Digital breast tomosynthesis at screening assessment: are two views always necessary?

被引:7
作者
Haq, Rabea [1 ,2 ]
Lim, Yit Y. [1 ,2 ,3 ]
Maxwell, Anthony J. [1 ,2 ,3 ]
Hurley, Emma [1 ,2 ]
Beetles, Ursula [1 ,2 ]
Bundred, Sara [1 ,2 ]
Wilson, Mary [1 ,2 ]
Astley, Susan [3 ]
Gilbert, Fiona J. [4 ]
机构
[1] Univ Hosp South Manchester NHS Trust, Nightingale Ctr, Manchester, Lancs, England
[2] Univ Hosp South Manchester NHS Trust, Genesis Prevent Ctr, Manchester, Lancs, England
[3] Univ Manchester, Inst Populat Hlth, Ctr Imaging Sci, Manchester, Lancs, England
[4] Univ Cambridge, Dept Radiol, Sch Clin Med, Cambridge, England
关键词
RECONSTRUCTED PROJECTION IMAGES; DIAGNOSTIC-ACCURACY; MAMMOGRAPHY; COMBINATION; PERFORMANCE;
D O I
10.1259/bjr.20150353
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: The current recommendation from the UK National Health Service Breast Screening Programme is that digital breast tomosynthesis (DBT) can be used for further assessment of possible screen-detected soft-tissue abnormalities in place of spot compression views and when used should be performed in two projections. The aim of the study was to assess whether two-view DBT is necessary if the abnormality is seen only in one view on initial full-field digital mammography (FFDM). Methods: 617 cases with possible masses, distortions and asymmetrical densities visualized only in one view on screening FFDM were included. All of these females underwent two-view DBT, clinical examination and ultrasound. The FFDM and DBT findings on each view were compared and correlated with the histological diagnosis. Results: 586 of 617 cases had normal or benign findings on further assessment, and no additional information was obtained on the other DBT view. There were 31 confirmed cancers. In 26 cases (84%), the cancer was seen on the corresponding DBT view. No cancer was seen on the other DBT view alone. Five cancers (16%) were not seen on either view on DBT owing to technical reasons. No cancers would have been missed if only the corresponding DBT view was performed. Conclusion: Two-view DBT may not be necessary when used for further assessment of possible screen-detected soft-tissue abnormalities. Larger studies should be undertaken to investigate this further. Advances in knowledge: One-view DBT may be adequate in assessing soft-tissue abnormalities seen only on one FFDM view.
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页数:8
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共 27 条
  • [11] Liston J, 2010, NHSBSP PUBLICATION
  • [12] The benefits and harms of breast cancer screening: an independent review
    Marmot, M. G.
    Altman, D. G.
    Cameron, D. A.
    Dewar, J. A.
    Thompson, S. G.
    Wilcox, M.
    [J]. BRITISH JOURNAL OF CANCER, 2013, 108 (11) : 2205 - 2240
  • [13] The Royal College of Radiologists Breast Group breast imaging classification
    Maxwell, A. J.
    Ridley, N. T.
    Rubin, G.
    Wallis, M. G.
    Gilbert, F. J.
    Michell, M. J.
    [J]. CLINICAL RADIOLOGY, 2009, 64 (06) : 624 - 627
  • [14] A comparison of the accuracy of film-screen mammography, full-field digital mammography, and digital breast tomosynthesis
    Michell, M. J.
    Iqbal, A.
    Wasan, R. K.
    Evans, D. R.
    Peacock, C.
    Lawinski, C. P.
    Douiri, A.
    Wilson, R.
    Whelehan, P.
    [J]. CLINICAL RADIOLOGY, 2012, 67 (10) : 976 - 981
  • [15] The accuracy of digital breast tomosynthesis compared with coned compression magnification mammography in the assessment of abnormalities found on mammography
    Morel, J. C.
    Iqbal, A.
    Wasan, R. K.
    Peacock, C.
    Evans, D. R.
    Rahim, R.
    Goligher, J.
    Michell, M. J.
    [J]. CLINICAL RADIOLOGY, 2014, 69 (11) : 1112 - 1116
  • [16] Assessment of extent of breast cancer: Comparison between digital breast tomosynthesis and full-field digital mammography
    Mun, H. S.
    Kim, H. H.
    Shin, H. J.
    Cha, J. H.
    Ruppel, P. L.
    Oh, H. Y.
    Chae, E. Y.
    [J]. CLINICAL RADIOLOGY, 2013, 68 (12) : 1254 - 1259
  • [17] NHS Cancer Screening Programmes, 2013, CURR POS US TOM DBT
  • [18] Diagnostic performance of digital versus film mammography for breast-cancer screening
    Pisano, ED
    Gatsonis, C
    Hendrick, E
    Yaffe, M
    Baum, JK
    Acharyya, S
    Conant, EF
    Fajardo, LL
    Bassett, L
    D'Orsi, C
    Jong, R
    Rebner, M
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (17) : 1773 - 1783
  • [19] Rafferty E, 2011, RAD SOC N AM 2011 SC
  • [20] Diagnostic Accuracy and Recall Rates for Digital Mammography and Digital Mammography Combined With One-View and Two-View Tomosynthesis: Results of an Enriched Reader Study
    Rafferty, Elizabeth A.
    Park, Jeong Mi
    Philpotts, Liane E.
    Poplack, Steven P.
    Sumkin, Jules H.
    Halpern, Elkan F.
    Niklason, Loren T.
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2014, 202 (02) : 273 - 281