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Clinical Imaging of Microwave Mammography

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Published on: November 14, 2025

Mastalgia: Imaging Work-up Appropriateness.

Alison L Chetlen¹, Megha Madhukar Kapoor¹, Meredith Ranzenbach Watts¹

¹Department of Radiology, Division of Breast Imaging, Penn State Health, Milton S. Hershey Medical Center, 30 Hope Drive, Suite 1800, Mail Code EC 008, Hershey, PA 17033-0859.

Academic Radiology

|December 6, 2016

Summary

This summary is machine-generated.

Most breast pain in women has no clear imaging explanation. However, diagnostic imaging is appropriate for noncyclical, focal breast pain, potentially identifying rare causes like cancer.

Keywords:

Breast pain appropriateness criteria mammography mastalgia

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Tracking the Mammary Architectural Features and Detecting Breast Cancer with Magnetic Resonance Diffusion Tensor Imaging

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Published on: December 15, 2014

Area of Science:

Radiology
Breast Imaging
Women's Health

Background:

Mastalgia (breast pain) is a common patient complaint.
Most women with mastalgia do not have an identifiable cause on imaging.
The American College of Radiology Appropriateness Criteria guide imaging decisions.

Purpose of the Study:

To evaluate the diagnostic yield of imaging for mastalgia.
To determine if imaging findings correlate with breast pain etiology.
To assess adherence to American College of Radiology guidelines.

Main Methods:

Retrospective review of 236 women presenting with isolated breast pain.
Analysis of clinical presentation, diagnostic imaging, and follow-up.
Comparison of imaging outcomes with American College of Radiology Appropriateness Criteria.

Main Results:

No imaging correlates found for cyclical or noncyclical, nonfocal breast pain.
Imaging identified a cause in 3% of women with noncyclical, focal breast pain.
A single cancer diagnosis (0.4%) was found in the noncyclical, focal group.

Conclusions:

Radiological imaging is often non-diagnostic for mastalgia.
Diagnostic imaging is appropriate for noncyclical, focal breast pain.
Findings support current American College of Radiology guidelines for breast pain evaluation.