Article
Radiology, Nuclear Medicine & Medical Imaging
Emily B. Sonnenblick, Lizza Lebron-Zapata, Roger Yang, Katerina Dodelzon, Varadan Sevilimedu, Hannah Milch, Vandana Dialani, Brian N. Dontchos, Stamatia Destounis, Lars Grimm
Summary: This study investigated breast radiologists' practices, knowledge, and attitudes regarding recording sex and gender in electronic medical records, as well as breast cancer screening recommendations for transgender individuals. The results showed a significant need for recording transgender and other gender-nonconforming information in breast imaging practice. Breast radiologists differed in their practice and knowledge regarding screening for transgender women and men, but expressed interest in contributing data to national databases to inform cancer screening guidelines.
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Thomas Lienhoop, Lauren Green
Summary: This paper reviews the increasing evaluation of transgender women in breast imaging centers, focusing on the association between feminizing hormone therapy and breast cancer risk, as well as the development of breast cancer screening guidelines. Understanding the unique imaging features in transgender women is crucial for providing competent care and reducing healthcare disparities.
Article
Surgery
Kaisu Ojala, Mirjam Saarinen, Sinikka Suominen, Paivi Merkkola-von Schantz
Summary: This study retrospectively analyzed data from 220 patients to investigate the importance of preoperative imaging and postoperative histopathological analysis of excised breast tissue. The results showed that 98.5% of patients had normal preoperative imaging results, and there were no high-risk or malignant findings in the histopathological analysis. Therefore, histopathological examination of excised breast tissue is still recommended.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Endocrinology & Metabolism
Christel J. M. de Blok, Benthe A. M. Dijkman, Chantal M. Wiepjes, Annemieke S. Staphorsius, Floyd W. Timmermans, Jan Maerten Smit, Koen M. A. Dreijerink, Martin den Heijer
Summary: This study examined breast development in 69 adult trans women during the first 3 years of gender-affirming hormone treatment using 3D imaging, finding an average increase in breast volume of 72cc to 100cc, with high satisfaction with the breast development.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2021)
Review
Oncology
Martine Berliere, Maximilienne Coche, Camille Lacroix, Julia Riggi, Maude Coyette, Julien Coulie, Christine Galant, Latifa Fellah, Isabelle Leconte, Dominique Maiter, Francois P. Duhoux, Aline Francois
Summary: Transgender women experience gender dysphoria due to incongruity between their assigned gender at birth and their gender identity. They undergo surgical procedures and hormone therapy to alleviate psychological distress and achieve desired physical changes. Research has focused on hormone regimens and their effects on breast tissue and breast cancer risk in male to female patients. However, the assessment of breast cancer risk is challenging due to diverse treatment approaches and limited long-term follow-up.
Article
Surgery
Andre Alcon, Eric Wang, Hunter Oliver-Allen, Dhivya Srinivasa, Esther A. Kim
Summary: The BREST scale provides a unique classification system for breast development in transgender women treated with hormone therapy. It demonstrates moderate interrater reliability and correlates with objective breast measurements, offering a common language for assessment and communication among healthcare providers and insurance companies.
ANNALS OF PLASTIC SURGERY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Ann Brown, Ana P. Lourenco, Bethany L. Niell, Beth Cronin, Elizabeth H. Dibble, Maggie L. DiNome, Mita Sanghavi Goel, Juliana Hansen, Samantha L. Heller, Maxine S. Jochelson, Baer Karrington, Katherine A. Klein, Tejas S. Mehta, Mary S. Newell, Loren Schechter, Ashley R. Stuckey, Mary E. Swain, Jennifer Tseng, Daymen S. Tuscano, Linda Moy
Summary: Breast cancer screening recommendations for transgender and gender nonconforming individuals are based on sex assigned at birth, risk factors, and use of exogenous hormones, but there is currently insufficient evidence to evaluate the efficacy of screening for this population.
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
(2021)
Article
Obstetrics & Gynecology
Ellen C. Murphy, Youngwu Kim, Milena M. Weinstein
Summary: A retrospective cohort study found that surgeons may perform pelvic examinations on transgender patients before gender-affirming pelvic surgery without significant clinical indications. The study suggests that omission of preoperative pelvic examination is probably safe before gender-affirming hysterectomy and vaginectomy, minimizing barriers to gender-affirming surgical care.
OBSTETRICS AND GYNECOLOGY
(2023)
Review
Endocrinology & Metabolism
Gloria Aranda, Irene Halperin, Esther Gomez-Gil, Felicia A. Hanzu, Nuria Segui, Antonio Guillamon, Mireia Mora
Summary: Gender affirming hormone therapy can have significant effects on cardiovascular health in the transgender population, yet research in this area is limited and challenging to interpret. The increasing use and early initiation of hormone therapy may also introduce potential long-term cardiovascular risks.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Article
Public, Environmental & Occupational Health
Brian L. Sprague, Ellen S. O'Meara, Christoph I. Lee, Janie M. Lee, Louise M. Henderson, Diana S. M. Buist, Nila Alsheik, Teresita Macarol, Hannah Perry, Anna N. A. Tosteson, Tracy Onega, Karla Kerlikowske, Diana L. Miglioretti
Summary: The COVID-19 pandemic disrupted breast cancer screening and diagnostic imaging services in the United States, with facilities mainly prioritizing diagnostic breast imaging over breast cancer screening during periods of reduced capacity or reopening. Factors including rescheduling canceled appointments, specific indication for diagnostic imaging, patient demand, individual characteristics and risk factors were commonly used to prioritize breast imaging services.
PREVENTIVE MEDICINE
(2021)
Review
Medicine, General & Internal
Theodora Kanavou, Dimitrios P. Mastorakos, Panagiotis D. Mastorakos, Eleni C. Faliakou, Alexandra Athanasiou
Summary: The incidence of breast cancer is expected to increase, leading to an increased need for breast reconstruction. Breast reconstruction is a complex area of plastic surgery that requires expertise. There are two major types of breast reconstruction: breast implants and autologous flaps, each with its own advantages and disadvantages. MRI is the preferred method for evaluating breast reconstruction and can provide valuable information to avoid false positives. Complications can occur in the early and late stages, depending on the type of reconstruction.
Article
Surgery
Isak A. Goodwin, Jessica Luo, David A. Magno-Pardon, Jacob Veith, James Willcockson, Gentry Carter, Cindy Matsen, Alvin C. Kwok, Cori A. Agarwal
Summary: There are currently no guidelines for managing breast tissue in transmasculine and gender-nonconforming individuals. This study investigates the practices and experiences of American Society of Plastic Surgeons members performing chest masculinization surgery in managing perioperative breast cancer risks. The findings reveal significant variation in preoperative cancer screening, pathologic assessment of resected tissue, and postoperative cancer surveillance. Further research is needed to document the risk, incidence, and prevalence of breast cancer in the transmasculine population before and after surgery.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Editorial Material
Biochemistry & Molecular Biology
Alex S. S. Keuroghlian, JoAnne Keatley, Simran Shaikh, Asa E. E. Radix
Summary: Gender-affirming care for transgender and gender diverse individuals should be inclusive, community-led, and evidence-informed to promote mental health and overall well-being.
Article
Health Care Sciences & Services
Alessandra Panico, Gianluca Gatta, Antonio Salvia, Graziella Di Grezia, Noemi Fico, Vincenzo Cuccurullo
Summary: Breast cancer is the most common non-skin cancer in women and is influenced by habits and heredity. Regular screening, particularly through mammography, is crucial for early detection and increased chances of survival. Innovative techniques using artificial intelligence, such as radiomics, have shown promise in improving the quality of diagnosis for breast cancer.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Review
Urology & Nephrology
Fien Decuypere, Edward De Wolf, Tom Vyncke, Karel Claes, Stan Monstrey, Marlon Buncamper
Summary: People with gender dysphoria are increasingly accepted, with surgical options such as facial and chest feminization, body contouring, and genital surgery. Surgical techniques and anatomical differences play a significant role in postoperative outcomes for male-to-female transgender patients.
INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Sean D. Raj, Jordana Phillips, Tejas S. Mehta, Liza M. Quintana, Michael D. Fishman, Vandana Dialani, Priscilla J. Slanetz
ACADEMIC RADIOLOGY
(2019)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Priscilla J. Slanetz
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Kimberly A. Dao, Anna F. Rives, Lisa M. Quintana, Michael A. Kritselis, Michael L. C. Fishman, Rutuparua Sarangi, priscilla J. Slanetz
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Priscilla J. Slanetz
Review
Oncology
Yukun Gao, E. Jane Karimova, Jordana Phillips, Valerie Fein-Zachary, Vandana Dialani, Tejas S. Mehta, Rashmi Mehta, Priscilla J. Slanetz
Summary: In the United States, silicone and saline breast implants are commonly used for breast augmentation, but less well-known sequelae of unconventional injected materials may also be encountered, including free silicone, paraffin, polyacrylamide gel, etc. It is important to recognize the varied appearances of these materials and understand the limitations of imaging in distinguishing breast injection material from cancer in order to maximize cancer detection and ensure optimal patient management.
JOURNAL OF BREAST IMAGING
(2021)
Review
Radiology, Nuclear Medicine & Medical Imaging
Tara Catanzano, Lori A. Deitte, David M. Naeger, Desiree E. Morgan, Pauline Germaine, Priscilla J. Slanetz
Summary: This paper provides a comprehensive review of faculty development focus and programming at different career stages, including challenges, available institutional and national programs, and best practices for developing new career focus and potential programs.
ACADEMIC RADIOLOGY
(2022)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Tara Catanzano, Nupur Verma, David Sarkany, Tan-Lucien Mohammed, Priscilla J. Slanetz
ACADEMIC RADIOLOGY
(2022)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Priscilla J. Slanetz
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Priscilla J. Slanetz
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Ana P. Lourenco, Priscilla J. Slanetz, Grayson L. Baird
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Michael Ngo, Muhammad Qureshi, Geunwon Kim, Michael D. C. Fishman, Priscilla J. Slanetz
Article
Radiology, Nuclear Medicine & Medical Imaging
Victoria A. Wells, Isabela Medeiros, Artem Shevtsov, Michael D. C. Fishman, Donna-Lee G. Selland, Kevin Dao, Anna F. Rives, Priscilla J. Slanetz
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Priscilla J. Slanetz, Somiah Almeky, Anand K. Narayan, Jacqueline A. Bello
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
(2023)
Article
Oncology
Theodore Brown, Leah Schafer, Muhammad Mustafa Qureshi, Phoebe Freer, Bethany L. Niell, Eren D. Yeh, Linda Moy, Michael D. C. Fishman, Priscilla J. Slanetz
Summary: This study aimed to understand the current practice of antithrombotic management for patients undergoing percutaneous breast and axillary procedures. The results showed significant variability in how practices manage patients on antithrombotic medications, with a minority of practitioners complying with recommended guidelines for medication withholding. This puts some patients at potential risk for thrombotic events.
JOURNAL OF BREAST IMAGING
(2023)
Article
Oncology
Michael D. C. Fishman, Priscilla J. Slanetz
Summary: Workplace conflict is inevitable and can disrupt team dynamics and patient outcomes if not addressed. Various factors contribute to workplace conflict, such as toxic culture, ineffective leadership, and poor communication. Developing conflict resolution skills is essential for creating an efficient team.
JOURNAL OF BREAST IMAGING
(2021)
