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KEY FACTS
Terminology
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Definitions
- Artifact: Any physical phenomenon that interferes with image quality or adds structured noise to image; can mimic pathology or interfere with interpretation
- Imaging devices: All obtain dedicated breast images with stabilization, in positions analogous to mammography (CC and MLO), with additional views as needed
- Molecular breast imaging (MBI): 2 cadmium-zinc-telluride (CZT)-based semiconductor detectors, ~ 8 millicurie (mCi) injection of Tc-99m sestamibi IV
- Breast-specific gamma imaging (BSGI): Single sodium iodide (NaI)-based detector and compression paddle, ~ 12-20 mCi injection of Tc-99m sestamibi IV
- Positron emission mammography (PEM): Coincidence detectors, ~ 2.5-10 mCi injection of F-18 fluorodeoxyglucose (F-18 FDG) IV
- Fasting 4-6 hours; blood glucose < 140 mg/dL (ideally)
- Minimum 1 hour circulation time; patient rests quietly
DIFFERENTIAL DIAGNOSIS
DIAGNOSTIC CHECKLIST
Quality Control: MBI
Quality Control: PEM
Selected References
- Odle TG: Breast imaging artifacts. Radiol Technol. 87(1):65M-87M, 2015
- Conners AL et al: Gamma camera breast imaging lexicon. AJR Am J Roentgenol. 199(6):W767-74, 2012
- MacDonald L et al: Clinical imaging characteristics of the positron emission mammography camera: PEM Flex Solo II. J Nucl Med. 50(10):1666-75, 2009
- Berg WA et al: High-resolution fluorodeoxyglucose positron emission tomography with compression ("positron emission mammography") is highly accurate in depicting primary breast cancer. Breast J. 12(4):309-23, 2006
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Definitions
- Artifact: Any physical phenomenon that interferes with image quality or adds structured noise to image; can mimic pathology or interfere with interpretation
- Imaging devices: All obtain dedicated breast images with stabilization, in positions analogous to mammography (CC and MLO), with additional views as needed
- Molecular breast imaging (MBI): 2 cadmium-zinc-telluride (CZT)-based semiconductor detectors, ~ 8 millicurie (mCi) injection of Tc-99m sestamibi IV
- Breast-specific gamma imaging (BSGI): Single sodium iodide (NaI)-based detector and compression paddle, ~ 12-20 mCi injection of Tc-99m sestamibi IV
- Positron emission mammography (PEM): Coincidence detectors, ~ 2.5-10 mCi injection of F-18 fluorodeoxyglucose (F-18 FDG) IV
- Fasting 4-6 hours; blood glucose < 140 mg/dL (ideally)
- Minimum 1 hour circulation time; patient rests quietly
DIFFERENTIAL DIAGNOSIS
DIAGNOSTIC CHECKLIST
Quality Control: MBI
Quality Control: PEM
Selected References
- Odle TG: Breast imaging artifacts. Radiol Technol. 87(1):65M-87M, 2015
- Conners AL et al: Gamma camera breast imaging lexicon. AJR Am J Roentgenol. 199(6):W767-74, 2012
- MacDonald L et al: Clinical imaging characteristics of the positron emission mammography camera: PEM Flex Solo II. J Nucl Med. 50(10):1666-75, 2009
- Berg WA et al: High-resolution fluorodeoxyglucose positron emission tomography with compression ("positron emission mammography") is highly accurate in depicting primary breast cancer. Breast J. 12(4):309-23, 2006
