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

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

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.