PEPconnect

The Impact of the Angular Range - Case 2

Dr. Paul Fisher (Stony Brook, New York) about a patient called back from screening with scattered fibroglandular elements and biopsy in the past.

Due to high data volume of clinical image files, restrictions in the bandwidth may compromise image quality depicted in this webinar.

A woman came to our breast Center for screening mammography, and she has scattered fibroglandular tissue. She had a prior left breast surgical biopsy. The mammogram detected is 7 millimeter mass sensor in the left breast. We initially worked it up with narrow angle tomography and then she was enrolled in our project and we subsequently performed wide angle Tomography Day two later. The image on the left is the narrow angle to Gramma Gram performed. You can see a scar marker which is showing where she had her prior surgical biopsy. As they scroll up and down through the narrow angle tomography. You can see there is a vague asymmetric density essentially in the breast. It is perceptible, but it doesn't look very different from other areas of Fabricland wrote issue another way of saying that is that it's continuity is fairly low. It's hard to detect without very careful observation. The margins of this density, which are the most important feature that we use for characterize any symmetry or very difficult to assess, barely visible the margins of this asymmetry, barely perceivable. If you now look at the wide angle tomographic image again, you can see a scar marker in the breast, and now you can see when I select print slice that this asymmetry is much more clearly seen with very clear margins. You can appreciate that this lesion is actually a little bit looking like a football. It's got little points on either end, which is a somewhat worrisome sign. And size and margins are much easier to appreciate then on the narrow angle. I'm going to scan up and down now to show you in plain resolution as you get in and out of this density.

The impact of the angular range SIEMENS 500 Wide-Angle Tomosynthesis. Superior by design. Patient call back from screening with scattered Healthineers @ Siemens Healthcare GmbH, 2019 fibrogLanduLar elements and biopsy in the past The statements by Siemens Healthineers' customers 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 Tomosynthesis be no guarantee that other customers will achieve the same results. Advantages of 500 Wide- ngle Tomosynthesis PaulFisher, M.D. Paul Fisher, M.D. is employed by an institution that receives financial support from Siemens Healthineers for • Higher lesion conspicuit Margins are very Dept. of Radiology, Stony Brook Medicine, collaborations. 500 Wide-Angle • Less background struc ral no e 1 50 Narrow-Angle and 500 Wide-Angle Low conspicuity Lesion and margins mu more lear 150 Narrow-Angle more difficult to assess Ion Stony Brook, New York, USA Diagnostic image quality in the video has been reduced. 500 Wide-Angle Higher inplane resol Ion Tomosynthesis Tomosynthesis performed Tomosynthesis on Narrow-Angle on 500 Wide-AngleTo osynth s s -r n mosvnthesis

  • breast tomosynthesis
  • DBT
  • wide-angle tomosynthesis
  • dose
  • image quality