[Current approach to breast imaging: Indications, techniques and developments]

Area of Science:

• Radiology
• Oncology
• Medical Technology

Background:

• Breast imaging is crucial for breast cancer screening, diagnosis, and treatment.
• Oncoplastic surgery benefits from detailed assessments provided by MRI for multifocality and local control.

Purpose of the Study:

• To review recent advancements in breast imaging and their impact on breast cancer management.
• To highlight innovations improving surgical planning, lesion characterization, and personalized risk assessment.

Main Methods:

• Review of current literature on advanced breast imaging modalities.
• Discussion of emerging technologies such as MRI, non-wire localization, macrobiopsies, angiomammography, and artificial intelligence.

Main Results:

• MRI enhances surgical planning and local control in oncoplastic surgery.
• Non-wire devices and macrobiopsies offer improved precision and de-escalation.
• Artificial intelligence and radiomics show potential for improved diagnosis and personalized risk prediction.

Conclusions:

• Technological advancements are transforming breast cancer care, offering improved diagnostic accuracy and treatment strategies.
• Ethical considerations regarding AI transparency, interpretation responsibility, and clinical validation are paramount for future implementation.