• F Chamming's, J Chopier, C Mathelin, and E Chéreau.
• Service de radiologie, hôpital européen George-Pompidou AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: Foucauld.chammings@egp.aphp.fr.
• J Gynecol Obstet Biol Reprod (Paris). 2015 Dec 1; 44 (10): 960-9.

ObjectivesTo assess imaging performances for the detection, characterization and biopsy of breast microcalcifications and make recommendations.Materials And MethodsFrench and English publications were searched using PubMed, Cochrane Library and international learned societies recommendations.ResultsDigital 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.Copyright © 2015 Elsevier Masson SAS. All rights reserved.

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