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lüll Recent advances in breast-specific imaging Berman CGCancer Control 2007[Oct]; 14 (4): 338-49BACKGROUND: Imaging the breast is a vital component not only for breast cancer screening, but also for diagnosis, evaluation, treatment, and follow-up of patients with breast cancer. METHODS: The author reviews recent advances and also provides her personal experience in describing the status of digital mammography, computer-aided detection, dedicated magnetic resonance imaging (MRI), and positron-emission mammography for evaluating the breast. RESULTS: Full-field digital mammography is superior to standard mammography in women under 50 years of age and in those with dense breasts. Computer-aided detection assists inexperienced mammographers and enhances detection of microcalcifications in dense breasts. Breast MRI is useful in preoperative evaluation, clarification of indeterminate mammograms, and follow-up of BRCA mutation carriers. The specificity of MRI remains problematic, however. Positron-emission mammography promises enhanced detection of ductal carcinoma in situ (DCIS), even when not associated with microcalcifications, and should aid surgical planning. CONCLUSIONS: These four significant advances in breast imaging have all improved the sensitivity of detecting breast abnormalities. Cost issues, however, may limit the widespread application of these advances.|Breast Neoplasms/*pathology/prevention & control[MESH]|Diagnostic Imaging/*methods[MESH]|Female[MESH]|Humans[MESH]|Magnetic Resonance Imaging/methods[MESH]|Mammography/*methods[MESH]|Positron-Emission Tomography/methods[MESH]|Radiographic Image Enhancement/methods[MESH]|Radiographic Image Interpretation, Computer-Assisted/methods[MESH]|Sensitivity and Specificity[MESH] |