Mythreyi Chatfield, PhD

Economics
How data registries can help your radiology practice
Participation in radiology data registries can help your practice measure performance, identify opportunities for improvement, and meet quality reporting requirements, explains Mythreyi Chatfield, PhD, from the American College of Radiology in this article.
July 5, 2018
2018 06 06 00 59 2262 Quality 400
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A 58-year-old woman was diagnosed with ER-positive (Allred score 8) ILC in her right breast. Ultrasound and MRI found prominent lymph nodes in right axillary level I area, diagnosed as metastasis on ultrasound-guided fine-needle aspiration. F-18 FES-PET/CT showed a positive mass in right breast (white arrow; SUVmax, 5.6) and multiple F-18 FES–positive lymph nodes in right axillary level I, II, and II/III junction areas (red arrows; SUVmax, up to 12.2). In addition, a small F-18 FES-positive lymph node was observed in the right second internal mammary area (red circles; SUVmax, 1.8). However, biopsy could not be performed because it was too small and not visible on ultrasound; the clinician decided to include internal mammary lymph node in treatment field for adjuvant radiotherapy. The patient underwent lumpectomy with ALN dissection, with five metastases being identified in 13 lymph nodes dissected, and is scheduled to receive adjuvant chemotherapy, radiotherapy, and endocrine therapy.
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