{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T11:12:56Z","timestamp":1767611576709,"version":"build-2065373602"},"reference-count":15,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2018,2,23]],"date-time":"2018-02-23T00:00:00Z","timestamp":1519344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Newly diagnosed breast abscesses are generally treated as a medical emergency that may necessitate immediate interventional treatment. At our institution, there is no in-house after-hours coverage for breast ultrasonography. We could find no peer-reviewed studies on the cost-effectiveness or clinical management impact of on-call ultrasound technologist coverage for imaging of breast abscesses. The purposes of this study were to determine the incidence of breast abscess in patients with clinical findings highly suggestive of abscess, identify clinical factors associated with breast abscess in such patients, and determine the impact of after-hours emergent or urgent breast ultrasonography on the clinical management of breast abscesses in both outpatients and inpatients. We retrospectively reviewed 100 after-hours breast ultrasound studies performed at our tertiary care center from 2011 to 2015 for evaluation of a suspected breast abscess. Only 26% of our patients with clinically suspected abscess ultimately had a confirmed abscess. Factors associated with breast abscess were a palpable abnormality and a history of breast surgery within the eight weeks before presentation. After-hours diagnosis of an abscess was associated with after-hours clinical intervention. Of the 74 patients in whom after-hours ultrasound imaging showed no evidence of abscess, only three patients underwent after-hours drainage. Our findings support overnight and weekend breast ultrasound coverage in large tertiary care centers.<\/jats:p>","DOI":"10.3390\/diagnostics8010017","type":"journal-article","created":{"date-parts":[[2018,2,23]],"date-time":"2018-02-23T11:20:29Z","timestamp":1519384829000},"page":"17","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact on Clinical Management of After-Hours Emergent or Urgent Breast Ultrasonography in Patients with Clinically Suspected Breast Abscesses"],"prefix":"10.3390","volume":"8","author":[{"given":"Tanya","family":"Moseley","sequence":"first","affiliation":[{"name":"Section of Breast Imaging, Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Stanley","sequence":"additional","affiliation":[{"name":"Section of Breast Imaging, Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, Houston, TX 77030, USA"},{"name":"Radiology Partners, CHI St. Luke\u2019s Way, The Woodlands, Houston, TX 77384, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Parikh","sequence":"additional","affiliation":[{"name":"Section of Breast Imaging, Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,2,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"W390","DOI":"10.2214\/AJR.13.11758","article-title":"Breast emergencies: Types, imaging features, and management","volume":"202","author":"Mahoney","year":"2014","journal-title":"Am. J. Roentgenol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1148\/rg.316115521","article-title":"Breast abscesses: Evidence-based algorithms for diagnosis, management, and follow-up","volume":"31","author":"Trop","year":"2011","journal-title":"Radiographics"},{"key":"ref_3","first-page":"29","article-title":"Breast imaging after dark: Patient outcomes following evaluation for breast abscess in the emergency department after hours","volume":"23","author":"Bosma","year":"2016","journal-title":"Ultrasonography"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s10140-007-0575-3","article-title":"Breast problems presenting in the emergency room","volume":"14","author":"Hines","year":"2007","journal-title":"Emerg. 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Radiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1148\/radiology.216.3.r00se19788","article-title":"Comparison of US utilization and technical costs before and after establishment of 24-h in-house coverage for US examinations","volume":"216","author":"McGahan","year":"2000","journal-title":"Radiology"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1259\/bjr\/26372381","article-title":"Ultrasound-guided drainage of breast abscesses: Results in 151 patients","volume":"78","author":"Christensen","year":"2005","journal-title":"Br. J. Radiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1002\/bjs.1800790121","article-title":"Breast abscesses and cigarette smoking","volume":"79","author":"Bundred","year":"1992","journal-title":"Br. J. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/MAJ.0b013e3181a9d0d3","article-title":"Breast abscesses in nonlactating women with diabetes: Clinical features and outcome","volume":"338","author":"Rizzo","year":"2009","journal-title":"Am. J. Med. Sci."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jamcollsurg.2010.04.007","article-title":"Risk factors for development and recurrence of primary breast abscesses","volume":"211","author":"Gollapalli","year":"2010","journal-title":"J. Am. Coll. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"270","DOI":"10.2214\/AJR.15.15398","article-title":"Breast Imaging: A Paradigm for Accountable Care Organizations","volume":"206","author":"Parikh","year":"2016","journal-title":"Am. J. Roentgenol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1016\/j.jacr.2016.03.010","article-title":"Breast Imaging: The Face of Imaging 3.0","volume":"13","author":"Mayo","year":"2016","journal-title":"J. Am. Coll. Radiol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.acra.2016.09.006","article-title":"Multidisciplinary Tumor Boards: An Opportunity for Radiologists to Demonstrate Value","volume":"24","author":"Lesslie","year":"2017","journal-title":"Acad. 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