Breast Cancer Screening Using Tomosynthesis in Combination With Digital Mammography
Sarah M. Friedewald,Elizabeth A. Rafferty,Stephen L. Rose,Melissa A. Durand,Donna Plecha,Julianne S. Greenberg,Mary Katherine Hayes,Debra S. Copit,Kara L. Carlson,Thomas M. Cink,Lora D. Barke,Linda N. Greer,Dave P. Miller,Emily F. Conant +13 more
TLDR
Addition of tomosynthesis to digital mammography was associated with a decrease in recall rate and an increase in cancer detection rate, and further studies are needed to assess the relationship to clinical outcomes.Abstract:
mammography + tomosynthesis; difference, 1.3 (95% CI, 0.4-2.1; P = .004); for cancer detection, 4.2 (95% CI, 3.8-4.7) with digital mammography vs 5.4 (95% CI, 4.9-6.0) with digital mammography + tomosynthesis; difference, 1.2 (95% CI, 0.8-1.6; P < .001); and for invasive cancer detection, 2.9 (95% CI, 2.5-3.2) with digital mammography vs 4.1 (95% CI, 3.7-4.5) with digital mammography + tomosynthesis; difference, 1.2 (95% CI, 0.8-1.6; P < .001). The in situ cancer detection rate was 1.4 (95% CI, 1.2-1.6) per 1000 screens with both methods. Adding tomosynthesis was associated with an increase in the positive predictive value for recall from 4.3% to 6.4% (difference, 2.1%; 95% CI, 1.7%-2.5%; P < .001) and for biopsy from 24.2% to 29.2% (difference, 5.0%; 95% CI, 3.0%-7.0%; P < .001). CONCLUSIONS AND RELEVANCE Addition of tomosynthesis to digital mammography was associated with a decrease in recall rate and an increase in cancer detection rate. Further studies are needed to assess the relationship to clinical outcomes.read more
Citations
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Mammographie synthétique : la vraie solution ?
TL;DR: The tomosynthese mammaire, a technique d'imagerie en pseudo 3D de la glande mamaire, s’est imposee progressivement ces dix dernieres annees en pratique clinique as discussed by the authors.
Journal ArticleDOI
Brustkrebs-Screening: Tomosynthese erhöht Treffsicherheit
Beate Schumacher,Ingrid Schreer +1 more
TL;DR: Nach einer großen Kohortenstudie aus den USA könnte es von Vorteil sein, beim Brustkrebs-Screening die herkömmliche digitale Mammografie and die Tomosynthese, eine 3-D-Mammografies, miteinander zu kombinieren.
Proceedings ArticleDOI
Identifying and preventing fatigue in digital breast tomosynthesis
TL;DR: In this article , the authors explore if screeners showed differences in subjective fatigue, blink metrics and diagnostic accuracy during a digital breast tomosynthesis reading session with and without breaks and find that participants without a break exhibited significantly greater blinks per minute (15.75 vs 13.25, p<0.001).
The relationship between breast cancer incidence, mammography and income in New York State
Zhang Xiuling,Boscoe Francis P. +1 more
TL;DR: There is about a 50% difference in localstage breast cancer incidence rates among white nonHispanic women between the wealthiest and poorest communities, as defined by census tract of residence at diagnosis in New York State.
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