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, Womens 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
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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. Mammographymethods. 2. Breast Neoplasmsradiography. WP 815]
RG493.5.R33
618.1'907572dc23
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.
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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
Womens 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, Womens 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 RadiologyThe 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