Comparison of Resource Utilization and Clinical Outcomes Following Screening with Digital Breast Tomosynthesis Versus Digital Mammography: Findings From a Learning Health System

Alsheik, Nila; Dabbous, Firas; Pohlman, Scott; Troeger, K.A.; Gliklich, Richard E.; Donadio, Gregory; Su, Zhaohui; Menon, Vandana; Conant, Emily F.

doi:10.1016/j.acra.2018.05.026

Cited by 32 publications

(30 citation statements)

References 10 publications

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“…Although some studies have shown lower recall and false positives with DBT [6][7][8] , this was not confirmed in the present review. Our analyses did not find evidence for differences in recall rates between DBT (with digital or synthetic mammography) and digital mammography alone.…”

Section: Discussioncontrasting

confidence: 89%

“…After completely reading these references, 18 studies (comprising 26 articles, since some had more than one published article) met our eligibility criteria and therefore were included in this review [4][5][6][7][8][24][25][26][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] .…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen studies evaluated DBT in combination with digital mammography versus digital mammography alone. These studies included: one RCT 24 , five accuracy studies 7,34,35,40,44 , and eight retrospective cohort studies [4][5][6]8,[36][37][38]46 . Six studies, three accuracy studies 35,43,48 , one prospective cohort study 47 , one RCT 25 and one quasi-RCT 26 evaluated the effectiveness of DBT with synthetic mammography versus digital mammography alone.…”

Section: Resultsmentioning

confidence: 99%

“…Several studies have shown that adding DBT to digital mammography significantly increases the detection of breast cancer [4][5][6] . However, results from previous studies regarding recall rates are inconsistent; some studies have shown reduction in false recalls 7,8 , while others have shown that the proportion of women recalled for further assessment has increased 9,10 .…”

mentioning

confidence: 99%

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Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis

Giampietro

Cabral

Lima

et al. 2020

Sci Rep

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We proposed to compare the accuracy and effectiveness of digital breast tomosynthesis (DBT), plus digital or synthetic mammography, with digital mammography alone in women attending populationbased breast cancer screenings. We performed a systematic review and included controlled studies comparing DBT with digital mammography for breast cancer screening. Search strategies were applied to the MEDLINE, Embase, LILACS, and CENTRAL databases. With moderate quality of evidence, in 1,000 screens, DBT plus digital mammography increased the overall and invasive breast cancer rates by 3 and 2 (RR 1.36, 95% CI 1.18 to 1.58 and RR 1.51, 95% CI 1.27 to 1.79, respectively). DBT plus synthetic mammography increased both overall and invasive breast cancer rates by 2 (RR 1.38, 95% CI 1.24 to 1.54 and RR 1.37, 95% CI 1.22 to 1.55, respectively). DBT did not improve recall, false positive and false negative rates. However due to heterogeneity the quality of evidence was low. For women attending population-based breast cancer screenings, DBT increases rates of overall and invasive breast cancer. There is no evidence with high or moderate quality showing that DBT compared with digital mammography decreases recall rates, as well as false positive and false negative rates.

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Section: Discussioncontrasting

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis

Giampietro

Cabral

Lima

et al. 2020

Sci Rep

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“…A corresponding increase in positive predictive value of screening recalls from 9.6% to 12.6% was observed (P , .003), with a nonsignificant increase in cancer detection rate. Alshiek and colleagues (6) found improved metrics with digital breast tomosynthesis in more than 145 000 women aged 60-79 years, with a significant reduction in the recall rate from 9.14% to 6.99% (P , .001) (6). They also found a significantly increased cancer detection rate with digital breast tomosynthesis in this age group.…”

Section: Good News For Older Women Undergoing Screening Mammography Wmentioning

confidence: 93%

Good News for Older Women Undergoing Screening Mammography with Digital Breast Tomosynthesis

Philpotts

Durand

2019

Radiology

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Association of Screening With Digital Breast Tomosynthesis vs Digital Mammography With Risk of Interval Invasive and Advanced Breast Cancer

Kerlikowske

Sprague

et al. 2022

JAMA

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Key PointsQuestionIs digital breast tomosynthesis (DBT) associated with lower risk of interval invasive and advanced breast cancer (prognostic pathologic stage II or higher) compared with digital mammography among women with dense breasts?FindingsIn this cohort study that included 504 427 women undergoing 1 379 089 screening mammograms, interval cancer rates were not significantly different for DBT vs digital mammography. Among women with extremely dense breasts and high risk of breast cancer (3.6% of the study population), the advanced cancer rates for DBT vs digital mammography were 0.27 vs 0.80 per 1000 examinations over 12 months, respectively; the difference was statistically significant. Among women with nondense breasts, heterogeneously dense breasts, or with extremely dense breasts but at low to average risk of breast cancer (96.4% of the study population), there were no significant differences in advanced cancer rates.MeaningAmong women with extremely dense breasts and at high risk of breast cancer, screening with DBT compared with digital mammography was associated with a lower risk of advanced breast cancer.

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Comparison of Resource Utilization and Clinical Outcomes Following Screening with Digital Breast Tomosynthesis Versus Digital Mammography: Findings From a Learning Health System

Cited by 32 publications

References 10 publications

Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis

Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis

Good News for Older Women Undergoing Screening Mammography with Digital Breast Tomosynthesis

Association of Screening With Digital Breast Tomosynthesis vs Digital Mammography With Risk of Interval Invasive and Advanced Breast Cancer

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