The role of digital breast tomosynthesis in the breast assessment clinic: a review

Mall, Suneeta; Lewis, Sarah; Brennan, Patrick C.; Noakes, Jennie; Mello‐Thoms, Claudia

doi:10.1002/jmrs.230

Cited by 15 publications

(16 citation statements)

References 58 publications

(283 reference statements)

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“…Architectural distortions are false negatives that typically accompany tissue overlap, so the level of contribution by 3DBT to diagnostic performance is high. [15] In the current study, 35 architectural distortions were detected by DBT, 30 lesions were evident in 2D mammography while the other five were hidden due to tissue overlap and were counted as false negatives for mammography. There was significant difference in BIRADS category of distortions between FFDM and DBT(P < 0.0001).…”

Section: Discussionmentioning

confidence: 54%

The impact of Digital Breast Tomosynthesis on BIRADS categorization of mammographic non-mass findings

Fattah

Zahran

Fawzy

et al. 2021

Alexandria Journal of Medicine

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Introduction: Mammography is the most used breast screening tool and was proven to reduce breast-cancer-associated mortality. The estimated sensitivity of mammography varies between 77% and 95%; however, sensitivity could be 26% lower in dense breasts than in entirely fatty breasts. The ability to represent the complex 3D breast architecture and early changes in anatomical structures in a 2D view is the biggest challenge for mammography. In Digital Breast Tomosynthesis (DBT), tomographic images are reconstructed from multiple projections acquired from different angles. This technique allows the generation of 3D data, reduction of tissue overlap and allows better evaluation of masses, architectural distortion, and asymmetries compared with conventional two-dimensional mammographic images. Objective: To evaluate the impact of Digital Breast Tomosynthesis on BIRADS categorization of mammographic non-mass findings. Methods: Prospective cohort for 180 women with mammographic non-mass findings who presented to Alexandria University Radio diagnosis Department either for screening or diagnostic purposes between July 2019 and August 2020 with mean age 51.44 ± 10.67 . Digital breast tomosynthesis and ultrasound was done for all patients. Lesions were evaluated on DM; DBT alone then combined DBT & DM. Comparison of results according to changes in BIRADS, diagnostic performance using histopathology as gold standard. Results: 208 non-mass findings were detected by conventional mammography (104 asymmetry, 35 architectural distortion, 69 micro calcifications), Tomosynthesis reduced the BIRADS 3 count by 32%, upgraded the count of BIRADS 4 lesions by 11.4% while upgraded the BIRADS 2 by 18.9% with consequent improvement of sensitivity and specificity, PPV, NPV and accuracy to 96%, 95%, 94%,97%, and 95.6%. Conclusion: Combined FFDM and DBT improved the diagnostic performance in evaluation of non-mass findings and proper BIRADS categorization.

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Section: Discussionmentioning

confidence: 54%

The impact of Digital Breast Tomosynthesis on BIRADS categorization of mammographic non-mass findings

Fattah

Zahran

Fawzy

et al. 2021

Alexandria Journal of Medicine

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“…DBT technique shows the advantage that eliminates artifacts from normally dense glandular tissue and results in better detection of pathological masses, even masses with the size about 7-8 mm. In long-term trials, DBT technique shows superior value for size changes observation between following examination also [12].…”

Section: Pathological Tissue Mass Typesmentioning

confidence: 94%

Digital breast tomosynthesis (DBT) value in breast mass detection

Kuczyńska

Kwietniewski

Kupisz

et al. 2020

Polish Journal of Public Health

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Epidemiologically, breast cancer is the most common cancer in middle-aged women and it is one of the leading causes of cancer-related deaths. Middle-aged patients are covered by screening tests – digital mammography, often supplemented with ultrasound (US) breast examination. Other radiological tests in the diagnosis of breast cancer include such techniques as tomosynthesis, spectral mammography and magnetic resonance imaging (MRI). Many research groups around the world have demonstrated superiority of tomosynthesis in detecting focal lesions in breasts when compared to conventional mammography. Tomosynthesis usage was proposed for screening studies as a test of choice and for radiologically-guided tissue biopsies of suspicious tissue lesions.

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“…To overcome the problem of digital mammography that sometimes gives superimposable tumor structures or may abstruse lesions in the breast with dense tissues during diagnosis, tomosynthesis has come as a useful advancement for breast cancer evaluation [25] with more sensitivity and specificity than conventional mammography technique. This term tomosynthesis was first termed by Grant et al [26].…”

Section: Tomosynthesismentioning

confidence: 99%

Advanced and futuristic approaches for breast cancer diagnosis

et al. 2020

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Background Breast cancer is the most frequent cancer and one of the most common causes of death in women, impacting almost 2 million women each year. Tenacity or perseverance of breast cancer in women is very high these days with an extensive increasing rate of 3 to 5% every year. Along with hurdles faced during treatment of breast tumor, one of the crucial causes of delay in treatment is invasive and poor diagnostic techniques for breast cancer hence the early diagnosis of breast tumors will help us to improve its management and treatment in the initial stage. Main body Present review aims to explore diagnostic techniques for breast cancer that are currently being used, recent advancements that aids in prior detection and evaluation and are extensively focused on techniques that are going to be future of breast cancer detection with better efficiency and lesser pain to patients so that it helps to a physician to prevent delay in treatment of cancer. Here, we have discussed mammography and its advanced forms that are the need of current era, techniques involving radiation such as radionuclide methods, the potential of nanotechnology by using nanoparticle in breast cancer, and how the new inventions such as breath biopsy, and X-ray diffraction of hair can simply use as a prominent method in breast cancer early and easy detection tool. Conclusion It is observed significantly that advancement in detection techniques is helping in early diagnosis of breast cancer; however, we have to also focus on techniques that will improve the future of cancer diagnosis in like optical imaging and HER2 testing.

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The role of digital breast tomosynthesis in the breast assessment clinic: a review

Cited by 15 publications

References 58 publications

The impact of Digital Breast Tomosynthesis on BIRADS categorization of mammographic non-mass findings

The impact of Digital Breast Tomosynthesis on BIRADS categorization of mammographic non-mass findings

Digital breast tomosynthesis (DBT) value in breast mass detection

Advanced and futuristic approaches for breast cancer diagnosis

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