Session 8: Women’s Imaging and Breast Health

Session: 8 Diagnostic Radiology
Sub-Session: Breast imaging, mammography, ultrasound, MRI, tomosynthesis, image-guided biopsy, contrast-enhanced imaging, radiologic-pathologic correlation, screening protocols, treatment monitoring

Overview:
Women’s imaging focuses on detecting, diagnosing, and monitoring breast and pelvic disorders using advanced imaging technologies. Radiologists play a key role in identifying abnormalities, guiding interventions, and monitoring therapy to improve patient outcomes.

Roles of Radiologists:

1. Imaging Interpretation:
   Analyze mammograms, breast ultrasounds, MRI scans, and tomosynthesis studies to detect breast cancers, cysts, fibroadenomas, or inflammatory conditions.

2. Image-Guided Biopsy and Intervention:
   Perform core needle, fine-needle, and vacuum-assisted biopsies under imaging guidance to obtain tissue for diagnosis.

3. Screening and Early Detection:
   Conduct screening mammograms and tomosynthesis for early detection of breast malignancies and risk stratification.

4. Monitoring Treatment Response:
   Evaluate imaging during and after therapies (surgery, chemotherapy, radiation) to monitor tumor response, detect recurrence, and assess complications.

Diagnostic Imaging Techniques:

• Mammography & Tomosynthesis: Detection of microcalcifications and masses.

• Ultrasound: Differentiates cystic vs. solid lesions and guides biopsies.

• MRI: High-resolution imaging for high-risk screening and disease extent assessment.

• Contrast-Enhanced Imaging: Improves visualization of tumor vascularity.

• Interventional Radiology Techniques: Minimally invasive procedures for tissue sampling and lesion localization.

Diagnostic Purpose:
Radiologic tests identify specific abnormalities in breast tissues, guide interventions, and monitor disease progression, enabling accurate diagnosis and informed treatment planning.