TY - JOUR AU - Dietzel, Matthias; Clauser, Paola; Kapetas, Panagiotis; Schulz-Wendtland, Rüdiger; Baltzer, Pascal Andreas Thomas TI - Images Are Data: A Breast Imaging Perspective on a Contemporary Paradigm TT - Bilder sind Daten: Die Perspektive der Brustbildgebung auf ein zeitgenössisches Paradigma SN - 1438-9029 SN - 1438-9010 PY - 2021 JO - Rofo JF - RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren LA - DE VL - 193 IS - 08 SP - 898 EP - 908 DA - 2021/02/03 KW - breast KW - mammography KW - ultrasound KW - screening KW - MR imaging KW - artificial intelligence AB - Background Considering radiological examinations not as mere images, but as a source of data, has become the key paradigm in the diagnostic imaging field. This change of perspective is particularly popular in breast imaging. It allows breast radiologists to apply algorithms derived from computer science, to realize innovative clinical applications, and to refine already established methods. In this context, the terminology “imaging biomarker”, “radiomics”, and “artificial intelligence” are of pivotal importance. These methods promise noninvasive, low-cost (e. g., in comparison to multigene arrays), and workflow-friendly (automated, only one examination, instantaneous results, etc.) delivery of clinically relevant information.Methods and Results This paper is designed as a narrative review on the previously mentioned paradigm. The focus is on key concepts in breast imaging and important buzzwords are explained. For all areas of breast imaging, exemplary studies and potential clinical use cases are discussed.Conclusion Considering radiological examination as a source of data may optimize patient management by guiding individualized breast cancer diagnosis and oncologic treatment in the age of precision medicine.Key Points: Citation Format PB - Georg Thieme Verlag KG DO - 10.1055/a-1346-0095 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1346-0095 ER -