High resolution CT mammography of surgical biopsy specimens.

Abstract:

PURPOSE:Our goal was to assess the performance of high resolution CT on breast biopsy specimens before considering the reevaluation of refined CT techniques in patients with breast abnormalities. METHOD:High resolution CT was done in 44 surgical biopsy specimens following conventional X-ray specimen mammography. The specimens comprised 38 palpable and nonpalpable soft tissue abnormalities with mean size of 19 mm and 6 specimens with clustered microcalcifications only. There were 21 carcinomas, 10 fibroadenomas, and 13 other benign conditions. Evaluation of CT and conventional images was done separately, and a feature-grading list was used to compare the two modalities. RESULTS:In fatty specimens, grading of morphologic features of masses and the confidence to detect a soft tissue abnormality were equal with both techniques. CT significantly improved the confidence to detect a mass in 17 specimens with dense tissue: On a scale of 0-10, the mean score for detection was 3.8 with radiography and 5.8 with CT (p<0.008). For clustered microcalcifications, X-ray was superior to CT. The mean CT attenuation of 18 malignant masses (82 HU) was significantly lower than the mean attenuation of 10 fibroadenomas (131 HU; p = 0.003). CT scans of the American College of Radiology test phantom met the requirements for X-ray accreditation. CONCLUSION:For soft tissue abnormalities, CT specimen mammography performed equally as or better than specimen radiography. These in vitro results suggest potential advantages for increased sensitivity and specificity with CT and justify further investigations.

journal_name

J Comput Assist Tomogr

authors

Raptopoulos V,Baum JK,Hochman M,Karellas A,Houlihan MJ,D'Orsi CJ

doi

10.1097/00004728-199603000-00003

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

179-84

issue

2

eissn

0363-8715

issn

1532-3145

journal_volume

20

pub_type

杂志文章
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    更新日期:1987-03-01 00:00:00

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    authors: Sewall LE,Saxon RR

    更新日期:1995-11-01 00:00:00

  • Imaging of Brain Infarctions: Beyond the Usual Territories.

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    authors: Moncada R,Baliga K,Moguillansky SJ,Subramanian R,Demos TC,Lozada C,Bianchi G,Ow EP

    更新日期:1985-01-01 00:00:00

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    doi:10.1097/00004728-198002000-00016

    authors: Correia JA,Davis KR,Kharasch M,Chesler DA,Taveras JM

    更新日期:1980-02-01 00:00:00

  • Image noise and radiation dose using an automatic tube current modulation technique at 64-detector computed tomography: effect of off-center patient position, bowtie filter type, and scan projection radiograph.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1097/00004728-199311000-00015

    authors: Zee CS,Segall HD,Destian S,Ahmadi J,Apuzzo ML

    更新日期:1993-11-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00004728-198312000-00028

    authors: Bhimani S,Griffin W,Virapongse C,Altmeyer V,Kier EL

    更新日期:1983-12-01 00:00:00

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    authors: Tresoldi S,Sardanelli F,Borzani I,Flor N,Cornalba G

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  • Comparison of imaging methods for diagnosing enlarged parathyroid glands in chronic renal failure.

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    journal_title:Journal of computer assisted tomography

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    doi:10.1097/00004728-198507010-00014

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  • Use of nutritional support formula as a gastrointestinal contrast agent for MRI.

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    pub_type: 杂志文章

    doi:10.1097/00004728-199211000-00015

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    更新日期:1992-11-01 00:00:00

  • Traumatic ossicular chain separation: sliding-thin-slab maximum-intensity projections for diagnosis.

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    pub_type: 杂志文章

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    更新日期:2008-11-01 00:00:00

  • Assessment of the Relationship Between the Coronary Venous and Arterial Systems Using 256-Slice Computed Tomography.

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    pub_type: 杂志文章,随机对照试验

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    pub_type: 杂志文章

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    更新日期:1988-05-01 00:00:00

  • Giant renal cell carcinoma: CT and MR characteristics.

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    pub_type: 杂志文章

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    更新日期:1989-11-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:1984-06-01 00:00:00

  • Hematoma after femoral arterial blood sampling: incidence, imaging features, and course of hematoma.

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    pub_type: 杂志文章

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