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Dr Miguel Chiva de Agustín

Diagnostic Imaging

Dr Miguel Chiva de Agustín

Specialist in
  • Breast radiology and the early diagnosis of breast cancer.
  • Interventional breast radiology and percutaneous biopsy.
  • Pre-surgical staging and follow-up of breast pathology.
«The management of breast cancer is a multidisciplinary process, and imaging forms the backbone that guides the team’s decisions from diagnosis through to treatment and follow-up.»
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Professional profile

A radiology specialist with extensive experience in breast radiology and the diagnostic imaging of breast conditions. Her work focuses on the early diagnosis of breast cancer, the assessment of benign and suspicious lesions, pre-surgical staging, follow-up and the performance of interventional breast procedures.

He has extensive experience in breast units at leading hospitals, as well as in percutaneous biopsy techniques, pre-surgical marking and tumour ablation procedures. His career combines clinical practice, scientific work and involvement in professional societies linked to breast imaging and breast cancer research.

Education

Specialist medical training in Radiodiagnostics, supplemented by doctoral training.

1997 | Doctoral courses. University of Las Palmas de Gran Canaria.
1997 | Specialist in Radiodiagnostics.
1983 – 1989 | Degree in Medicine and Surgery. Complutense University of Madrid.

Professional experience

Clinical work carried out in Diagnostic Radiology, with a particular focus on breast radiology, early diagnosis, interventional breast radiology, pre-surgical staging and follow-up.

2013 – Present | Head of the Breast Radiology Department. Ramón y Cajal University Hospital, Madrid.
2019 – 2026 | Breast Radiology. Ruber Internacional Hospital, Madrid.
2014 – 2018 | Breast Radiology. Nuestra Señora del Rosario Hospital, Madrid.
2007 – 2014 | Clinical practice in Diagnostic Radiology. Quirónsalud Pozuelo University Hospital.
2003 – 2013 | Clinical work in Diagnostic Radiology. Fuenlabrada University Hospital.
2002 – 2003 | Clinical work in Diagnostic Radiology. Getafe University Hospital.
1999 – 2005 | Clinical practice in Radiodiagnostics. Nuevo Parque Clinic, Madrid.
1999 – 2002 | Clinical work in Radiology. Gregorio Marañón University Hospital, Madrid.
1997 – 1998 | Clinical work in Radiology. Santa Cristina University Hospital and Belén Clinic, Madrid.
1993 – 1996 | Clinical work in Radiodiagnostics. Insular University Hospital, Las Palmas de Gran Canaria.

Scientific publications

Scientific research focusing on breast cancer, diagnostic imaging, clinical decision support systems, biomarkers, screening and technology applied to mammography.

2024 | Herranz R, Rodríguez M, Seiffert A, et al. CureMate: A clinical decision support system for breast cancer treatment. International Journal of Medical Informatics. 2024;192:105647. doi:10.1016/j.ijmedinf.2024.105647
2023 | Carretero I, Caniego Casas T, Rosas M, et al. Evaluation of ERBB2 mRNA expression in equivocal HER2 immunohistochemistry cases. Cancers. 2023;15(6):1688. doi:10.3390/cancers15061688
2022 | Chiva de Agustín M, Arnanz González I. Breast radiology. Basic aspects and indications. Diagnostic methods. BI-RADS classification and its clinical implications. In: Breast Pathology for Primary Care. Arán Ediciones. 2022. ISBN:9788418987366
2022 | Presa Abós T, Vicente Zapata I, Chiva de Agustín M. Impact of SARS-CoV-2 vaccination on a breast cancer screening unit. Spanish Journal of Public Health. 2022;96:7.
2020 | López-García MA, Carretero I, Castilla C, et al. Low Prevalence of HER2-Positive Breast Carcinomas among Screening-Detected Breast Cancers. Cancers. 2020;12:1578. doi:10.3390/cancers12061578

Areas of special focus

Clinical practice specialising in benign and oncological breast conditions, with a particular focus on early diagnosis and follow-up using imaging.

  • Breast cancer.
  • Benign breast lesions.
  • Suspicious breast lesions detected during screening.
  • Non-palpable breast conditions.
  • Radiological follow-up of patients with a history of breast cancer.

Techniques and procedures

Application of diagnostic and interventional techniques specific to breast radiology.

  • Core needle biopsy of the breast.
  • Vacuum-assisted biopsy using stereotactic guidance.
  • Tumour ablation using microwave or cryotherapy.
  • Pre-surgical marking of non-palpable breast lesions using seeds or harpoons.
  • Excision biopsy of lesions using vacuum-assisted aspiration.

Accreditations and memberships

He maintains active links with scientific societies and professional groups in the field of breast radiology and breast cancer research, including:

  • Spanish Society of Breast Imaging (SEDIM). Member of the Executive Committee from 2017 to 2025.
  • Spanish Society of Medical Radiology (SERAM).
  • Spanish Breast Cancer Research Group (GEICAM).

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