Breast cancer is the most important malignancy for women of the world's ind
ustrialized nations. It is second only to lung cancer in cancer-related mor
tality(1) Early detection is the best means of improving survival; the corn
erstone of early diagnosis is mammography. Given the endemic nature of brea
st cancer, screening mammography has secured a routine place in health main
tenancefor women, although it is less than perfect To aid in the diagnosis
of malignant breast disease, other imaging modalities have involved: ultras
ound, magnetic resonance imaging (MRI), positron emission tomography (PET),
and SMM. Scintimammography (SMM) is rapidly evolving with a variety of app
lications for the management of breast disease. This technology has become
a complementary modality to other conventional methods of breast imaging. T
his review will focus on the science behind SMM and how it is currently use
d in the management of breast lesions.