Eman Oweida
NMC Royal Hospital, UAE
Title: Role of imaging in follow up of previously diagnosed and treated breast masses
Biography
Biography: Eman Oweida
Abstract
Conservative breast therapy (CBT) means lumpectomy or segmental mastectomy followed by radiotherapy. Both surgery and radiotherapy produce a wide spectrum of breast changes that appear on different imaging modalities. Certain radiologic features of these benign breast changes may simulate radiologic patterns of tumor recurrence that occurs at a rate of 2.5% per year between 2 and 6 years after treatment. Sometimes the differentiation between these two entities is a challenging diagnostic dilemma; thus, the interpreting radiologist must be familiar with the expected chronologic appearances of the conservatively treated breast. Consequently, radiologists should be able to decide whether to recommend follow up or request for pathological correlation. Basic imaging modalities are: Mammography, Ultrasonography and MRI. MRI is now recognized as a reliable powerful tool for follow up of treated cases of breast carcinoma. Functional MRI perfusion is effective in monitoring the response to chemotherapy. Recent research studies address diffusion MRI as a promising tool that may provide an earlier biomarker for tumor response than changes in tumor size.