Dr. Matt Dyson

Breast
How to overcome myths about mammography
In the last 10 years, we have witnessed growing negativity regarding mammography screening. Dr. Matt Dyson of Catawba Radiology offers tips on how to talk to patients about their fears and concerns toward breast screening.
January 25, 2021
2021 01 23 01 46 4668 Patient Mammography Woman Tech 400
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Schematic diagrams and representative images of different distribution patterns of region lymph nodes detected at CT. (A) Vascular distribution pattern: All regional lymph nodes detected at CT have regular borders and are distributed along the vessels (arrowheads). (B-E) Coronal CT images in a (B) 34-year-old woman, (C) 51-year-old man, (D) 37-year-old man, and (E) 40-year-old man with microsatellite instability-high (MSI-H) colon cancer show multiple clear lymph nodes distributed along the supplying arteries or draining veins (arrowheads). (F) Jammed cluster pattern: At least three lymph nodes with blurred margins and clustered (circle). (G-I) Coronal CT images in a (G) 29-year-old man, (H) 35-year-old man, and (I) 67-year-old man and (J) axial CT image in a 43-year-old man with MSI-H colon cancer show several lymph nodes with blurred margins and clustered (circle). Movies 1-4 provide more details. (K) Fused pattern: Several poorly defined lymph nodes clustered and fused together (arrow). (L-O) Coronal CT images in a (L) 63-year-old woman, (M) 59-year-old man, (N) 49-year-old woman, and (O) 73-year-old man with MSI-H colon cancers show several lymph nodes fused (arrow). Image courtesy of Radiology.
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CT effective for tracking colon cancer lymph node distribution
Using CT to track lymph node distribution in colon cancer patients is more effective at identifying metastasis than conventional testing.
Images depict a 65-year-old patient with contralateral second breast cancer 6.3 years after right mastectomy. (A) Left craniocaudal and (B) mediolateral oblique mammograms assessed as benign. (C) The AI algorithm outlined a lesion with a score of 31 on the craniocaudal view. (D) A supplemental axial ultrasound scan, which was obtained on the same day as the mammogram, shows an irregular hypoechoic mass (arrows) in the left upper central breast. (E) Preoperative sagittal contrast-enhanced T1-weighted MRI scan shows the corresponding enhancing mass (arrow) in the left upper center. The mass was proven to be ductal carcinoma in situ.
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Schematic diagrams and representative images of different distribution patterns of region lymph nodes detected at CT. (A) Vascular distribution pattern: All regional lymph nodes detected at CT have regular borders and are distributed along the vessels (arrowheads). (B-E) Coronal CT images in a (B) 34-year-old woman, (C) 51-year-old man, (D) 37-year-old man, and (E) 40-year-old man with microsatellite instability-high (MSI-H) colon cancer show multiple clear lymph nodes distributed along the supplying arteries or draining veins (arrowheads). (F) Jammed cluster pattern: At least three lymph nodes with blurred margins and clustered (circle). (G-I) Coronal CT images in a (G) 29-year-old man, (H) 35-year-old man, and (I) 67-year-old man and (J) axial CT image in a 43-year-old man with MSI-H colon cancer show several lymph nodes with blurred margins and clustered (circle). Movies 1-4 provide more details. (K) Fused pattern: Several poorly defined lymph nodes clustered and fused together (arrow). (L-O) Coronal CT images in a (L) 63-year-old woman, (M) 59-year-old man, (N) 49-year-old woman, and (O) 73-year-old man with MSI-H colon cancers show several lymph nodes fused (arrow). Image courtesy of Radiology.
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Images depict a 65-year-old patient with contralateral second breast cancer 6.3 years after right mastectomy. (A) Left craniocaudal and (B) mediolateral oblique mammograms assessed as benign. (C) The AI algorithm outlined a lesion with a score of 31 on the craniocaudal view. (D) A supplemental axial ultrasound scan, which was obtained on the same day as the mammogram, shows an irregular hypoechoic mass (arrows) in the left upper central breast. (E) Preoperative sagittal contrast-enhanced T1-weighted MRI scan shows the corresponding enhancing mass (arrow) in the left upper center. The mass was proven to be ductal carcinoma in situ.
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