Consequences of False-Positive Screening Mammograms

False-positive mammograms, a common occurrence in breast cancer screening programs, represent a potential screening harm that is currently being evaluated by the United States Preventive Services Task Force

Breast cancer mimic: cutaneous B-cell lymphoma presenting as an isolated breast mass.

BackgroundPrimary cutaneous B-cell lymphoma typically localizes to the skin, and dissemination to internal organs is rare. Lymphomatous involvement of the breasts is also rare. We describe the clinical and radiological findings of an unusual case of primary cutaneous B-cell lymphoma presenting as an isolated breast mass without associated skin changes.Case presentationThe patient was a 55-year-old Caucasian female who initially presented with cutaneous B-cell lymphoma around her eyes and forehead with recurrence involving the skin between her breasts. Three years after terminating treatment due to a lack of symptoms, she presented for an annual screening mammogram that found a new mass in her upper inner right breast without imaging signs of cutaneous extension. On physical examination, there were no corresponding skin findings. Due to the suspicious imaging features of the mass that caused concern for primary breast malignancy, she underwent a core biopsy which revealed cutaneous B-cell lymphoma.ConclusionWhen evaluating patients with a systemic disease who present with findings atypical for that process, it is important to still consider the systemic disease as a potential etiology, particularly with lymphoma given its reputation as a great mimicker

Flat-field correction technique for digital detectors

The effects of the stationary noise patterns and variable pixel responses that commonly occur with uniform exposure of digital detectors can be effectively reduced by simple 'flat- field' image processing methods. These methods are based upon a linear system response and the acquisition of an image (or images) acquired at a high exposure to create an inverse matrix of values that when applied to an uncorrected image, remove the effects of the stationary noise components. System performance is optimized when the correction image is totally free of statistical variations. However, the stationary noise patterns will not be effectively removed for flat-field images that are acquired at a relatively low exposure or for systems with non-linear response to incident exposure variations. A reduction in image quality occurs with the incomplete removal of the stationary noise patterns, resulting in a loss of detective quantum efficiency of the system. A more flexible approach to the global flat-field correction methodology is investigated using a pixel by pixel least squares fit to 'synthesize' a variable flat-field image based upon the pixel value (incident exposure) of the image to be corrected. All of the information is stored in two 'equivalent images' containing the slope and intercept parameters. The methodology provides an improvement in the detective quantum efficiency (DQE) due to the greater immunity of the stationary noise variation encoded in the slope/intercept parameters calculated on a pixel by pixel basis over a range of incident exposures. When the raw image contains a wide range of incident exposures (e.g., transmission through an object) the variable exposure flat-field correction methodology proposed here provides an improved match to the fixed-point noise superimposed in the uncorrected image, particularly for the higher spatial frequencies in the image as demonstrated by DQE(f) measurements. Successful application to clinical digital mammography biopsy images has been demonstrated, and benefit to other digital detectors appears likely

Breast cancer mimic: cutaneous B-cell lymphoma presenting as an isolated breast mass.

BACKGROUND:Primary cutaneous B-cell lymphoma typically localizes to the skin, and dissemination to internal organs is rare. Lymphomatous involvement of the breasts is also rare. We describe the clinical and radiological findings of an unusual case of primary cutaneous B-cell lymphoma presenting as an isolated breast mass without associated skin changes. CASE PRESENTATION:The patient was a 55-year-old Caucasian female who initially presented with cutaneous B-cell lymphoma around her eyes and forehead with recurrence involving the skin between her breasts. Three years after terminating treatment due to a lack of symptoms, she presented for an annual screening mammogram that found a new mass in her upper inner right breast without imaging signs of cutaneous extension. On physical examination, there were no corresponding skin findings. Due to the suspicious imaging features of the mass that caused concern for primary breast malignancy, she underwent a core biopsy which revealed cutaneous B-cell lymphoma. CONCLUSION:When evaluating patients with a systemic disease who present with findings atypical for that process, it is important to still consider the systemic disease as a potential etiology, particularly with lymphoma given its reputation as a great mimicker

Breast Cancer Mimic: Cutaneous B-Cell Lymphoma Presenting as an Isolated Breast Mass

Background: Primary cutaneous B-cell lymphoma typically localizes to the skin, and dissemination to internal organs is rare. Lymphomatous involvement of the breasts is also rare. We describe the clinical and radiological findings of an unusual case of primary cutaneous B-cell lymphoma presenting as an isolated breast mass without associated skin changes. Case Presentation: The patient was a 55-year-old Caucasian female who initially presented with cutaneous B-cell lymphoma around her eyes and forehead with recurrence involving the skin between her breasts. Three years after terminating treatment due to a lack of symptoms, she presented for an annual screening mammogram that found a new mass in her upper inner right breast without imaging signs of cutaneous extension. On physical examination, there were no corresponding skin findings. Due to the suspicious imaging features of the mass that caused concern for primary breast malignancy, she underwent a core biopsy which revealed cutaneous B-cell lymphoma. Conclusion: When evaluating patients with a systemic disease who present with findings atypical for that process, it is important to still consider the systemic disease as a potential etiology, particularly with lymphoma given its reputation as a great mimicker

Flat-field correction technique for digital detectors

The effects of the stationary noise patterns and variable pixel responses that commonly occur with uniform exposure of digital detectors can be effectively reduced by simple 'flat- field' image processing methods. These methods are based upon a linear system response and the acquisition of an image (or images) acquired at a high exposure to create an inverse matrix of values that when applied to an uncorrected image, remove the effects of the stationary noise components. System performance is optimized when the correction image is totally free of statistical variations. However, the stationary noise patterns will not be effectively removed for flat-field images that are acquired at a relatively low exposure or for systems with non-linear response to incident exposure variations. A reduction in image quality occurs with the incomplete removal of the stationary noise patterns, resulting in a loss of detective quantum efficiency of the system. A more flexible approach to the global flat-field correction methodology is investigated using a pixel by pixel least squares fit to 'synthesize' a variable flat-field image based upon the pixel value (incident exposure) of the image to be corrected. All of the information is stored in two 'equivalent images' containing the slope and intercept parameters. The methodology provides an improvement in the detective quantum efficiency (DQE) due to the greater immunity of the stationary noise variation encoded in the slope/intercept parameters calculated on a pixel by pixel basis over a range of incident exposures. When the raw image contains a wide range of incident exposures (e.g., transmission through an object) the variable exposure flat-field correction methodology proposed here provides an improved match to the fixed-point noise superimposed in the uncorrected image, particularly for the higher spatial frequencies in the image as demonstrated by DQE(f) measurements. Successful application to clinical digital mammography biopsy images has been demonstrated, and benefit to other digital detectors appears likely

Breast Cancer Mimic: Cutaneous B-Cell Lymphoma Presenting as an Isolated Breast Mass

Background: Primary cutaneous B-cell lymphoma typically localizes to the skin, and dissemination to internal organs is rare. Lymphomatous involvement of the breasts is also rare. We describe the clinical and radiological findings of an unusual case of primary cutaneous B-cell lymphoma presenting as an isolated breast mass without associated skin changes. Case Presentation: The patient was a 55-year-old Caucasian female who initially presented with cutaneous B-cell lymphoma around her eyes and forehead with recurrence involving the skin between her breasts. Three years after terminating treatment due to a lack of symptoms, she presented for an annual screening mammogram that found a new mass in her upper inner right breast without imaging signs of cutaneous extension. On physical examination, there were no corresponding skin findings. Due to the suspicious imaging features of the mass that caused concern for primary breast malignancy, she underwent a core biopsy which revealed cutaneous B-cell lymphoma. Conclusion: When evaluating patients with a systemic disease who present with findings atypical for that process, it is important to still consider the systemic disease as a potential etiology, particularly with lymphoma given its reputation as a great mimicker