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Contents lists available at ScienceDirect
Breast cancer imaging - A rapidly evolving discipline
Fredrik Strand a, b, Sophia Zackrisson c, *
a Breast Radiology, Karolinska University Hospital, 17176, Stockholm, Sweden
b Department of Oncology-Pathology, Karolinska Institute, 17177, Stockholm, Sweden
c Department of Translational Medicine, Diagnostic Radiology, Lund University, Skåne University Hospital Malmo,€ Malmo,€ 20502, Sweden
Received in revised form
Precise guidelines for MRI in preoperative mapping will be established
Neoadjuvant therapy will be continuously guided by image-based functional biomarkers
Along with improved treatment options, the importance of imaging in the metastatic setting will increase
Medical disciplines will be more closely integrated for the full benefit of the patient
Summary of predictions (Fig. 1)
Image-based breast cancer screening will spread globally Awareness of mammography shortcomings will increase Tomosynthesis will become an established screening
Mammographic breast compression will be optimized
Contrast-enhancement will make mammography an alternative to MRI in limited settings
The usefulness of automated ultrasound will be determined
High-resolution diffusion and abbreviated protocols will enable MRI as a screening modality in certain subgroups
Risk-stratification will be used to guide women to an adequate screening modality
Artificial intelligence will potentially enhance many as-pects of breast imaging
Radiomics - there will be a continued search for quanti-tative image features having observable biological correlates
Minimally invasive image-guided procedures will replace open surgery for smaller lesions
* Corresponding author.
E-mail address: [email protected] (S. Zackrisson).
The introduction of early detection of breast cancer through mammography screening was the most important preventive achievement to reduce breast cancer mortality. Today, breast im-aging is the patient's companion through the entire process of detection, diagnosis, prognosis, treatment choice and follow-up. Mammography is the core modality in breast imaging, com-plemented by ultrasound, magnetic resonance imaging (MRI) and, in certain settings, positron emission tomography (PET). In this preview article we share our personal perspective on possible future developments in the field.