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January 16, 2025

Double reporting with arbitration in the symptomatic setting – is it worth it?

National breast screening and high risk screening mammograms in the UK are all double reported with arbitration. However, with regard to symptomatic mammogram reporting, the guidance does not stipulate that double reporting is required, which allows for variation in practice based on departmental protocols. Our service also double reported all non-breast screening mammograms, including symptomatic […]

Laura Sewell, Dr Kirsty McNeil, Dr Sarah Savarides

NHS Tayside, University of Dundee

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April 17, 2024

Experience of mammography AI in a UK screening centre

AI applications in the field of breast imaging have gained a great deal of interest. Despite the use of computer-aided detection in breast screening having been studied in the past, it was not until the last decade that developments in machine learning and processing power made it possible to apply AI to digital imaging and […]

Dr Gerald Lip, Sarah Philip, Michelle Cumming, Lana Fairburn

North East Scotland Breast Screening Centre

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February 14, 2024

Second-look ultrasound after MRI

The use of MRI to stage breast cancer and its use as a screening tool in the very high risk (VHR) screening cohort have increased hugely over the past 15 years. This has been driven partly by the increasing range of breast conserving surgical techniques that are available. Recalling patients back to ultrasound for further […]

Dr Tamara Suaris

St Bartholomew's Hospital, Queen Mary University of London

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February 14, 2024

Wire-free localisation techniques for impalpable breast lesions

The mainstay of treatment for most breast cancers is breast conserving surgery. Impalpable breast lesions usually require image-guided localisation in advance of surgery, which facilitates the surgeon in identifying the target intraoperatively, allowing the area of disease to be excised with clear margins, while also ensuring that excess normal tissue is not removed. In this […]

Dr Simon Lowes

Gateshead Health NHS Foundation Trust

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January 17, 2024

Exploring whether FAST MRI could detect aggressive breast cancers earlier than mammography

Breast cancer is the most common cancer in the UK. Delays to breast cancer surgery as short as four weeks cost lives because treatments are effective and early detection improves survival. Early detection also makes it less likely that a mastectomy or chemotherapy are needed. The NHS population-risk screening programme offers women aged 50-70 a […]

Dr Lyn Jones, Dr Rebecca Geach

Bristol Breast Care Centre, Southmead Hospital

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July 12, 2023

The emerging role of [18F]FDG-PETCT in patients with breast cancer

Breast cancer staging is a complex process, mainly due to the heterogeneous phenotype of the tumour. In early breast cancer, assessed by primary tumour size and nodal status, contrast-enhanced CT thorax, abdomen and pelvis (CECT) for staging is not indicated unless there are clinical symptoms of metastatic disease because the risk of distant spread in […]

Dr Lyn Zimmo, Dr Stefan Voo, Professor Sabina Dizdarevic

University Hospitals Sussex; University College London

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July 12, 2023

Congenital and developmental abnormalities of the breast and their clinical implications

The human breast is an epidermal appendage derived from apocrine glands. The adult breast base overlies the second to sixth ribs in the midclavicular line and lies anterior to the deep pectoral fascia, overlying the pectoralis major muscle and the serratus anterior muscle inferolaterally. It is enclosed in a split of the superficial fascia and […]

Dr Sarah J Vinnicombe

Thirlestaine Breast Centre

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July 12, 2023

Tackling workforce shortages across breast screening and symptomatic services

The significant workforce challenges facing breast screening and symptomatic services, covering both medical and radiographic staff groups, have been highlighted in a number of studies. For example, a survey of the four-tier radiographic workforce was published by Public Health England (PHE – now part of NHS England) in November 2016. This analysed current staffing, vacancy […]