In addition to planar images, DBT allows for creation and viewing of thin-section reconstructed images that may decrease the lesion-masking effect of overlapping normal tissue, and reveal the true nature of potential false positive findings without the need for recall. While there is no specific literature assessing its use in evaluation of breast pain, DBT can be useful in the diagnostic setting, improving lesion characterization [28-31] in noncalcified lesions, when compared to conventional mammographic workup. The following discussion is for cases of isolated breast pain without other symptoms. In cases where the pain is associated with other symptoms, for example, lump or nipple discharge, pain should be considered a secondary symptom and the workup should follow the ACR Appropriateness Criteria recommendations for that additional symptom. aEmory University Hospital, Atlanta, Georgia. bPanel Vice-Chair, NYU Clinical Cancer Center, New York, New York. cGeorge Washington University Hospital, Washington, District of Columbia. dRoper St. Francis Physician Partners Breast Surgery, Charleston, South Carolina; American College of Surgeons. eNorthwestern University Feinberg School of Medicine, Chicago, Illinois; American College of Physicians. fNew York University School of Medicine, New York, New York. gThe University of Texas MD Anderson Cancer Center, Houston, Texas. hNew York University School of Medicine, New York, New York. iAlpert Medical School of Brown University, Providence, Rhode Island. jBeth Israel Deaconess Medical Center, Boston, Massachusetts. kH. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida. lBeth Israel Deaconess Medical Center, Boston, Massachusetts. mWomen and Infants Hospital, Providence, Rhode Island; American Congress of Obstetricians and Gynecologists. nMecklenburg Radiology Associates, Charlotte, North Carolina. oDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.
Breast Pain. In addition to planar images, DBT allows for creation and viewing of thin-section reconstructed images that may decrease the lesion-masking effect of overlapping normal tissue, and reveal the true nature of potential false positive findings without the need for recall. While there is no specific literature assessing its use in evaluation of breast pain, DBT can be useful in the diagnostic setting, improving lesion characterization [28-31] in noncalcified lesions, when compared to conventional mammographic workup. The following discussion is for cases of isolated breast pain without other symptoms. In cases where the pain is associated with other symptoms, for example, lump or nipple discharge, pain should be considered a secondary symptom and the workup should follow the ACR Appropriateness Criteria recommendations for that additional symptom. aEmory University Hospital, Atlanta, Georgia. bPanel Vice-Chair, NYU Clinical Cancer Center, New York, New York. cGeorge Washington University Hospital, Washington, District of Columbia. dRoper St. Francis Physician Partners Breast Surgery, Charleston, South Carolina; American College of Surgeons. eNorthwestern University Feinberg School of Medicine, Chicago, Illinois; American College of Physicians. fNew York University School of Medicine, New York, New York. gThe University of Texas MD Anderson Cancer Center, Houston, Texas. hNew York University School of Medicine, New York, New York. iAlpert Medical School of Brown University, Providence, Rhode Island. jBeth Israel Deaconess Medical Center, Boston, Massachusetts. kH. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida. lBeth Israel Deaconess Medical Center, Boston, Massachusetts. mWomen and Infants Hospital, Providence, Rhode Island; American Congress of Obstetricians and Gynecologists. nMecklenburg Radiology Associates, Charlotte, North Carolina. oDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.