(2016) Radiographics : a review publication of the Radiological Society of North America, Inc. Tomosynthesis-detected Architectural Distortion: Management Algorithm with Radiologic-Pathologic Correlation. Durand MA, Wang S, Hooley RJ, Raghu M, Philpotts LE. The safety contour (SC) value is calculated considering the safety depth and allowing for the category zone of confidence (CATZOC) displayed on an electronic. Pathologic Outcomes of Architectural Distortion on Digital 2D Versus Tomosynthesis Mammography. Comparison of digital mammography and digital breast tomosynthesis in the detection of architectural distortion. Dibble EH, Lourenco AP, Baird GL, Ward RC, Maynard AS, Mainiero MB.
Gaur S, Dialani V, Slanetz PJ, Eisenberg RL. Read it at Google Books - Find it at Amazon Reston, VA, American College of Radiology 2013. ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. D’Orsi CJ, Sickles EA, Mendelson EB, Morris EA, et al. The BI-RADS Atlas suggests that an ultrasound finding of architectural distortion thought to be due to postsurgical scar may be categorized as probably benign ( BI-RADS 3), but there is sparse data supporting this approach 5. The possibilities are endlessthat is, if you're equipped with the right products. You can make your nose look straighter, define your jawline, or create the illusion of a longer neck. In most cases, architectural distortion is a suspicious finding ( BI-RADS 4) 8, 9. You can sculpt your cheekbones and make your face appear narrower or shade your upper-forehead to draw attention down to your eyes. straightening or thickening of Cooper ligamentsĪrchitectural distortion can be reported as a standalone finding or be associated with (adjacent to) another finding, such as asymmetry, calcifications, or mass.Depth contours present a picture of the bottom to the mariner. blurring of normal tissue planes such as the fat-fibroglandular junction On a chart, water depths may be connected with a line known as a depth contour, similar to the topographic lines or surface features that you see on a map.focal retraction, distortion, or straightening at the edge of the parenchyma.radiating thin straight lines or spiculations.Mammography/US/MRIĪrchitectural distortion is characterized by a number of possible appearances 5: Targeted ultrasound should then be performed to confirm the finding, but MRI is an alternative if no ultrasound correlate is found 9. Compared to 2D mammography, digital breast tomosynthesis increases the sensitivity, confidence, and interobserver agreement in detection of architectural distortion 7-10. Tomosynthesis also helps localize the abnormality. Architectural distortion can be visually subtle.
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