Localization with xeromammography.

Am Fam Physician

Published: September 1979

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The evolution of breast imaging: past to present.

Radiology

November 2014

From the Department of Radiology and Biomedical Imaging, University of California, San Francisco, 1600 Divisadero St, Room C250, Mail Box 1667, San Francisco, CA 94115.

The practice of breast imaging has transitioned through a wide variety of technologic advances from the early days of direct-exposure film mammography to xeromammography to screen-film mammography to the current era of full-field digital mammography and digital breast tomosynthesis. Along with these technologic advances, organized screening, federal regulations based on the Mammography Quality Standards Act, and the development of the American College of Radiology Breast Imaging Reporting and Data System have helped to shape the specialty of breast imaging. With the development of breast ultrasonography and breast magnetic resonance imaging, both complementary to mammography, additional algorithms for diagnostic workup and screening high-risk subgroups of women have emerged.

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Purpose: A procedure for performing intraoperative digital radiography of diagnostic breast specimens directly in the operating suite with teleradiologic assessment by a radiologist is presented. The efficiency of this procedure is compared with that of conventional magnification mammography performed in the radiology department.

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The mammograms of 13 patients with phylloides tumour of the breast are reviewed and the results correlated with clinical and histological features. Three patients had recurrent tumours. There is a strong association between phylloides tumour and fibroadenoma.

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The irregular shape and uneven tissue thickness of excised breast specimens makes radiographic evaluation difficult, especially when calcifications are not present. Xeroradiographs before and after compression of 20 separate excised breast specimens were compared, and 17 of the same specimens were compared after compression combined with immersion in water. Specimen compression improved visibility of the lesion on average in 88% of cases, and visibility was equal in 12%.

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