Digital Breast Tomosynthesis and Contrast Enhanced Mammography - Case 8 - USA

We moved to case eight. It was a 73 year old lady with no symptoms and on conventional mammography we detected nothing. All the cross calcifications, normal calcifications, no lesions and on turbo it was not very clear if the there was a lesion on the right breast here, but it was not very easy to detect or to know if this was a real lesion or only normal fibroglandular tissue, nothing palpable. So we have a doubt in this particular case. Now we move to contrast, and on contrast we can see a ring enhancement in the right breast, corresponding to the doubt we had on tomosynthesis. So it was clearly suspicious for malignancy and the correlation with MRI was perfect. Here you can see the image on on ultrasound. It was not very clear and and the biopsy was an invasive Dr. cancer measuring 12mm. So to conclude, Tyson was very useful as a problem solving technique.

13 98%) cima Case 8 Digital Breast Tomosynthesis and Contrast Enhanced Mammography Prof. Dr. Luis Pina NIVERSITAS ENSIS Breast Imaging Department (Radiología mamaria) Clínica Clínica Universidad de Navarra Universidad Pamplona, Spain de Navarra Administrator SIEMENS R_Case_08, Pina * 8/6/2018 O Reading_2018 Series MG Breast Add Study MG Reading R-MLO* IN SIGHT CLM RC MG, 8/6/2018 Unknown study description First Step Quadrant CC Reset TOMO LCC Findings Tools Lock INSIGHT 2D RCC TOMO RCC 9:05 AM Clinical information 73-year-old lady Asymptomatic MG MLO Previous Prof. Pina CEM LMLO Next ReportFlow step [CTRL F] IN 2D Server: VIASRV Image to image to R-MLO R-CC Next Text Technical LCC OMO RCC MRI Ultrasound B RES-B P 44mm PRC 12/2/1 PRS 4 XV 6 DR. PINA LA523 D1 1.68 Cm PST D1 1.68 Cm PST 2 D1 1.68 cm vasive DBT rcinoma tastasis node Pathology 12mm invasive ductal carcinoma Luminal B subtype (Ki 67 60%, Estrogen 98%) Micrometastasis in the sentinel node Learnings MR useful as a problem solving technique Siemens Healthineers AG, 2024 Please note: This learning material is for training purposes only. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, the availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. The statements by customers of Siemens Healthineers described herein are based on results that were achieved in the customer's unique setting. Because there is no "typical" hospital or laboratory and many variables exist (e.g ., hospital size, samples mix, case mix, level of IT and/or automation adoption) there can be no guarantee that other customers will achieve the same results. The speakers and/or their employer receive financial support from Siemens Healthineers for collaborations. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Healthineers