Clinical utility of contrast-enhanced spectral mammography as an adjunct for tomosynthesis-detected architectural distortion

被引：46
|
作者：
Patel, Bhavika K. [1 ]
Naylor, Michelle E. [1 ]
Kosiorek, Heidi E. [3 ]
Lopez-Alvarez, Yania M. [1 ]
Miller, Adrian M. [1 ]
Pizzitola, Victor J. [1 ]
Pockaj, Barbara A. [2 ]
机构：
[1] Mayo Clin Hosp, Dept Radiol, 5777 E Mayo Blvd, Phoenix, AZ 85054 USA
[2] Mayo Clin Hosp, Div Gen Surg, Phoenix, AZ 85054 USA
[3] Mayo Clin, Biostat, Scottsdale, AZ USA
来源：
CLINICAL IMAGING | 2017年 / 46卷
关键词：
Architectural distortion; Breast imaging; CESM; Contrast-enhanced spectral mammography; BACKGROUND PARENCHYMAL ENHANCEMENT; DIGITAL BREAST TOMOSYNTHESIS; MAGNETIC-RESONANCE MAMMOGRAPHY; CORE NEEDLE-BIOPSY; PATHOLOGICAL CORRELATION; MENSTRUAL-CYCLE; CANCER RISK; MRI IMPACT; LESIONS; MALIGNANCY;
D O I：
10.1016/j.clinimag.2017.07.003
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Objective: Supplement tomosynthesis-detected architectural distortions (AD) with CESM to better characterize malignant vs benign lesions. Methods: Retrospective review CESM prior to biopsied AD. Pathology: benign, radial scar, or malignant. Results: 49 lesions (45 patients). 29 invasive cancers, 1 DCIS (range, 0.4-4.7 cm); 9 radial scars; 10 benign. 37 (75.5%) ADs had associated enhancement. PPV 78.4% (29/37), sensitivity 96.7% (29/30); specificity, 57.9% (11/19); NPV, 91.7% (11/12). False-positive rate 21.6% (8/37); false-negative rate, 83% (1/12). Accuracy 81.6% (40/49). Conclusions: High sensitivity and NPV of CESM in patients with AD is promising as an adjunct tool in diagnosing malignancy and avoiding unnecessary biopsy, respectively. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码：44 / 52
页数：9
相关论文
共 50 条
  • [1] Evaluation of architectural distortion with contrast-enhanced mammography
    Goh, Y.
    Quek, S. T.
    Pillay, P.
    Chou, C. -P.
    CLINICAL RADIOLOGY, 2024, 79 (03) : 163 - 169
  • [2] Architectural distortion outcome: digital breast tomosynthesis-detected versus digital mammography-detected
    Shimaa Abdalla Ahmed
    Marwa Samy
    Ahmed M. Ali
    Ramy A. Hassan
    La radiologia medica, 2022, 127 : 30 - 38
  • [3] Architectural distortion outcome: digital breast tomosynthesis-detected versus digital mammography-detected
    Ahmed, Shimaa Abdalla
    Samy, Marwa
    Ali, Ahmed M.
    Hassan, Ramy A.
    RADIOLOGIA MEDICA, 2022, 127 (01): : 30 - 38
  • [4] Tomosynthesis-detected Architectural Distortion: Management Algorithm with Radiologic-Pathologic Correlation
    Durand, Melissa A.
    Wang, Steven
    Hooley, Regina J.
    Raghu, Madhavi
    Philpotts, Liane E.
    RADIOGRAPHICS, 2016, 36 (02) : 311 - 321
  • [5] Contrast-enhanced Spectral Mammography: Technique, Indications, and Clinical Applications
    Bhimani, Chandni
    Matta, Danielle
    Roth, Robyn G.
    Liao, Lydia
    Tinney, Elizabeth
    Brill, Kristin
    Germaine, Pauline
    ACADEMIC RADIOLOGY, 2017, 24 (01) : 84 - 88
  • [6] Comparative Dose of Contrast-Enhanced Spectral Mammography (CESM), Digital Mammography, and Digital Breast Tomosynthesis
    Phillips, Jordana
    Mihai, Georgeta
    Hassonjee, Sarah Esaa
    Raj, Sean D.
    Palmer, Matthew R.
    Brook, Alexander
    Zhang, Da
    AMERICAN JOURNAL OF ROENTGENOLOGY, 2018, 211 (04) : 839 - 846
  • [7] Digital Breast Tomosynthesis for Upgraded BIRADS Scoring towards the True Pathology of Lesions Detected by Contrast-Enhanced Mammography
    Grubstein, Ahuva
    Friehmann, Tal
    Dahan, Marva
    Abitbol, Chen
    Gadiel, Ithai
    Schejtman, Dario M.
    Shochat, Tzippy
    Atar, Eli
    Tamir, Shlomit
    TOMOGRAPHY, 2024, 10 (05) : 806 - 815
  • [8] Initial Experience of Tomosynthesis-Guided Vacuum-Assisted Biopsies of Tomosynthesis-Detected (2D Mammography and Ultrasound Occult) Architectural Distortions
    Patel, Bhavika K.
    Covington, Matthew
    Pizzitola, Victor J.
    Lorans, Roxanne
    Giurescu, Marina
    Eversman, William
    Lewin, John
    AMERICAN JOURNAL OF ROENTGENOLOGY, 2018, 210 (06) : 1395 - 1400
  • [9] Management of Mammographic Architectural Distortion Based on Contrast-enhanced MRI and US Correlation
    DiPrete, Olivia
    Wei, Catherine J.
    Phillips, Jordana
    Fishman, Michael D. C.
    Slanetz, Priscilla J.
    Lotfi, Parisa
    Dialani, Vandana
    Brook, Alexander
    JOURNAL OF BREAST IMAGING, 2023, 5 (04) : 425 - 435
  • [10] The feasibility of contrast-enhanced spectral mammography immediately after contrast-enhanced CT
    Okada, Nobuko
    Tatsugami, Fuminari
    Sugai, Mai
    Okita, Izumi
    Ito, Mitsuya
    Ohtani, Shoichiro
    Ichimura, Kouichi
    Urashima, Masaki
    Awai, Kazuo
    RADIOLOGICAL PHYSICS AND TECHNOLOGY, 2019, 12 (03) : 277 - 282
12345