The Fellow on Call: The Heme/Onc Podcast Episode 052: Breast Cancer Series, Pt. 1-Fundamentals of Diagnostic Radiology in Breast Cancer
Apr 12, 2023
In this engaging discussion, Dr. Yasha Gupta, a breast imaging fellow at Memorial Sloan Kettering, dives into the essentials of breast cancer imaging. She clarifies the differences between screening and diagnostic mammograms, unpacking the significance of BI-RADS categories in biopsy decisions. Dr. Gupta elaborates on the use of marker clips in procedures and the advantages of tomosynthesis for improved lesion characterization. Listeners gain insights into assessing axillary lymph nodes and the critical collaboration needed with breast radiologists for optimal patient care.
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Fellowship To Attending Transition
- Yasha Gupta shares that she is finishing fellowship and feeling excited and nervous about attending autonomy.
- She also chairs the ACR section for trainees and encourages trainee involvement in professional societies.
When To Use Diagnostic Mammography
- Do use diagnostic mammography when a patient has symptoms or an abnormal screening to get additional targeted views.
- Request spot compression views to distinguish true masses from overlapping fibroglandular tissue.
BI-RADS Explained And Clinical Implications
- BI-RADS standardizes reporting and stratifies cancer probability from 0 to 6 for consistent management.
- BI-RADS 4 ranges widely (2–95%) and is subdivided into 4A/4B/4C to reflect increasing suspicion and need for biopsy.