Diagnostic value of radiological breast imaging in a non-screening population.

Abstract:

:The aim of this study was to assess the diagnostic performance of breast imaging in the diagnosis of breast cancer in a non-screening population. In a consecutive set of patients referred for mammography in one year, the results of palpation and radiological breast imaging were scored on a 5-point grading scale and linked to pathology as gold standard after a follow up period of one year. The diagnostic performance was studied by logistic regression analysis and ROC-curves. There were 1,944 breast examinations in 1,890 patients and 3,816 breasts. Pathology results reported 118 malignancies in 115 women. With a cut-off point between benign and uncertain benign a sensitivity of 89% and a specificity of 98% was found for radiological imaging. ROC-curves showed a significant increase in diagnostic performance when radiology was added to results of palpation and age (p = 0.007). Radiological imaging tests have a large diagnostic value in the detection of breast cancer in addition to palpation and age. A sensitivity close to 100% could be reached.

journal_name

Int J Cancer

authors

Flobbe K,van der Linden ES,Kessels AG,van Engelshoven JM

doi

10.1002/ijc.1235

keywords:

subject

Has Abstract

pub_date

2001-05-15 00:00:00

pages

616-8

issue

4

eissn

0020-7136

issn

1097-0215

pii

10.1002/ijc.1235

journal_volume

92

pub_type

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