title: [Explorations of breast microcalcifications: Guidelines].
abstract: OBJECTIVE
  To assess imaging performances for the detection, characterization and biopsy of breast microcalcifications and make recommendations.
  
  
  METHODS
  French and English publications were searched using PubMed, Cochrane Library and international learned societies recommendations.
  
  
  RESULTS
  Digital mammography (DR [Direct Radiography] and CR [Computed Radiography]) and screen-film mammography demonstrate good performances for the detection and the characterization of breast microcalcifications. Systematic use of the 2013 edition of the BI-RADS lexicon is recommended for description and characterization of microcalcifications. Faced with BI-RADS 4 or 5 microcalcifications, breast ultrasound is recommended but a normal result does not eliminate the diagnosis of cancer and other examination should be performed. Literature review does not allow recommending digital breast tomosynthesis, elastography or MRI to analyze microcalcifications. In case of probably benign microcalcifications (BI-RADS 3), six months, one year and at least two years follow-up are recommended. In case a biopsy is indicated, it is recommended to use a vacuum-assisted macrobiopsy system with 11-gauges needles or bigger. If no calcification is visible on the radiography of the specimen, it is recommended to obtain additional samples.
authors.affiliation: Service de radiologie, hôpital européen George-Pompidou AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: Foucauld.chammings@egp.aphp.fr.
authors.forename: F
authors.initials: F
authors.lastname: Chamming's
authors.affiliation: Service de radiologie, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Chopier
authors.affiliation: Unité de sénologie, hôpital de Hautepierre, CHRU de Strasbourg, avenue Molière, 67200 Strasbourg, France.
authors.forename: C
authors.initials: C
authors.lastname: Mathelin
authors.affiliation: Service de chirurgie oncologique, institut Paoli-Calmettes, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.
authors.forename: E
authors.initials: E
authors.lastname: Chéreau
mesh_terms: D001941:Breast Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002114:Calcinosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D017410:Practice Guidelines as Topic; D011859:Radiography; D014463:Ultrasonography
keywords: Biopsie; Biopsy; Concordance radio-histologique; Mammographie; Mammography; Microcalcifications; Radio-pathological concordance