Invasive Ductal Carcinoma TiCEM (USA)

60 year old lady. Nipple reduction of the left nipple. These are the synthetic mammograms showing heterogeneous dense breasts and a subtle distortion on the clinical view. And a classified fibroadenoma? If we move to the tunnel. You can see an architectural distortion pretty closed. So that nipple. Both views. If we focus in this tunnels. We can see. The architectural distortion and the nipple retraction on both views. So the question is. Is this an invasion of the nipple due to breast cancer or not? OK, let's have a look at the Tyson stand. This Tyson study, you see? This enhancing vision. Close to the nipple, but clearly there is a distance between. The tumor and the needle. So this is not an invasion of the nipple. This is only a retraction. Often needed. You can see the correlation with ultrasound. Ultrasound was very difficult. Very difficult to establish the real size of this lesion. However, on MRI the correlation is very good with Tyson. The final result was an invasive title cancer luminal B subtype 12 millimeters, and there was no invasion of the label.

12/10/2021 1/1/2022 27 43 100 3.3 Digital Breast Tomosynthesis and Contrast Enhanced Mammography Prof. Dr. Luis Pina Breast Imaging Department (Radiología mamaria) Clínica Universidad de Navarra, Pamplona / Spain SIEMENS . 08_TICEM_2, PID3645 * 1/1/2022 F PID3645 RMLO INSIGHT_2D Add Study PID3645 11/1/2021 (Study date): Current: MG, 11/1/2021 n.a ., 5 mon .. Mamograffa Bilateral RCC LCC INSIGHT 2D_RMLO INSIGHT_2D_RCC Viewing Favorite Layouts US MR DYN C.US | C .... MR.Dyna ... IN 2D ReportFlow MR.Empty BASIC Printing Series Navigator Tools Findings MR 4: 31 PM Clinical information 60-year-old female Nipple retraction Healthineers Slice 37 / 72 Slice 23/ 75 Slice 26 / 82 Current Current INSIGHT_2D_RMLO Slice 23/ 75 Slice 26/ 82 Slice thickness 1 LMLO 11/1/2021 (Study date) Slice 25 / 75 Slice 37 / 77 Slice thickness: 1.00 mm CEM_Left_MLO_CC Recombined LowEnergy 1/1/2022, F Mamografia unilateral con contraste Subtraction check 4:58:11 PM 1977 IMA 67 1 CLINICA UNIVERSITARIA DE MI 0.30 Tis 0.1 ML6-15 12/10/21 05:09:35PM ADM Mama FR ultrasound Unsupported, 11/1/2021 n ... SP F25.4 SL 1.5 mm Zoom 1.77 p2 10:15 PM SP F17.9 Frec 4: 33 PM Pathology Invasive ductal carcinoma (IDC) Luminal B, 12 mm Conclusion TiCEM was better than DBT to rule out the invasion of the nipple.+ Siemens Healthcare GmbH, 2022 Sometimes IN2D images (= synthetic mammograms) are shown while verbally referring to the conventional mammograms. The products/features (mentioned herein) are not commercially available in all countries. Their future availability cannot be guaranteed. Results from case studies are not predictive of results in other cases. Results in other cases may vary. The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" setting and many variables exist (e.g ., hospital size, samples mix, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results. Dr. Luis Pina is employed by an institution that receives financial support from Siemens Healthineers for collaborations. SIEMENS Hea