Abstract:
PURPOSE:To compare the diagnostic accuracy of two-dimensional (2D) full-field digital mammography with that of two-view (mediolateral and craniocaudal) and single-view (mediolateral oblique) tomosynthesis in an observer study involving two institutions. MATERIALS AND METHODS:Ethical committee approval was obtained. All participating women gave informed consent. Two hundred twenty women (mean age, 56.3; range, 40-80 years) with breast density of 2-4 according to American College of Radiology criteria were recruited between November 2008 and September 2009 and underwent standard treatment plus tomosynthesis with a prototype photon-counting machine. After exclusion criteria were met, this resulted in a final test set of 130 women. Ten accredited readers classified the 130 cases (40 cancers, 24 benign lesions, and 66 normal images) using 2D mammography and two-view tomosynthesis. Another 10 readers reviewed the same cases using 2D mammography but single-view tomosynthesis. The multireader, multicase receiver operating characteristic (ROC) method was applied. The significance of the observed difference in accuracy between 2D mammography and tomosynthesis was calculated. RESULTS:For diagnostic accuracy, 2D mammography performed significantly worse than two-view tomosynthesis (average area under ROC curve [AUC] = 0.772 for 2D, AUC = 0.851 for tomosynthesis, P = .021). Significant differences were found for both masses and microcalcification (P = .037 and .049). The difference in AUC between the two modalities of -0.110 was significant (P = .03) only for the five readers with the least experience (<10 years of reading); with AUC of -0.047 for the five readers with 10 years or more experience (P = .25). No significant difference (P = .79) in reader performance was seen when 2D mammography (average AUC = 0.774) was compared with single-view tomosynthesis (average AUC = 0.775). CONCLUSION:Two-view tomosynthesis outperforms 2D mammography but only for readers with the least experience. The benefits were seen for both masses and microcalcification. No differences in classification accuracy was seen between and 2D mammography and single-view tomosynthesis.
journal_name
Radiologyjournal_title
Radiologyauthors
Wallis MG,Moa E,Zanca F,Leifland K,Danielsson Mdoi
10.1148/radiol.11103514subject
Has Abstractpub_date
2012-03-01 00:00:00pages
788-96issue
3eissn
0033-8419issn
1527-1315pii
radiol.11103514journal_volume
262pub_type
杂志文章相关文献
RADIOLOGY文献大全abstract:PURPOSE:To review the recurrence patterns in patients with primary non-small cell lung cancer (NSCLC) treated with percutaneous image-guided radiofrequency (RF) ablation. MATERIALS AND METHODS:This retrospective review was institutional review board approved and HIPAA compliant. Informed consent was waived. Data from ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.00000090174
更新日期:2010-01-01 00:00:00
abstract::Technically refined angiograms and scintigrams were extremely sensitive in demonstrating experimental canine thromboemboli, both immediately after embolization and during the entire course of embolic lysis. Technical refinements included subselective, scintigraphically guided, magnification arteriography and eight-vie...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.136.1.7384490
更新日期:1980-07-01 00:00:00
abstract::A high-resolution real-time ultrasound sector scanner was used in the evaluation of patients with suspected gallbladder disease. This technique is noninvasive, requires minimal preparation, and takes less than five minutes for a thorough examination of the gallbladder and related anatomy. In 17 months, 959 patients we...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/131.3.789
更新日期:1979-06-01 00:00:00
abstract::Radiologists are frequently called upon to perform percutaneous biopsy. Selection of the proper needle is becoming more complex as the number of types increases and reports of better results with certain needles proliferate. The authors evaluated a wide variety of needles of different caliber, cutting tip, and bevel. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.148.3.6878680
更新日期:1983-09-01 00:00:00
abstract::Left atrial-coronary sinus fenestration is a rare cause of a left-to-right or right-to-left shunt which occurs most commonly with a persistent left superior vena cava. These fenestrations may represent the only pathway for an obligatory right-to-left or left-to-right shunt in atrioventricular valve atresia. Four cases...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.135.2.7367620
更新日期:1980-05-01 00:00:00
abstract::Gadolinium-labeled diethylenetriaminepentaacetic acid was used as a contrast agent for stereotactic magnetic resonance (MR) imaging in six selected patients with brain tumors who underwent stereotactic biopsy. Regions of contrast enhancement demonstrated by computed tomography (CT) and MR imaging in four of the six pa...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.166.3.2829270
更新日期:1988-03-01 00:00:00
abstract::The authors present 3 cases of surgically proved Klatskin tumor diagnosed by ultrasound alone. Sonographic features of these tumors include (a) dilatation of the intrahepatic biliary ducts but not the extrahepatic duct, (b) non-union of the right and left hepatic ducts, and (c) small, solid masses at the hepatic hilus...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.148.3.6308710
更新日期:1983-09-01 00:00:00
abstract:PURPOSE:To prospectively evaluate the safety and efficacy of undersized stents used in patients with high-grade intracranial stenosis and recurrent ischemic symptoms who are undergoing medical treatment. MATERIALS AND METHODS:In 18 patients (13 men, five women; age range, 51-82 years), 20 high-grade (>70%) intracrania...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2311030183
更新日期:2004-04-01 00:00:00
abstract::The authors reviewed the accuracy of stereotaxic fine-needle aspiration cytology in prediction of the presence of cancer. Seventy-four nonpalpable breast cancers and 144 benign lesions were studied. The rate of obtaining an inadequate sample was 8.1% for cancers and 20.8% for benign lesions. None of the cytology repor...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.173.1.2675190
更新日期:1989-10-01 00:00:00
abstract:PURPOSE:To prospectively assess bone marrow (BM) angiogenesis in patients with acute myeloid leukemia (AML) by using iron oxide-enhanced magnetic resonance (MR) imaging. MATERIALS AND METHODS:The study was institutional ethics committee approved. Informed signed consent was obtained from each study participant. The re...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2421051355
更新日期:2007-01-01 00:00:00
abstract::Transhepatic portal venous embolization does not reduce immediate or long-term mortality or the incidence of rebleeding in patients with acute hemorrhage from gastroesophageal varices. Since in addition the procedure is not without risk to the operator, who is exposed to a considerable amount of radiation, the author ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.148.2.6603000
更新日期:1983-08-01 00:00:00
abstract:PURPOSE:To determine the radiation dose to radiologists who perform computed tomographic (CT) fluoroscopic interventional procedures by using a quick-check method and a low-milliampere technique. MATERIALS AND METHODS:Two hundred twenty CT fluoroscopy--guided interventional procedures were performed in 189 patients. P...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.220.1.r01jl29161
更新日期:2001-07-01 00:00:00
abstract::The authors discuss the appropriate FISP (fast imaging with steady-state precession) sequence structure to maintain constant phase at the radio-frequency pulse in the presence of motion. They present preliminary results of its application to head and spine imaging in an effort to maintain contrast between the cerebros...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.175.2.2326480
更新日期:1990-05-01 00:00:00
abstract:PURPOSE:To assess cardiac morphologic and functional adaptations in elite triathletes with magnetic resonance (MR) imaging and to compare findings to those in recreationally active control subjects. MATERIALS AND METHODS:The institutional review board approved the study, and written informed consent was obtained from ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.10092377
更新日期:2010-10-01 00:00:00
abstract::Computed tomography (CT) used in cases of blunt abdominal trauma has been found sensitive in detection of bowel and mesenteric injuries and discrimination of operable from nonoperable candidates. In 51 patients with suspected bowel or mesenteric injury following blunt abdominal trauma, CT correctly depicted bowel hema...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.173.1.2781000
更新日期:1989-10-01 00:00:00
abstract:PURPOSE:To evaluate the variability of true-positive and false-positive cues by using a commercially available computer-aided detection (CAD) system for analysis of 50 malignancies in a screening population. MATERIALS AND METHODS:Fifty breast cancers detected at screening were analyzed by using a commercially availabl...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2332031200
更新日期:2004-11-01 00:00:00
abstract::A percutaneously inserted biliary drainage catheter was converted from external to internal drainage with the use of an additional catheter advanced through the gastrostomy opening. This technique was successful in one patient with unresectable cancer of the head of the pancreas, in whom it was performed to overcome t...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.167.1.3347730
更新日期:1988-04-01 00:00:00
abstract::Four nodules, visualized with 99mTc pertechnetate at 20-60 min., were not visualized with either 123I or 131I at 2-4 hours. Each nodule was demonstrated to have autonomy of function in excess of surrounding normal tissue when imaged with radioiodine after TSH suppression. Rapid turnover of an iodine moiety would seem ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/119.3.737
更新日期:1976-06-01 00:00:00
abstract::A simple, reliable, reproducible technique for performing CT scans on baboons is described. The normal morphologic appearance in 12 nonhuman primate (Papio cynocephalusl anubis) brains as defined by CT is correlated with the normal gross pathologic findings on postmortem examination. The orbital contents are also di...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/125.2.403
更新日期:1977-11-01 00:00:00
abstract::A percutaneous technique is described for the introduction of Kimray-Greenfield filters into the vena cava through either the internal jugular or femoral approach. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.151.2.6709930
更新日期:1984-05-01 00:00:00
abstract:PURPOSE:To investigate if magnetic resonance (MR) enteroclysis can be performed routinely and to compare MR enteroclysis findings with those of conventional enteroclysis or surgery. MATERIALS AND METHODS:MR enteroclysis was prospectively performed in 30 patients with symptoms of inflammatory bowel disease or small-bow...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.215.3.r00jn12717
更新日期:2000-06-01 00:00:00
abstract:PURPOSE:To determine the accuracy of multidetector computed tomography (CT) in the detection of surgically important blunt bowel and/or mesenteric injury, to identify and describe the most reliable CT features of bowel and/or mesenteric injury, and to evaluate the performance of readers with different levels of experti...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2492072055
更新日期:2008-11-01 00:00:00
abstract:PURPOSE:To compare unenhanced helical computed tomography (CT) and endoscopic retrograde cholangiopancreatography (ERCP) in the detection of common bile duct calculi. MATERIALS AND METHODS:Within 13 months, 51 patients (aged 18-94 years) with clinically suspected choledocholithiasis underwent unenhanced helical CT imm...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.203.3.9169700
更新日期:1997-06-01 00:00:00
abstract:PURPOSE:To identify computed tomographic (CT) findings that are associated with the effectiveness of nonsurgical treatment in patients with adhesive small-bowel obstruction ( SBO small-bowel obstruction ) that was initially treated medically. MATERIALS AND METHODS:The local institutional review board approved this ret...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.14132872
更新日期:2014-11-01 00:00:00
abstract:PURPOSE:To determine if follow-up computed tomography (CT) after definitive radiation therapy for laryngeal or hypopharyngeal (laryngopharyngeal) carcinoma allows the detection of local failure earlier than clinical examination alone. MATERIALS AND METHODS:Pre- and post-radiation therapy follow-up CT scans in 66 patie...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.214.3.r00fe13683
更新日期:2000-03-01 00:00:00
abstract::Purpose To investigate the prevalence of symptomatic carotid web in patients with acute ischemic stroke due to intracranial large vessel occlusion, to determine the clinical and imaging profile of patients with carotid web as well as their association with ischemic stroke, and to determine the interobserver agreement ...
journal_title:Radiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1148/radiol.2017170094
更新日期:2018-03-01 00:00:00
abstract::The purpose of this study was to assess the blooming artifacts in ex vivo coronary arteries at multidetector computed tomography (CT) and flat-panel-volume CT by comparing measured areas of calcified plaque with respect to the reference standard of histopathologic findings. Three ex vivo hearts were scanned with multi...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2483072003
更新日期:2008-10-01 00:00:00
abstract::Purpose To investigate the prognostic value of circumferential left ventricular (LV) strain measured by using cardiac MRI for prediction of major adverse cardiac events (MACE) following an acute ST-segment-elevation myocardial infarction (STEMI). Materials and Methods Participants with acute STEMI were prospectively e...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2018181253
更新日期:2019-02-01 00:00:00
abstract::To determine the optimal coil and patient position for magnetic resonance imaging of patients with silicone breast implants, images obtained with body, circular surface, flexible, single shoulder, and dual shoulder coils in various numbers of patients were compared with regard to signal-to-noise ratio (S/N), decay of ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.187.1.8451430
更新日期:1993-04-01 00:00:00
abstract::Portosystemic venous collaterals were studied with sonography in 40 patients with known portal hypertension. Eight patients had technically inadequate scans, while 32 had optimal scans. Sixty groups of venous collaterals were identified. At least one collateral pathway was seen in 28 patients, for a sensitivity of 88%...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.146.1.6849040
更新日期:1983-01-01 00:00:00