Journal ArticleDOI
Digital Breast Tomosynthesis and the Challenges of Implementing an Emerging Breast Cancer Screening Technology Into Clinical Practice
TLDR
The authors describe the forces driving the rapid diffusion of tomosynthesis into clinical practice, comparing it with therapid diffusion of digital mammography shortly after its introduction.Abstract:
Emerging imaging technologies, including digital breast tomosynthesis, have the potential to transform breast cancer screening. However, the rapid adoption of these new technologies outpaces the evidence of their clinical and cost-effectiveness. The authors describe the forces driving the rapid diffusion of tomosynthesis into clinical practice, comparing it with the rapid diffusion of digital mammography shortly after its introduction. They outline the potential positive and negative effects that adoption can have on imaging workflow and describe the practice management challenges when incorporating tomosynthesis. The authors also provide recommendations for collecting evidence supporting the development of policies and best practices.read more
Citations
More filters
Journal ArticleDOI
National Performance Benchmarks for Modern Screening Digital Mammography: Update from the Breast Cancer Surveillance Consortium
Constance D. Lehman,Robert F. Arao,Brian L. Sprague,Janie M. Lee,Diana S. M. Buist,Karla Kerlikowske,Louise M. Henderson,Tracy Onega,Anna N. A. Tosteson,Garth H. Rauscher,Diana L. Miglioretti +10 more
TL;DR: The majority of radiologists in the BCSC surpass cancer detection recommendations for screening mammography; however, AIRs continue to be higher than the recommended rate for almost half of radiologist interpreting screening mammograms.
Journal ArticleDOI
Collaborative modeling of the benefits and harms associated with different U.S. Breast cancer screening strategies
Jeanne S. Mandelblatt,Natasha K. Stout,Clyde B. Schechter,Jeroen J. van den Broek,Diana L. Miglioretti,Martin Krapcho,Amy Trentham-Dietz,Diego F. Munoz,Sandra J. Lee,Donald A. Berry,Nicolien T. van Ravesteyn,Oguzhan Alagoz,Karla Kerlikowske,Anna N. A. Tosteson,Aimee M. Near,Amanda Hoeffken,Yaojen Chang,Eveline A.M. Heijnsdijk,Gary B. Chisholm,Xuelin Huang,Hui Huang,Hui Huang,Mehmet Ali Ergun,Ronald E. Gangnon,Brian L. Sprague,Sylvia K. Plevritis,Eric J. Feuer,Harry J. de Koning,K. A. Cronin,K. A. Cronin +29 more
TL;DR: This modeling study estimated outcomes of 8 strategies that differed by starting age and interval of digital mammography screening at various starting ages and intervals among average-risk women and examined how breast density, risk, or comorbidity levels affect results.
Journal ArticleDOI
Association of Screening and Treatment With Breast Cancer Mortality by Molecular Subtype in US Women, 2000-2012
Sylvia K. Plevritis,Diego F. Munoz,Allison W. Kurian,Natasha K. Stout,Oguzhan Alagoz,Aimee M. Near,Sandra J. Lee,Jeroen J. van den Broek,Xuelin Huang,Clyde B. Schechter,Brian L. Sprague,Juhee Song,Harry J. de Koning,Amy Trentham-Dietz,Nicolien T. van Ravesteyn,Ronald E. Gangnon,Young Chandler,Yisheng Li,Cong Xu,Mehmet Ali Ergun,Hui Huang,Donald A. Berry,Jeanne S. Mandelblatt +22 more
TL;DR: Substantial decreases in overall breast cancer mortality from 2000 to 2012 were associated with advances in screening and in adjuvant therapy, although the associations varied by breast cancer molecular subtype.
Journal ArticleDOI
Screening Outcomes Following Implementation of Digital Breast Tomosynthesis in a General-Population Screening Program
Anne Marie McCarthy,Despina Kontos,Marie Synnestvedt,Kay See Tan,Daniel F. Heitjan,Mitchell Schnall,Emily F. Conant +6 more
TL;DR: The data support the clinical implementation of DBT in breast cancer screening; however, larger prospective trials are needed to validate the findings in specific patient subgroups.
Journal ArticleDOI
Digital Breast Tomosynthesis: State of the Art.
TL;DR: The observations of increase in cancer detection rates, particularly for invasive cancers, and the reduction in false-positive rates with DBT in prospective trials indicate its benefit for breast cancer screening.
References
More filters
Journal ArticleDOI
Diagnostic Performance of Digital versus Film Mammography for Breast-Cancer Screening
Etta D. Pisano,Constantine Gatsonis,Edward Hendrick,Martin J. Yaffe,Janet K. Baum,Suddhasatta Acharyya,Emily F. Conant,Laurie L. Fajardo,Lawrence W. Bassett,Roberta A. Jong,Murray Rebner +10 more
TL;DR: The overall diagnostic accuracy of digital and film mammography as a means of screening for breast cancer is similar, but digital mammography is more accurate in women under the age of 50 years, women with radiographically dense breasts, and premenopausal or perimenopausal women.
Journal ArticleDOI
Combined screening with ultrasound and mammography vs mammography alone in women at elevated risk of breast cancer.
Wendie A. Berg,Jeffrey D. Blume,Jean B. Cormack,Ellen B. Mendelson,Daniel Lehrer,M. Böhm-Vélez,Etta D. Pisano,Roberta A. Jong,W. Phil Evans,Marilyn J. Morton,Mary C. Mahoney,Linda Hovanessian Larsen,Richard G. Barr,Dione M. Farria,Helga S. Marques,Karan Boparai +15 more
TL;DR: The diagnostic yield, sensitivity, specificity, and diagnostic accuracy (assessed by the area under the receiver operating characteristic curve) of combined mammography plus ultrasound vs mammography alone and the positive predictive value of biopsy recommendations for mammographyplus ultrasound vs Mammography alone are compared.
Journal ArticleDOI
Comparison of Digital Mammography Alone and Digital Mammography Plus Tomosynthesis in a Population-based Screening Program
Per Skaane,Andriy I. Bandos,Randi Gullien,Ellen B. Eben,Ulrika Ekseth,Unni Haakenaasen,Mina Izadi,Ingvild N. Jebsen,Gunnar Jahr,Mona Krager,Loren Niklason,Solveig Hofvind,David Gur +12 more
TL;DR: The use of mammography plus tomosynthesis in a screening environment resulted in a significantly higher cancer detection rate and enabled the detection of more invasive cancers.
Journal ArticleDOI
Integration of 3D digital mammography with tomosynthesis for population breast-cancer screening (STORM): a prospective comparison study.
Stefano Ciatto,Nehmat Houssami,Daniela Bernardi,Francesca Caumo,Marco Pellegrini,Silvia Brunelli,Paola Tuttobene,Paola Bricolo,Carmine Fantò,Marvi Valentini,Stefania Montemezzi,Petra Macaskill +11 more
TL;DR: Integrated 2D and 3D mammography improves breast-cancer detection and has the potential to reduce false positive recalls.
Journal ArticleDOI
Potential contribution of computer-aided detection to the sensitivity of screening mammography.
Linda J. Warren Burhenne,Susan A. Wood,Carl J. D'Orsi,Stephen A. Feig,Daniel B. Kopans,Kathryn F. O'Shaughnessy,Edward A. Sickles,Laszlo Tabar,Carl J. Vyborny,Ronald A. Castellino +9 more
TL;DR: In this paper, the capability of computer-aided detection (CAD) to identify missed lesions and whether or not CAD increases the radiologists' recall rate was evaluated by panels of radiologists.