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Breast Imaging

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The well-established investigations routinely carried out are:
• breast examination
• mammography
• breast ultrasound
• magnetic resonance
• cytological sampling
• microhistological sampling

A recent addition to the Division is tomosynthesis. This is a three-dimensional high-definition mammography technique that enables the breast to be examined in “layers”: this has the great advantage of facilitating the understanding of radiology reports which may be non-immediate or incompletely visualised with classical 2D mammography.

Our Activities

The significant reduction in breast cancer mortality in the population is attributable to improvements in treatment, but even more so to the increasingly accurate and timely diagnosis of the disease. Every action undertaken, above all, every investment dedicated to this end, is therefore of pivotal importance. To implement early diagnosis, it is important that breast centres avail themselves of appropriate equipment and dedicated staff.
It is on this first step – that of accurate and early diagnosis – that the subsequent treatment pathway is based. In the field of breast diagnosis today, the important objective is not however just the “timeliness” of the diagnosis, but also its “completeness”.

It is necessary to diagnose a neoplasm when it is still small, and yet one must also provide contextual data regarding its biological characteristics. It is these characteristics in particular that will determine the treatment plan. These are the principal objectives of the clinical, scientific and educational activities undertaken by the Breast Imaging Division of the European Institute of Oncology. 

  • Our staff
     

    Breast Imaging

    Director

    Enrico Cassano

    Staff Breast Imaging

  • CLINICAL TRIALS IN EVIDENCE

    SOUND study - Sentinel node vs. observation after axillary ultrasound

    This is a prospective observational study for the definition of the parameters of negativity in axillary ultrasound. The study aims to assess whether the ultrasound method, with the latest developments in medical semiology and new equipment can permit pathological oncology signs to be identified at the lymph-node level. In this way the negative predictive value of the method can be established as can the possibility to use it in axillary staging. The study is aimed at patients with a cytohstological diagnosis of small-dimension breast disease (T1) with a clinicallynegative axilla (N0) and who are candidates for breastconserving surgery.

     

    Image-guided percutaneous biopsy

    Vacuum-assisted biopsies have the main advantage of avoiding the multiple needle passages of the core needle biopsy; furthermore, greater quantities of breast tissue are
    sampled with respect to those in core biopsies, facilitating the pathologist’s interpretation.

    The disadvantages of vacuum-assisted biopsy are essentially a certain invasiveness, high costs and a learning-curve for the radiologist which more demanding than that for FNAC and core biopsy. Such biopsies have few complications (<10%), these essentially being haematomas and venous bleeding. Vacuum-assisted biopsies are conducted in the Division with stereotactic guiding, ultrasound and NMR.

     

    Contrast-media mammography

    A study of particular interest which may have wide-ranging development and important clinical applications is contrastmedia mammography. The examination is conducted like a
    normal mammography but with the concomitant intravenous injection of iodine contrast medium. The study is aimed at patients with dense breast and a verified diagnosis of breast neoplasia. Informed consent is necessary for these patients.

  • OUTPATIENT CLINIC FOR PREGNANT CLINIC

PARTNERSHIP

Università degli Studi di Milano Ecancer Medical Science IFOM-IEO Campus

CREDITS

Ministero della Salute Joint Commission International Breastcertification bollinirosa

© 2013 Istituto Europeo di Oncologia - via Ripamonti 435 Milano - P.I. 08691440153

IRCCS - ISTITUTO DI RICOVERO E CURA A CARATTERE SCIENTIFICO

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