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Sneaky Cancer Cells Easier to Spot, Thanks to BSGI

BSGI Locates Buried Cancers
Now, cancers that are lost on mammograms and aren"t found by clinical exam can be discovered by way of breast-specific gamma imaging (BSGI), according to a study presented to the Radiological Society of North America (
•BSGI can identify the most difficult to detect breast cancer-invasive lobular carcinoma,• said lead author Rachel F. Brem, M.D., professor of radiology and director of the Breast Imaging and Interventional Center at The George Washington University Medical Center in Washington, D.C.  •It also can help us detect additional lesions of all types of breast cancer in women whose mammograms show only one suspicious lesion.•
According to the American Cancer Society, breast cancer results in more than 40,000 deaths annually in the U.S. The best way to decrease breast cancer mortality is still through early detection using mammography and clinical breast exam.  For patient-friendly information on breast imaging, visit
However, some cancers are difficult to detect with mammography and clinical exam, particularly in the earliest stage when treatment is most effective. While mammography findings are characterized by the difference in appearance between normal and suspicious breast tissue, BSGI findings are based on how cancerous cells function.
•It is this physiological approach to breast cancer diagnosis that allows for improved cancer detection,• Dr. Brem said.
Emerging Technology
BSGI is an emerging molecular imaging technology using a high-resolution gamma camera that allows for imaging with very mild compression of the breast along with an injection of a low-dose nuclear material called a radiotracer, which is absorbed by the cells.  Because cancerous cells have a higher rate of metabolic activity, the tracer is taken up by these cells at a higher level than in normal cells.
Dr. Brem and colleagues reviewed the records of 159 women with at least one suspicious or cancerous lesion found by mammography or physical exam, who had undergone BSGI to determine if additional lesions were present.
BSGI results showed an additional suspicious lesion missed by mammography and physical exam in 46 (29 percent) of the women. In 14 (36 percent) of the 39 women who underwent biopsy, the newly discovered lesions were cancerous.
•The data suggest that BSGI allows for the diagnosis of more and earlier breast cancers,• Dr. Brem said.
Dr. Brem pointed out that BSGI is not meant to replace mammography, but to be used as an adjunct to mammography. •It is an excellent tool for locating difficult-to-detect cancers and for screening high-risk women who have normal mammograms and physical examination,• she said.

By Adam Herschkowitz
Get Radiology Jobs, Contributing Editor

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