By Beverly Hashimoto

Praise for the former edition:

Well organised and wonderfully illustrated...A solid booklet for trainee breast radiologists and radiographers...[and] an exceptionally priceless reference textbook for more matured practitioners.--RAD Magazine

The moment version of this generously illustrated case-based reference presents a scientific visible selection of pathologic entities and an in depth overview of ways to optimize sonographic process in addition to how one can method the mixing of mammography, sonography, MRI and PET/CT in breast melanoma analysis. The booklet starts off with a spotlight on instructing functional how to learn and comprise mammographic, sonographic, and magnetic resonance findings within the medical surroundings. The remaining chapters are dedicated to illustrating the purposes of puppy as verified via particular medical cases.

Features of the second one edition:

  • Emphasis at the value of high-resolution sonography
  • Three new chapters at the use of MRI and puppy in breast imaging
  • Numerous new case experiences -- together with precious pearls and pitfalls -- that concentrate on universal and unusual examples of metastatic and non-metastatic disorder
  • Charts and descriptions that offer swift reference for the medical workup of a lesion
  • More than 800 pictures that aid determine either mammographic and sonographic abnormalities

This thorough reference is perfect for radiologists, mammographers, oncologists, gynecologists and all clinicians trying to develop their visible sonographic adventure. Its easy layout makes it a convenient textual content for radiology citizens in breast rotations.

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Additional info for Multimodality Breast Imaging: A Correlative Atlas

Example text

Even slight angulation will produce a discrepancy between the position of the sonographic transducer and the actual position of the lesion. Furthermore, transducer pressure may cause the lesion to shift position relative to the nipple. Both of these factors may produce a discrepancy between the mammographic position and the sonographic position. Because external landmarks are not reliable in crosscorrelating mammographic/sonographic abnormalities, you should use internal landmarks. However, you must use a technique that addresses the problems listed earlier: 2/11/10 11:55:43 AM 20 Sonographic Technique and Cross-Correlation with Mammography (1) limited sonographic field of view compared with mammography, (2) differences between mammographic and sonographic patient position and technical orientation, and (3) nonuniformity of breast anatomy both between individuals and within the same individual.

Therefore, ideally sonographic examiners should be able to sonographically interpret the mammographic image. To systematically cross-correlate sonography with mammography, you should be familiar with normal breast anatomy. There are mainly seven sonographically different structures in the breast and chest wall of the average normal 45-year-old woman. These structures, from superficial to deep, are the following (Fig. 4): 1. Skin: The skin is a hyperechoic 3 mm layer on the surface of the breast.

Therefore, a lesion above the nipple in the upright position may shift to the same level as the nipple in the supine position. For example, a 10:00 lesion in the upright position may become a 9:00 lesion in the supine position. The larger the breast, the greater the movement of the breast. Finally, the external position of the handheld transducer does not necessarily correlate with the internal position of the lesion. Even if a linear transducer is used, the examiner commonly uses a variety of angles and hand pressures to optimally visualize the abnormality.

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Multimodality Breast Imaging: A Correlative Atlas by Beverly Hashimoto
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