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Article ; Online: Implementing Breast Cryoablation in Practice.

Ward, Robert C / Lourenco, Ana P / Mainiero, Martha B

Journal of breast imaging

2024 Volume 2, Issue 1, Page(s) 61–66

Abstract: Breast cryoablation is becoming more commonplace as a minimally invasive percutaneous procedure that utilizes extreme cold to destroy targeted tissue and has been used to treat symptomatic fibroadenomas and early-stage breast cancer for over a decade ... ...

Abstract	Breast cryoablation is becoming more commonplace as a minimally invasive percutaneous procedure that utilizes extreme cold to destroy targeted tissue and has been used to treat symptomatic fibroadenomas and early-stage breast cancer for over a decade with promising results. The practical considerations for implementing a breast cryoablation service include developing and communicating strategic and operational plans, training and privileging the proceduralist, selecting equipment, collaborating with referring clinicians, recruiting and navigating patients, and understanding billing considerations.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbz077
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Online or Offline: Does It Matter? A Review of Existing Interpretation Approaches and Their Effect on Screening Mammography Metrics, Patient Satisfaction, and Cost.

Ram, Shruthi / Campbell, Tyler / Lourenco, Ana P

Journal of breast imaging

2024 Volume 4, Issue 1, Page(s) 3–9

Abstract: The ideal practice routine for screening mammography would optimize performance metrics and minimize costs, while also maximizing patient satisfaction. The main approaches to screening mammography interpretation include batch offline, non-batch offline, ... ...

Abstract	The ideal practice routine for screening mammography would optimize performance metrics and minimize costs, while also maximizing patient satisfaction. The main approaches to screening mammography interpretation include batch offline, non-batch offline, interrupted online, and uninterrupted online reading, each of which has its own advantages and drawbacks. This article reviews the current literature on approaches to screening mammography interpretation, potential effects of newer technologies, and promising artificial intelligence resources that could improve workflow efficiency in the future.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbab086
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Supplemental Screening for Women with Dense Breasts: What Do Practicing Radiologists Recommend?

Singer, Tisha / Lourenco, Ana P / Baird, Grayson L / Mainiero, Martha B

Journal of breast imaging

2024 Volume 1, Issue 1, Page(s) 32–36

Abstract: Objective: To evaluate radiologists' supplemental screening recommendations for women with dense breasts, at average, intermediate, or high risk of breast cancer, and to determine if there are differences between their recommendations for their patients, ...

Abstract	Objective: To evaluate radiologists' supplemental screening recommendations for women with dense breasts, at average, intermediate, or high risk of breast cancer, and to determine if there are differences between their recommendations for their patients, their friends and family, and themselves. Methods: This is an anonymous survey of Society of Breast Imaging (SBI) members. Demographics, knowledge of breast density as a risk factor, and recommendations for screening with digital breast tomosynthesis (DBT), ultrasound (US), and magnetic resonance imaging (MRI) in women with dense breasts, at average, intermediate, or high- risk of breast cancer were assessed. The likelihood of their recommending the screening test for their patients, their family and friends, and themselves was assessed on a Likert scale from 0 to 4 (0 = "not at all likely" to 4 = "extremely likely"). Results: There were 295 responses: 67% were women, and breast imaging comprised 95% of their practice. Among participants, 53% correctly answered the question on relative risk of breast cancer when comparing extremely dense versus fatty breasts, and 57% when comparing heterogeneously dense versus scattered breasts. US is recommended at a relatively low rate (1.0-1.4 on the 0-4 scale), regardless of risk. DBT is recommended at a relatively high rate (2.5-3.0 on the 0-4 scale), regardless of risk status. MR is recommended mainly for those at high risk (3.6 on the 0-4 scale). Radiologists were more likely to recommend additional imaging for themselves than for their patients and their family and friends. Conclusion: For women with dense breasts, radiologists are "somewhat likely" to recommend US and "likely" to "very likely" to recommend DBT regardless of risk group. They are "very likely" to recommend MRI for high-risk groups.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wby011
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Article ; Online: Comprehensiveness of Breast Radiology Fellowship Online Content.

Beck, Spencer / Khurana, Aditya / Lourenco, Ana P / Eltorai, Adam E M

Journal of breast imaging

2024 Volume 3, Issue 1, Page(s) 72–76

Abstract: Objective: The content of websites for fellowship programs is an important source of information for residents applying to breast imaging fellowship programs (BIFPs). The purpose of this study is to evaluate the comprehensiveness of online content of ... ...

Abstract	Objective: The content of websites for fellowship programs is an important source of information for residents applying to breast imaging fellowship programs (BIFPs). The purpose of this study is to evaluate the comprehensiveness of online content of BIFPs. Methods: A list of BIFPs was obtained from the Society of Breast Imaging website. Each program's website was evaluated for the presence of 19 training-relevant content variables. Impact of program characteristics on comprehensiveness scores was determined. For statistical analysis, Kruskal-Wallis tests were used to assess differences in comprehensiveness scores based upon region, and two-tailed t-tests were used to compare based upon program size. Results: A total of 79 BIFP websites were analyzed. The mean comprehensiveness score of BIFP websites based on meeting the 19 criteria was 44.1% (8.4 ± 2.7/19). Program coordinator contact information (72/79, 91.1%), application requirements (71/79, 89.9%), and faculty information (56/79, 70.9%) appeared on >70% of websites. The majority of fellowships had a dedicated webpage for their program (71/79, 89.9%). Information regarding 12 of the 19 criteria appeared on fewer than 50% of websites. Program region (P = 0.32) and size (P = 0.16) were not associated with any differences in mean comprehensiveness score. Additionally, there was no significant difference in scores associated with filling all available positions for the 2020 match cycle (P = 0.77). Conclusion: There is a paucity of information commonly sought out by applicants on the websites of most BIFPs. Both programs and applicants may mutually benefit from increasing comprehensive online content.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbaa097
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Compliance with Short-Interval Follow-up MRI after Benign Concordant MRI-guided Breast Biopsy.

Ram, Shruthi / Regen-Tuero, Helaina / Baird, Grayson L / Lourenco, Ana P

Journal of breast imaging

2024 Volume 3, Issue 1, Page(s) 64–71

Abstract: Objective: To evaluate compliance with short-interval follow-up MRI after benign concordant MRI-guided breast biopsy.: Methods: This institutional review board-approved retrospective study included all benign concordant MRI-guided biopsies performed ... ...

Abstract	Objective: To evaluate compliance with short-interval follow-up MRI after benign concordant MRI-guided breast biopsy. Methods: This institutional review board-approved retrospective study included all benign concordant MRI-guided biopsies performed between January 1, 2010, and May 1, 2018. The following was collected from the electronic medical record: patient and lesion characteristics, short-interval follow-up MRI recommendation, communication to referring physician, follow-up imaging, repeat biopsies, biopsy outcome, and patient insurance status. Compliance with recommendations was defined as follow-up MRI within 9 months of biopsy. Results: Among 98 patients, there were 107 lesions with benign concordant MRI-guided biopsy results that met study criteria. After excluding 7 patients who underwent subsequent mastectomy, 50/91 (54.9%) patients were recommended short-interval follow-up MRI. Of these, 33/50 (66.0%) had a short-interval follow-up MRI. Direct communication of the short-interval follow-up recommendation was documented in the biopsy report for 4/50 (8%) patients. Subsequent MRI was available for 77/107 (72%) lesions at a median of 29 months following MRI-guided biopsy (range, 3-96 months). Subsequent mammography was available for 21/30 (70%) remaining lesions at a median of 47 months following MRI-guided biopsy (range, 23-88 months). There were two repeat biopsies, with one subsequent malignancy, resulting in a false-negative rate of 0.9% (1/107). Conclusion: When short-interval follow-up MRI was recommended following benign concordant MRI-guided breast biopsy, compliance was 66.0%. Lack of communication of the recommendation may at least partially explain the low compliance. The low false-negative rate (0.9%) suggests routine short-interval follow-up MRI may be unnecessary following benign concordant MRI-guided biopsy.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbaa089
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Rise of ChatGPT: It May Be Time to Reassess How We Teach and Test Radiology Residents.

Lourenco, Ana P / Slanetz, Priscilla J / Baird, Grayson L

Radiology

2023 Volume 307, Issue 5, Page(s) e231053

MeSH term(s)	Humans ; Radiology/education ; Radiography
Language	English
Publishing date	2023-05-16
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	80324-8
ISSN	1527-1315 ; 0033-8419
ISSN (online)	1527-1315
ISSN	0033-8419
DOI	10.1148/radiol.231053
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Article ; Online: Dense Breast Notification Letters: What Do Breast Radiologists Think?

Baird, Grayson L / Dibble, Elizabeth H / Mainiero, Martha B / Miles, Randy C / Lourenco, Ana P

Journal of breast imaging

2024 Volume 2, Issue 3, Page(s) 225–231

Abstract: Objective: The Food and Drug Administration is currently creating national standards for language used in letters sent to women after mammography concerning dense breasts. The purpose of the current study is to survey breast radiologists on their ... ...

Abstract	Objective: The Food and Drug Administration is currently creating national standards for language used in letters sent to women after mammography concerning dense breasts. The purpose of the current study is to survey breast radiologists on their opinions about language to be included in dense breast notification (DBN) letters. Methods: An anonymous survey (17 questions and 10 open-ended response fields) was sent to Society of Breast Imaging members between May 2019 and June 2019. Analyses were conducted using a chi-square test and the generalized linear model. Results: A total of 262 surveys were completed (25% response rate). The majority of breast radiologists believe letters should be sent to patients (91%), with most (66%) believing that patients should receive DBN letters regardless of having dense breasts or not. The majority of breast radiologists believe DBNs should be sent to referring physicians (69%), include statements that define masking (89%), inform patients that dense breasts are associated with cancer risk (77%), inform patients about the possible benefits of supplemental screening (86%), be written at the sixth- or eighth-grade reading level (92%), and should be provided in other languages in addition to English (89%); half of the respondents (51%) believe the letters should contain BI-RADS density descriptors. Conclusion: There is consensus that patients and referring physicians should receive DBN letters and that those letters should address masking, increased cancer risk, and supplemental screening. Respondents believe the letters should be written at a sixth- or eighth-grade reading level.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbaa010
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Article ; Online: Application of artificial intelligence in predicting lymph node metastasis in breast cancer.

Windsor, Gabrielle O / Bai, Harrison / Lourenco, Ana P / Jiao, Zhicheng

Frontiers in radiology

2023 Volume 3, Page(s) 928639

Abstract: Breast cancer is a leading cause of death for women globally. A characteristic of breast cancer includes its ability to metastasize to distant regions of the body, and the disease achieves this through first spreading to the axillary lymph nodes. ... ...

Abstract	Breast cancer is a leading cause of death for women globally. A characteristic of breast cancer includes its ability to metastasize to distant regions of the body, and the disease achieves this through first spreading to the axillary lymph nodes. Traditional diagnosis of axillary lymph node metastasis includes an invasive technique that leads to potential clinical complications for breast cancer patients. The rise of artificial intelligence in the medical imaging field has led to the creation of innovative deep learning models that can predict the metastatic status of axillary lymph nodes noninvasively, which would result in no unnecessary biopsies and dissections for patients. In this review, we discuss the success of various deep learning artificial intelligence models across multiple imaging modalities in their performance of predicting axillary lymph node metastasis.
Language	English
Publishing date	2023-02-20
Publishing country	Switzerland
Document type	Journal Article ; Review
ISSN	2673-8740
ISSN (online)	2673-8740
DOI	10.3389/fradi.2023.928639
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Digital Breast Tomosynthesis and Digital Mammography Recall and False-Positive Rates by Time of Day and Reader Experience.

Bernstein, Michael H / Baird, Grayson L / Lourenco, Ana P

Radiology

2022 Volume 303, Issue 1, Page(s) 63–68

Abstract: Background Digital breast tomosynthesis (DBT) image interpretation might be more cognitively demanding than interpretation of digital mammography (DM) images. The time of day of interpretation might affect recall and false-positive (FP) rates, especially ...

Abstract	Background Digital breast tomosynthesis (DBT) image interpretation might be more cognitively demanding than interpretation of digital mammography (DM) images. The time of day of interpretation might affect recall and false-positive (FP) rates, especially for DBT. Purpose To determine whether recall and FP rates vary by time of day of interpretation for screening mammography for breast cancer performed with DM and DBT. Materials and Methods This is a retrospective study examining 97 671 screening mammograms interpreted by 18 radiologists between January 2018 and December 2019 at one of 12 community radiology sites. The association between the time of day of interpretation, the type of image interpreted (DM vs DBT), and radiologist experience (≤5 posttraining years vs >5 posttraining years) and the likelihood of a patient being recalled from screening mammography and the likelihood of whether the interpretation was FP or true positive were analyzed. Analyses were conducted using generalized linear mixed modeling with a binary distribution and sandwich estimation where observations were nested by radiologist. Results Screening mammograms interpreted by 18 radiologists were reviewed (40 220 DBTs, 57 451 DMs). Nine radiologists had 5 or fewer posttraining years of experience, and nine had more than 5 posttraining years of experience. The overall recall rates for DM (10.2%) and DBT (9.0%) were different (
MeSH term(s)	Breast/diagnostic imaging ; Breast Neoplasms/diagnostic imaging ; Early Detection of Cancer/methods ; Female ; Humans ; Mammography/methods ; Mass Screening/methods ; Retrospective Studies
Language	English
Publishing date	2022-01-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	80324-8
ISSN	1527-1315 ; 0033-8419
ISSN (online)	1527-1315
ISSN	0033-8419
DOI	10.1148/radiol.210318
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Development and Assessment of Early Utilization of the Standardized Letter of Recommendation for Use in the Radiology Residency Match.

Carrico, Caroline W T / Lourenco, Ana P / Jambhekar, Kedar

Academic radiology

2022 Volume 29, Issue 10, Page(s) 1583–1589

Abstract: Rationale and objectives: Letters of recommendation are essential for residency applications. Traditionally, narrative letters have been used. Standardized letters of recommendation (SLOR) have been developed and have benefits to the writer and reader. ... ...

Abstract	Rationale and objectives: Letters of recommendation are essential for residency applications. Traditionally, narrative letters have been used. Standardized letters of recommendation (SLOR) have been developed and have benefits to the writer and reader. The goal was to develop an informative, meaningful, and efficient SLOR for the radiology residency Match and to assess its early use. Materials and methods: An Association of University Radiologists (AUR) Research and Education Venture Fund Grant was awarded for the development of a SLOR for use in the radiology residency Match. Grant recipients developed the letter and modifications were based on feedback from the Alliance of Medical Student Educators in Radiology (AMSER) SLOR task force and a larger task force including additional AUR and Association of Program Directors in Radiology (APDR) members. AUR and APDR members were surveyed in 2020 to assess the radiology SLOR. Results: The radiology SLOR became available for use in September 2018. It highlights the top six traits or abilities deemed most valued in a resident candidate and guides the writer to develop a concrete narrative. Top perceived benefits of the Radiology SLOR are ease of reading and interpretation. Top perceived drawbacks are an impersonal format and concerns regarding program directors' perceptions of the new SLOR. SLOR utilization increased in the second year of availability. Conclusion: The radiology SLOR was developed and first used in 2018. Its use increased over two years and will likely continue to increase given the perceived benefits and increasing awareness of the SLOR.
MeSH term(s)	Humans ; Internship and Residency ; Radiography ; Radiology ; Retrospective Studies ; Surveys and Questionnaires
Language	English
Publishing date	2022-03-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	1355509-1
ISSN	1878-4046 ; 1076-6332
ISSN (online)	1878-4046
ISSN	1076-6332
DOI	10.1016/j.acra.2022.02.004
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