Following the inception of mammography (MG) for screening purposes in the early 1960s, the field of breast imaging has undergone a transformative progression. This evolution gathered significant momentum by incorporating ultrasound (US) and advanced imageguided biopsies into routine clinical practice during the 1990s. Subsequently, in the early 2000s, magnetic resonance imaging (MRI) emerged as a discriminating option for advanced imaging modalities. Furthermore, the shift from conventional to digital radiology occurred between the late twentieth and early twenty-first centuries. Concerns mainly revolved around the reduced resolution of digital images compared to conventional MG, which raised worries about potentially missing lesions like microcalcifications and the challenge of detailed breast tissue visualization. Nevertheless, due to the broader dynamic range of digital MG compared to screen-film MG, it displayed greater tolerance to exposure errors. Additionally, the digital format of images offered a significant advantage, allowing for the integration of advanced techniques. This, in turn, facilitated the incorporation of digital breast tomosynthesis imaging, contrast-enhanced MG, and artificial intelligence (AI) applications. Subsequently, in the early 2000s, MRI emerged as a discerning option for advanced imaging modalities. Through the assessment of multimodality and multiparametric imaging, breast radiology has indisputably established itself as an indispensable and irreplaceable component in the management of breast disorders.
Key Points
•Advancing integration of artificial intelligence (AI): AI is becoming integral to breast radiology, streamlining workflows, smart dataprocessing, aiding detection and diagnosis, and optimizing decision-making processes.• Personalized screening and diagnosis: Evolving from mammography, automated breast ultrasound, magnetic resonance imaging (MRI), and contrastenhanced mammography offer personalized screening options with AI-driven enhancements for accuracy.• Innovative imaging and therapies: Multiparametric MRI, virtual biopsy, and photoacoustic imaging provide advanced diagnostic insights. Imagingguided therapies and theranostics promise targeted precision treatment, transforming breast radiology's future.