Screening Mammography Findings From One Standard Projection Only in the Era of Full-Field Digital Mammography and Digital Breast Tomosynthesis

Abstract

One-view-only findings occur with both FFDM and FFDM-DBT and remain an important but uncommon sign of malignancy. They are more frequent, are more likely to represent summation artifacts, and have a lower PPV with FFDM than with FFDM-DBT.

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

“…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.…”

“…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] .…”

“…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.…”

“…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 .…”

An Exploratory Multi-reader, Multi-case Study Comparing Transmission Ultrasound to Mammography on Recall Rates and Detection Rates for Breast Cancer Lesions

“…Overlying fibroglandular tissue can mask a cancer, decreasing the sensitivity for breast cancer detection particularly for women with dense breasts (1,2). It can also cause summation artifacts, resulting in false-positive findings and more recalls, leading to additional studies and/or procedures (3).…”