Combination of one-view digital breast tomosynthesis with one-view digital mammography versus standard two-view digital mammography: per lesion analysis

Gennaro, Gisella; Hendrick, R. Edward; Toledano, Alicia Y.; Paquelet, Jean R.; Bezzon, Elisabetta; Chersevani, Roberta; Maggio, C. Di; Grassa, Manuela La; Pescarini, Luigi; Polico, Ilaria; Proietti, Alessandro; Baldan, Enrica; Pomerri, Fabio; Muzzio, Pier Carlo

doi:10.1007/s00330-013-2831-0

Cited by 41 publications

(41 citation statements)

References 25 publications

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“…One-view DBT and opposite-view FFDM have also shown better lesion detection and characterization than two-view FFDM and are noninferior to two-view FFDM in cancer detection and malignant lesion characterization. 25 The radiation dose from one-view DBT and opposite-view FFDM is similar to that of two-view FFDM alone.…”

mentioning

confidence: 87%

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

Haq¹,

Lim²,

Maxwell³

et al. 2015

BJR

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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 softtissue 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 twoview 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.

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mentioning

confidence: 87%

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

Haq¹,

Lim²,

Maxwell³

et al. 2015

BJR

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“…One interesting thing is that the patients' age included in this Full paper: Comparison of digital breast tomosynthesis and digital mammography BJR study (mean age, 49 years), despite excluding patients less than 30 years, was lower than in most studies. [12][13][14]26 It is known that the incidence of dense breast tissue is increased with decreasing age. DBT is more useful in dense breast tissue, and similar results were obtained from this study including even more young females.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14] The combination of digital mammography and tomosynthesis has advantages in that standard digital mammograms provide an overview of distributional features, particularly calcifications and allow comparisons with previous mammograms. However, additional radiation exposure should be considered in the addition of DBT to the standard FFDM.…”

Section: Discussionmentioning

confidence: 99%

“…Previous investigations of DBT report its potential benefits, including increased cancer detection rates and decreased rates of recall, [9][10][11][12][13] mostly when performed in two views adjunct to FFDM. Results for one-view DBT are diverging, ranging from a comparable performance (slightly better/worse) [14][15][16][17] to that of FFDM to a superior performance. 18,19 The utility of DBT in the screening and/or diagnosis of breast tissue is still under investigation.…”

Section: Introductionmentioning

confidence: 94%

“…There have only been relatively limited number of studies that have compared one-view DBT with two-view FFDM in diagnostic patients. 14,18,19 To extend these findings, this study compared one-view [mediolateral oblique (MLO) view] DBT with two-view [craniocaudal (CC) and MLO view] FFDM in the detection and characterization of breast lesions in a diagnostic population.…”

Section: Introductionmentioning

confidence: 99%

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Detection and characterization of breast lesions in a selective diagnostic population: diagnostic accuracy study for comparison between one-view digital breast tomosynthesis and two-view full-field digital mammography

Chae¹,

Kim²,

Hee³

et al. 2016

BJR

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Objective: To compare the performance of one-view digital breast tomosynthesis (DBT) and two-view full-field digital mammography (FFDM) in the detection and characterization of breast lesions in a selective diagnostic population. Methods: A total of 598 breasts of 319 diagnostic patients were prospectively enrolled. Participants underwent bilateral one-view, mediolateral oblique (MLO) DBT and two-view, craniocaudal and MLO FFDM. The sensitivity and specificity of these methods and their classification into correct Breast Imaging-Reporting and Data System (BI-RADS) categories were compared. These methods were also compared in patients subgrouped by mammographic parenchymal density. Receiver operating characteristic (ROC) curve analysis was performed using the probability of cancer scores. Results: DBT had higher overall sensitivity than FFDM (88.7% vs 80.7%, p 5 0.001). Subgroup analyses showed that DBT had significantly higher sensitivity in assessing dense breasts and invasive cancers than FFDM. The BI-RADS category assessment was significantly better for DBT than for FFDM. The differences between the two modalities in specificity (94.1% and 93.2% for FFDM and DBT) were not significant (p 5 0.664). The area under the ROC curves using the probability of cancer scores were 0.93 [95% confidence interval (CI), 0.91-0.95] for FFDM and 0.96 (95% CI, 0.94-0.97) for DBT (p 5 0.005). ROC curve analysis indicated that most of the increased performance of DBT was due to dense breasts. Conclusion: A beneficial effect on the detection and characterization of breast lesions was found for one-view DBT compared with two-view FFDM in a selective diagnostic population. Improvements were especially enhanced in females with dense breasts. These results need to be examined in studies using large-scale consecutive sampling of a diagnostic population. Advances in knowledge: In this study, using selective diagnostic study cases, one-view DBT offered improved reader performance compared with two-view FFDM for detection and characterization of breast cancers.

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

et al. 2017

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Mammography has long been considered as the primary technique in breast cancer detection and assessment. Despite low specificity, mammography has been preferred over other contemporary techniques such as magnetic resonance imaging (MRI), computed tomography (CT) and ultrasonography (US) due to superior sensitivity and significant health economic benefits. The development of a new technique, a limited angle cone beam pseudo‐three‐dimensional tomosynthesis, digital breast tomosynthesis (DBT), has gained momentum. Several preliminary studies and ongoing trials are showing evidence of the benefits of DBT in improving lesion visibility, accuracy of cancer detection and observer performance. This raises the possibility of adoption of DBT in the breast cancer assessment clinic, wherein confirming or dismissing the presence of malignancy (at the potential site identified during screening) is of utmost importance. Identification of suspected malignancy in terms of lesion characteristics and location is also essential in assessment. In this literature review, we evaluate the role of DBT for use in breast cancer assessment and its future in biopsy.

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Combination of one-view digital breast tomosynthesis with one-view digital mammography versus standard two-view digital mammography: per lesion analysis

Cited by 41 publications

References 25 publications

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

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

Detection and characterization of breast lesions in a selective diagnostic population: diagnostic accuracy study for comparison between one-view digital breast tomosynthesis and two-view full-field digital mammography

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

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