ABSTRACT

Accurate radiological assessment of a breast tumor is essential prior to definitive surgical intervention. Breast cancer is the second most frequently diagnosed cancer in women, and this is largely attributable to well-developed screening programs and advances in diagnostic technology. Clip placement at the start of neoadjuvant chemotherapy provides valuable guidance in the event of a complete clinical and radiological response. Full-field digital mammography continues to be the initial modality of choice in the detection of breast cancer and helps to define the extent and three-dimensional location of abnormalities that require additional imaging evaluation. Digital breast tomosynthesis is a new technique which produces a three-dimensional derivative of full-field digital mammography using reconstructions of the breast from multiple low-dose digital images, acquired along a 15–50-degree arc. Sonography is widely accepted as the best adjunct to mammography in the diagnostic workup of discrete breast masses.