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Background: Two-dimensional (2D) specimen radiography (SR) and tomosynthesis (DBT) for breast cancer yield data that lack high-depth resolution. A volumetric specimen imager (VSI) was developed to provide full-3D and thin-slice cross-sectional visualization at a 360° view angle. The purpose of this prospective trial was to compare VSI, 2D SR, and DBT interpretation of lumpectomy margin status with the final pathologic margin status of breast lumpectomy specimens. Methods: The study enrolled 200 cases from two institutions. After standard imaging and interpretation was performed, the main lumpectomy specimen was imaged with the VSI device. Image interpretation was performed by three radiologists after surgery based on VSI, 2D SR, and DBT. A receiver operating characteristic (ROC) curve was created for each method. The area under the curve (AUC) was computed to characterize the performance of the imaging method interpreted by each user. Results: From 200 lesions, 1200 margins were interpreted. The AUC values of VSI for the three radiologists were respectively 0.91, 0.90, and 0.94, showing relative improvement over the AUCs of 2D SR by 54%, 13%, and 40% and DBT by 32% and 11%, respectively. The VSI has sensitivity ranging from 91 to 94%, specificity ranging from 81 to 85%, a positive predictive value ranging from 25 to 30%, and a negative predicative value of 99%. Conclusions: The ROC curves of the VSI were higher than those of the other specimen imaging methods. Full-3D specimen imaging can improve the correlation between the main lumpectomy specimen margin status and surgical pathology. The findings from this study suggest that using the VSI device for intraoperative margin assessment could further reduce the re-excision rates for women with malignant disease. [ABSTRACT FROM AUTHOR]

The radiological findings of child abuse have been a focus of radiological education. Intimate partner violence (IPV) is a significant health burden; however, this is not frequently illustrated in the radiology literature. Health care providers play a crucial role in screening, treating, and preventing future acts of domestic violence. Radiologists in particular are in a unique position in cases of domestic violence, unbiased by interaction with the victim and potentially the abuser. Head and neck injuries are the most common; however, any part of the body is at risk for injury in cases of domestic violence. Fostering awareness of domestic violence and familiarizing radiologists with the most common imaging findings of IPV can help these specialists make the proper diagnosis and improve patient care. [ABSTRACT FROM AUTHOR]

The article describes the case of a patient with retained products of conception (POC) through a perforated uterine wall following elective abortion. A repeat pelvic ultrasound revealed a round mass with rim-like and linear calcifications suspicious for extrauterine retained POC. The patient underwent laparoscopy to remove the mass and uterine perforation repair. The patient recovered from the surgery without complications.