Narrative Matters Health AffairsVol. 25, No. 2: Global Health Priorities The Nine O’Clock MeetingKaren DeSalvo, James Moises, and Joseph UddoPUBLISHED:March/April 2006No Accesshttps://doi.org/10.1377/hlthaff.25.2.483AboutSectionsView articleView Full TextView PDFPermissions ShareShare onFacebookTwitterLinked InRedditEmail ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions View articleTOPICSEmergency medical servicesHospitalsAcute care Loading Comments... Please enable JavaScript to view the comments powered by Disqus. DetailsExhibitsReferencesRelated Article MetricsCitations: Crossref 2 History Published online 1 March 2006 InformationCopyright 2006 by Project HOPE - The People-to-People Health Foundation, Inc.PDF downloadCited byProhibiting direct medical care by US military personnel in foreign disaster relief: arguments from the Ebola disaster19 May 2016 | Medicine, Conflict and Survival, Vol. 124Health Care Infrastructure in Post-Katrina New Orleans: A Status ReportThe American Journal of the Medical Sciences, Vol. 336, No. 2

Background High-resolution positron-emission mammography (PEM) is a new device, which allows the imaging of breast tissue. A prospective study was performed to assess the accuracy of PEM in newly diagnosed breast cancer patients. Methods In a prospective multicenter study, 44 women with confirmed breast cancers were imaged with a high-resolution PEM scanner (Naviscan PET Systems, Rockville, MD) with 18F-fluorodeoxyglucose. The images were blindly evaluated and were compared with final pathology. Results The majority of the index lesions were seen on PEM (89%, 39/44). PEM detected 4 of 5 incidental breast cancers, 3 of which were not seen by any other imaging modalities. Of 19 patients undergoing breast-conserving surgery, PEM correctly predicted 6 of 8 (75%) patients with positive margins and 100% (11/11) with negative margins. Conclusion The current PEM device shows promise in detecting breast malignancies and may assist in the planning of adequate partial mastectomy procedures to better ensure negative margins.