Ductal carcinoma in situ: Is core needle biopsy ever enough?

Abstract:

INTRODUCTION:This study investigates the rate of histological underestimation of invasive breast carcinoma following diagnosis of ductal carcinoma in situ (DCIS) on a radiologically guided core needle biopsy, and factors that may influence this upgrade rate. METHODS:A retrospective review of the results of breast core biopsies performed between 1st January, 2005 and 2nd July, 2014 was conducted, and those with a diagnosis of DCIS were identified. Data including final excision pathology, lesion size, performing radiologist, core biopsy system and guidance method used were collected and included in the analysis. RESULTS:We report an overall upgrade rate to invasive cancer of 20.5% (95% CI = 16.1-24.9%). No statistically significant relationship was identified between biopsy systems used or clinicians performing the biopsies and the rate of upgrade to invasive cancer. Initially a statistically significant relationship was demonstrated between upgrade rates and lesion size, DCIS grade, as well as guidance method. Subsequent multivariable analysis showed no statistically significant relationship between guidance method and upgrade rates but a trend towards statistical significance (P < 0.1). CONCLUSION:Our recommendation is to inform women diagnosed with DCIS preoperatively in our programme, that there is a one in five chance the diagnosis will prove to be invasive cancer on definitive surgery. This is particularly important for women contemplating whether or not to undergo surgery for DCIS. Additionally, as the most significant predictor of upgrade rate demonstrated in this study is increasing lesion size, consideration should be given to increasing the number of core samples taken of larger lesions.

authors

Caswell-Smith P,Wall M

doi

10.1111/1754-9485.12503

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

29-33

issue

1

eissn

1754-9477

issn

1754-9485

journal_volume

61

pub_type

杂志文章
  • Review and audit of the post-surgical MRI breast: Pictorial essay.

    abstract::Audit of contrast-enhanced breast MRI performed over a 3-year period in a single institution to describe and summarise the changes seen after surgery and radiation therapy for primary breast cancer, breast augmentation and oncoplastic surgery. Seventy women were identified and reviewed (100 breast MRIs in total). The ...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12852

    authors: Muir T,Ebrahim L,Wylie E,Taylor D

    更新日期:2019-04-01 00:00:00

  • Radiation Oncology research grants awarded by the Royal Australian and New Zealand College of Radiologists: Value for money?

    abstract:INTRODUCTION:The Royal Australian and New Zealand College of Radiologists (RANZCR) and other medical colleges have provided research grants from their budgets for many years. This survey-based project aimed to determine whether the RANZCR Faculty of Radiation Oncology (FRO) is realizing value for money from its seed fu...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12571

    authors: Roos DE,Kartika JK,Hu MQ

    更新日期:2017-06-01 00:00:00

  • Student and intern awareness of ionising radiation exposure from common diagnostic imaging procedures.

    abstract::This study aims to evaluate medical student and intern awareness of ionising radiation exposure from common diagnostic imaging procedures and to suggest how education could be improved. Fourth to sixth year medical students enrolled at a Western Australian university and interns from three teaching hospitals in Perth ...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2010.02132.x

    authors: Zhou GZ,Wong DD,Nguyen LK,Mendelson RM

    更新日期:2010-02-01 00:00:00

  • Neglected areas on thorax computed tomography evaluation in patients with chronic obstructive pulmonary disease: Paravertebral muscles and para-aortic adipose tissue.

    abstract:INTRODUCTION:This study, investigated the para-aortic adipose tissue cross-sectional area, a novel predictor of cardiovascular diseases and degenerative changes in the paravertebral muscles, in patients with chronic obstructive pulmonary disease (COPD). METHOD:One hundred cases diagnosed as COPD and 50 healthy individ...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12716

    authors: Resorlu M,Karatag O,Toprak CA,Ozturk MO

    更新日期:2018-02-18 00:00:00

  • Stereotactic radiotherapy for the treatment of neurosarcoidosis involving the pituitary gland and hypothalamus.

    abstract::We report the case of a 38-year-old, female patient with neurosarcoidosis involving the pituitary gland and hypothalamus, who was treated with stereotactic radiotherapy (24 Gy in 12 fractions) with an excellent result. The purpose of this case report was to illustrate and discuss the diagnostic and therapeutic challen...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1440-1673.2008.02022.x

    authors: Sundaresan P,Jayamohan J

    更新日期:2008-12-01 00:00:00

  • Long-term outcomes of vertebroplasty for osteoporotic compression fractures.

    abstract:INTRODUCTION:This study aimed to determine outcomes of percutaneous vertebroplasty for osteoporotic vertebral compression fractures (VCFs). METHODS:Prospective assessment of short-term (

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2010.02176.x

    authors: Thillainadesan J,Schlaphoff G,Gibson KA,Hassett GM,McNeil HP

    更新日期:2010-08-01 00:00:00

  • Imaging evaluation of treated benign bone tumours.

    abstract::A number of benign bone tumours can be treated with curettage and packing with either bone cement or graft. It is essential that the radiologist be familiar with both the normal and abnormal post-operative imaging appearance of these treated tumours. Through the use of numerous imaging examples, we aim to provide a pi...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章,评审

    doi:10.1111/1754-9485.12329

    authors: Dobson MA,McDonald DJ,Wessell DE,Friedman MV

    更新日期:2015-10-01 00:00:00

  • Cardiac tamponade in multiple myeloma - A pictorial case review of FDG PET/CT findings.

    abstract::Pericardial involvement of multiple myeloma is a rare and late-stage complication, with only a few cases reported in the literature. PET/CT has demonstrated a growing role in the diagnosis and follow-up of patients with multiple myeloma. We present a case of pericardial multiple myeloma in a patient with relapsed/refr...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12992

    authors: Chen T,Taubman K,Xiao H,Yap K,Schlicht S

    更新日期:2020-06-01 00:00:00

  • Early 18 F-FDG PET/CT in COVID-19.

    abstract::We report the case of who has been hospitalized complaining about fever in the last 4 days. Laboratory data revealed lymphocytopenia and leucopenia with an elevation of C-reactive protein and positive real-time reverse transcription-polymerase chain reaction (RT-PCR). Six days before this hospitalization, when the pat...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.13099

    authors: Cosma L,Sollaku S,Frantellizzi V,De Vincentis G

    更新日期:2020-10-01 00:00:00

  • Common patterns in 558 diagnostic radiology errors.

    abstract:INTRODUCTION:As a Quality Improvement initiative our department has held regular discrepancy meetings since 2003. We performed a retrospective analysis of the cases presented and identified the most common pattern of error. METHODS:A total of 558 cases were referred for discussion over 92 months, and errors were class...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2012.02348.x

    authors: Donald JJ,Barnard SA

    更新日期:2012-04-01 00:00:00

  • Dosimetric implications of the addition of 18 fluorodeoxyglucose-positron emission tomography in CT-based radiotherapy planning for non-small-cell lung cancer.

    abstract::Summary The aim of this study was to assess the impact of F-18 fluorodeoxyglucose-positron emission tomography (FDG-PET) CT on radiotherapy planning parameters for patients treated curatively with radiotherapy for non-small-cell lung cancer (NSCLC). Five patients with stages I-III NSCLC underwent a diagnostic FDG-PET ...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2010.02155.x

    authors: Vinod SK,Kumar S,Holloway LC,Shafiq J

    更新日期:2010-04-01 00:00:00

  • Radiology in the era of value-based healthcare: A multi-society expert statement from the ACR, CAR, ESR, IS3R, RANZCR and RSNA.

    abstract:BACKGROUND:The value-based healthcare (VBH) concept is designed to improve individual healthcare outcomes without increasing expenditure and is increasingly being used to determine resourcing of and reimbursement for medical services. Radiology is a major contributor to patient and societal healthcare at many levels. D...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.13125

    authors: Brady AP,Bello JA,Derchi LE,Fuchsjäger M,Goergen S,Krestin GP,Lee EJ,Levin DC,Pressacco J,Rao VM,Slavotinek J,Visser JJ,Walker RE,Brink JA

    更新日期:2020-12-20 00:00:00

  • Radiation protection to the eye and thyroid during diagnostic cerebral angiography: a phantom study.

    abstract::We measured radiation doses to the eye and thyroid during diagnostic cerebral angiography to assess the effectiveness of bismuth and lead shields at dose reduction. Phantom head angiographic studies were performed with bismuth (study 1) and lead shields (study 2). In study 1 (12 phantoms), thermoluminescent dosimeters...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1440-1673.2008.01970.x

    authors: Shortt CP,Malone L,Thornton J,Brennan P,Lee MJ

    更新日期:2008-08-01 00:00:00

  • Radiation treatment in early stage triple-negative breast cancer in New Zealand: A national database study.

    abstract:INTRODUCTION:We aimed to investigate the impact of radiation treatment in early-stage triple negative breast cancer (TNBC). METHODS:Patients with early stage (T1-3, N0-2, M0) TNBC were identified using the New Zealand breast cancer register. The outcomes of local recurrence (LRFR), local recurrence free survival (LRFS...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12933

    authors: Dixit A,Frampton C,Davey V,Robinson B,James M

    更新日期:2019-10-01 00:00:00

  • Effect of androgen deprivation therapy on muscle attenuation in men with prostate cancer.

    abstract:INTRODUCTION:Aging skeletal muscle is associated with not only a reduction in muscle size and strength but also in muscle quality which reflects an increase in fatty infiltration of muscle. In men with prostate cancer, androgen deprivation therapy (ADT) accelerates this loss of muscle size and strength, but it is unkno...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/1754-9485.12124

    authors: Chang D,Joseph DJ,Ebert MA,Galvão DA,Taaffe DR,Denham JW,Newton RU,Spry NA

    更新日期:2014-04-01 00:00:00

  • Diagnostic accuracy of contrast-enhanced ultrasound in differentiating benign and malignant focal liver lesions: a retrospective study.

    abstract:PURPOSE:The purpose of this study was to assess the diagnostic accuracy of our early experience with contrast-enhanced ultrasound (CEUS) in the characterisation of focal liver lesions (FLLs) using histopathology, contrast-enhanced computed tomography (CT), magnetic resonance imaging (MRI) or other imaging follow-up as ...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2010.02195.x

    authors: Ooi CC,Low SC,Schneider-Kolsky M,Lombardo P,Lim SY,Abu Bakar R,Lo RH

    更新日期:2010-10-01 00:00:00

  • Single-fraction stereotactic ablative body radiotherapy for sternal metastases in oligometastatic breast cancer: Technique and single institution experience.

    abstract:INTRODUCTION:Due to size and close proximity to skin, the sternum is a complicated target for stereotactic ablative body radiotherapy (SABR). This is a retrospective case series of single-fraction SABR to sternal metastasis in patients with oligometastatic breast cancer. METHODS:Between June 2014 and June 2018, ten br...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.13075

    authors: Li MP,Kelly D,Tan J,Siva S,Kron T,David S

    更新日期:2020-08-01 00:00:00

  • Prospective analysis of the utility of 18-FDG PET in Merkel cell carcinoma of the skin: A Trans Tasman Radiation Oncology Group Study, TROG 09:03.

    abstract:INTRODUCTION:TROG 09.03 prospectively studied the utility of Fluorine-18 Fluorodeoxyglucose (18-FDG) PET in the management of Merkel cell carcinoma of skin. METHODS:Following consent and registration, a pre-treatment FDG-PET/CT was performed. Sites of avid disease were confirmed by cytology where practicable. Followin...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12705

    authors: Poulsen M,Macfarlane D,Veness M,Estall V,Hruby G,Kumar M,Pullar A,Tripcony L,Rischin D

    更新日期:2018-06-01 00:00:00

  • Whole-body magnetic resonance imaging in the detection of skeletal metastases in patients with prostate cancer.

    abstract::Whole-body MRI is an effective method for evaluating the entire skeletal system in patients with metastatic disease. This study aimed to compare whole-body MRI and radionuclide bone scintigraph in the detection of skeletal metastases in patients with prostate cancer. Patients with prostate cancer at high risk of skele...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2009.02070.x

    authors: Venkitaraman R,Cook GJ,Dearnaley DP,Parker CC,Khoo V,Eeles R,Huddart RA,Horwich A,Sohaib SA

    更新日期:2009-06-01 00:00:00

  • Chest radiograph findings in children with laboratory confirmed pandemic H1N1 virus infection.

    abstract:INTRODUCTION:Since its onset in the spring of 2009, the H1N1 pandemic has kept health-care professionals busy worldwide. Even though it often causes respiratory tract illness, reports describing the radiological manifestations in infected children are few. The purpose of this study was twofold: to review the chest radi...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2011.02264.x

    authors: Soudack M,Ben-Shlush A,Raviv-Zilka L,Jacobson J,Mendelson E

    更新日期:2011-06-01 00:00:00

  • Magnetic resonance imaging for common peroneal nerve injury in trauma patients: Are routine knee sequences adequate for prediction of outcome?

    abstract:INTRODUCTION:Common peroneal nerve (CPN) injury occurs in 10-40% of patients following knee dislocation. Is magnetic resonance imaging (MRI) using routine knee protocols able to adequately evaluate CPN injury and predict long-term outcome? METHODS:Trauma patients presenting for knee MRI at a single public hospital, be...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12840

    authors: Tran TMA,Lim BG,Sheehy R,Robertson PL

    更新日期:2019-02-01 00:00:00

  • Cone-beam computed tomography for lung cancer - validation with CT and monitoring tumour response during chemo-radiation therapy.

    abstract:INTRODUCTION:Cone-beam computed tomography (CBCT) is a valuable image-guidance tool in radiation therapy (RT). This study was initiated to assess the accuracy of CBCT for quantifying non-small cell lung cancer (NSCLC) tumour volumes compared to the anatomical 'gold standard', CT. Tumour regression or progression on CBC...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12551

    authors: Michienzi A,Kron T,Callahan J,Plumridge N,Ball D,Everitt S

    更新日期:2017-04-01 00:00:00

  • Tumour response in non-small-cell lung cancer patients treated with chemoradiotherapy - Can spectral CT predict recurrence?

    abstract:INTRODUCTION:Tumour response in lung cancer treatment is monitored by measuring lesion size in computed tomography (CT). Spectral CT (SCT) offers additional information on tumour tissue besides morphology. We evaluated SCT iodine content (IC) and performed spectral slope analysis to assess the response of non-small-cel...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12926

    authors: Fehrenbach U,Feldhaus F,Kahn J,Böning G,Maurer MH,Renz D,Frost N,Streitparth F

    更新日期:2019-10-01 00:00:00

  • Chest computed tomography (CT) features in children with reverse transcription-polymerase chain reaction (RT-PCR)-confirmed COVID-19: A systematic review.

    abstract::To describe the chest CT features reported in children with confirmed COVID-19 infection, published in English literature. A systematic review was completed on PubMed, Embase and Scopus databases on the 1st of June 2020 using the PICO strategy. The NIH Quality Assessment Tool was used to assess the quality of the sele...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.13098

    authors: Simoni P,Bazzocchi A,Boitsios G,De Leucio A,Preziosi M,Aparisi Gómez MP

    更新日期:2020-10-01 00:00:00

  • Omental apoplexy: Unravelling the mystery.

    abstract:INTRODUCTION:To describe cases omental haemorrhage and to review the literature on this topic. METHODS:We describe three cases of spontaneous omental haemorrhage and discuss various management strategies, in an attempt to provide direction for similar cases in the future. RESULTS:A number of case reports of spontaneo...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.13024

    authors: Moriarty HK,Martin K,Koukounaras J,Goh GS,Clements W

    更新日期:2020-06-01 00:00:00

  • Clinical influence of 18F-fluorodeoxyglucose positron emission tomography on the management of primary tumours of the thymus.

    abstract::The objective of the current study was to evaluate the effect of PET on the management of primary tumours of the thymus. Patients with a primary tumour of the thymus who underwent PET were identified from a prospective database. Forty-three PET scans were carried out on 26 patients with primary thymic tumours. Sensiti...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1440-1673.2008.01955.x

    authors: Lee JW,Mac Manus M,Hogg A,Hicks R,Ball D

    更新日期:2008-06-01 00:00:00

  • Verification of target position in the post-prostatectomy cancer patient using cone beam CT.

    abstract::We present the results of a pilot study designed to investigate methods that may be applied to develop a patient position correction protocol for the post-prostatectomy patient receiving radiotherapy. Imaging was carried out with cone beam CT (CBCT) to investigate its suitability for detecting changes in rectal and bl...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2009.02057.x

    authors: Haworth A,Paneghel A,Herschtal A,Duchesne G,Williams S,Tai KH,Kron T,Roxby P,Soteriou S,Laferlita M,Foroudi F

    更新日期:2009-04-01 00:00:00

  • 256-MDCT for evaluation of urolithiasis: iterative reconstruction allows for a significant reduction of the applied radiation dose while maintaining high subjective and objective image quality.

    abstract:PURPOSE:Multidetector CT (MDCT) is the established imaging modality in diagnostics of urolithiasis. The aim of iterative reconstruction (IR) is to allow for a radiation dose reduction while maintaining high image quality. This study evaluates its performance in MDCT for assessment of urolithiasis. MATERIALS AND METHOD...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/1754-9485.12159

    authors: Veldhoen S,Laqmani A,Derlin T,Karul M,Hammerle D,Buhk JH,Sehner S,Nagel HD,Chun F,Adam G,Regier M

    更新日期:2014-01-01 00:00:00

  • The dosimetric consequences of anatomic changes in head and neck radiotherapy patients.

    abstract:INTRODUCTION:To investigate anatomical response-related changes in the head and neck region during a course of radical radiotherapy and their impact on the planned dosimetry. METHODS:The study consisted of 10 patients with primary mucosal carcinoma. Patients' nutritional requirements were managed as per departmental p...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/j.1754-9485.2010.02209.x

    authors: Height R,Khoo V,Lawford C,Cox J,Joon DL,Rolfo A,Wada M

    更新日期:2010-10-01 00:00:00

  • Stereotactic radiosurgery for intracranial IgG4-related disease.

    abstract::We report the case of a 20-year-old woman with intracranial IgG4-related disease, initially misdiagnosed as a meningioma on biopsy and treated with radiosurgery as it was in an eloquent location and not resectable. Her intracranial IgG4 disease had a near-complete response to radiosurgery and is still controlled six y...

    journal_title:Journal of medical imaging and radiation oncology

    pub_type: 杂志文章

    doi:10.1111/1754-9485.12931

    authors: Fogarty T,Choong D,Gill S,Harper C,Robbins P

    更新日期:2019-10-01 00:00:00