a bank of questions in this subspecialty that would cover the curriculum tested on the ABR Core Exam. I discussed the concept with my colleague, Sabala Mandava, who was also of a similar mind, and we decided to do a question book that would be geared toward residents preparing for the Core Exam, but can also be useful to any radiologist practicing Breast Imaging. We were then fortunate to be able to enlist multiple colleagues who were interested in contributing to the book. As this book developed, I started thinking about similar books for the other subjects tested on the Core Exam. After several weeks of discussion with Jonathan Pine and Amy Dinkel, from Lippincott William & Wilkins, the concept of a series of books was born. I am very pleased that the Breast Imaging: A Core Review is the first in The Core Review Series. There are multiple books such as Musculoskeletal Radiology, Neuroradiology, and others that are either currently being worked on or in the near future will be added to series. The philosophy for each book in the series is to review the important concepts tested with approximately 300 questions, in a format similar to the new ABR Core Exam. As Series Editor of The Core Review Series, it has been a great source of pleasure to not only be an author of one of the books, but also to work with many outstanding colleagues across the country who contributed to the series. This series represents countless hours of work and involvement by many and it would not have come together without their participation. My hope for this series is that it will prove to be a useful and comprehensive guide for all residents as well as fellows and practicing radiologists. Biren A. Shah Series Editor PREFACE With the changing of the Boards format, these are uncertain times for radiology residents. The days of preparing for the oral boards with multiple reviews of image interpretation will likely change. Instead, the Boards are now geared to a more comprehensive understanding of disease processes, the physics behind image acquisition, quality control, and safety. There is a paucity of study resources available for residents. With this in mind, we wanted to provide a guide for residents to be able to assess their knowledge and review the material in a format that would be similar to the Boards. The questions are divided into different sections, as per the ABR Core Exam Study Guide, so as to make it easy for the readers to work on particular topics as needed. There are mostly multiple-choice questions with some extended matching questions. Each question has a corresponding answer with an explanation of not only why a particular option is correct but also why the other options are incorrect. There are also references provided for each question for those who want to delve more deeply into a specific subject. This format is also useful for radiologists preparing for Maintenance of Certification (MOC). There are multiple colleagues, some of whom are our past fellows, who contributed to this publication. This book could not have been finished without the efforts of all these people who took time from their busy lives to research, write, and submit material in a timely manner. Our heartfelt thanks to all of them. Many thanks to the staff at LWW, Jonathan Pine, Amy Dinkel, Jeff Gunning, Sree Vidya Dhanvanthri, and Priscilla Crater for giving us this opportunity and guiding us along the way. Last, but certainly not the least, we are grateful to our families, who have endured our long hours of work and kept us smiling throughout the process. We hope that this book will serve as a useful tool for residents on their road to becoming Board- certified radiologists and will continue to be a reference in their future careers. Biren A. Shah, MD Sabala R. Mandava, MD
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