Abstract:
RATIONALE AND OBJECTIVES:The addition of digital breast tomosynthesis (DBT) to digital screening mammography (DM) has been shown to decrease recall rates and improve cancer detection rates, but there is a lack of data regarding the impact of DBT on rates of short-term follow-up. We assessed possible changes in performance measures with the introduction of DBT at our facility. MATERIALS AND METHODS:In our observational study, databases were used to compare rates of recall, short-term follow-up, biopsy, and cancer detection between women undergoing DM without (n = 10,477) and women undergoing DM with (n = 2304) the addition of DBT. Regression analysis was performed to determine associations with patient age, breast density, and availability of comparison examinations. RESULTS:The addition of DBT resulted in significantly lower recall rates (16%-14%, P = .017), higher rates of biopsy (12.7%-19.1%, P < .01), and increased detection of ductal carcinoma in situ, with a difference of 2.3 cases per 1000 screens (P = .044). A 33% increase in cancer detection rates was observed with DBT, which did not reach statistical significance. Short-term follow-up of probably benign findings was 80% higher in the DBT group (odds ratio = 1.80, 95% confidence interval = 1.38-2.36, P < .001). CONCLUSIONS:To our knowledge, we are the first to study the impact of DBT on rates of short-term follow-up, and observed an 80% increase over the DM group. Further research is needed to determine the malignancy rate of Breast Imaging Reporting and Data System 3 lesions detected with DBT, and establish appropriate follow-up to maximize cancer detection while minimizing expense and patient anxiety.
journal_name
Acad Radioljournal_title
Academic radiologyauthors
Powell JL,Hawley JR,Lipari AM,Yildiz VO,Erdal BS,Carkaci Sdoi
10.1016/j.acra.2016.10.001subject
Has Abstractpub_date
2017-03-01 00:00:00pages
302-307issue
3eissn
1076-6332issn
1878-4046pii
S1076-6332(16)30346-4journal_volume
24pub_type
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journal_title:Academic radiology
pub_type: 杂志文章,多中心研究
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journal_title:Academic radiology
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journal_title:Academic radiology
pub_type: 杂志文章,meta分析,评审
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journal_title:Academic radiology
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