Costs associated with evaluation of incidental breast lesions identified on computed tomography

Schramm, Dominik; Jasaabuu, Cholpan; Bach, Andreas; Tennstedt, Oliver; Spielmann, R. P.; Surov, Alexey

doi:10.1259/bjr.20140847

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…Morphological analysis of IBLs revealed that non-circumscribed margin was the highest PPV for malignancy (74%) and irregular or lobulated shape was a 5% positive predictive value [8].…”

Section: Discussionmentioning

confidence: 99%

Multi-detector CT chest: can it omit the further need for contrast enhnaced spectral mammography in breast cancer patients candidate for CT staging?

Rahman

Al-Dhurani

Radwan

et al. 2022

Egypt J Radiol Nucl Med

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Background During multi-detector computed tomography (MDCT) of the chest, incidental breast lesions (IBLs) are occasionally encountered. Mammography remains the gold standard for the early detection of breast cancer. However, limitations exist in patients with dense breasts. Contrast spectral mammography (CESM) is widely available compared to MRI; it increases the sensitivity for breast cancer detection without decreasing the specificity. Results The study is a prospective study that included 113 female breast cancer patients for CT staging. One hundred and six of the patients had unilateral carcinoma and 7 of them had bilateral cancer with a total of 120 breasts evaluated. The CT findings were correlated with CESM findings regarding the multiplicity and bilaterality of the disease. The sensitivity, specificity, PPV, NPV, and accuracy of the CT in the detection of multiplicity were 97.44%, 100%, 100%, 95.45%, and 98.33%, respectively, and the sensitivity, specificity, PPV, NPV, and accuracy of the CT in the detection of bilateral disease were 68.18%, 97.96%, 88.24%, 93.20%, and 92.50%, respectively. Conclusions Breast cancer patients for MDCT chest as a part of their metastatic workup can omit the further need for CESM.

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“…Morphological analysis of IBLs revealed that non-circumscribed margin was the highest PPV for malignancy (74%) and irregular or lobulated shape was a 5% positive predictive value [8].…”

Section: Discussionmentioning

confidence: 99%

Multi-detector CT chest: can it omit the further need for contrast enhnaced spectral mammography in breast cancer patients candidate for CT staging?

Rahman

Al-Dhurani

Radwan

et al. 2022

Egypt J Radiol Nucl Med

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“…Computed tomography (CT) has always been considered an inaccurate method for breast evaluation; however many studies have shown that conventional chest CT is able to detect malignant breast lesions 3–10 . Dedicated CT devices developed for breast assessment, using technologies, such as “cone beam” and “phase contrast,” have shown promising results 11–14 .…”

mentioning

confidence: 99%

“…1,2 Computed tomography (CT) has always been considered an inaccurate method for breast evaluation; however many studies have shown that conventional chest CT is able to detect malignant breast lesions. [3][4][5][6][7][8][9][10] Dedicated CT devices developed for breast assessment, using technologies, such as "cone beam" and "phase contrast," have shown promising results. [11][12][13][14] However, only few studies have evaluated the performance of conventional multide-tector CT (MDCT) devices in the evaluation of breast lesions (Table 1).…”

mentioning

confidence: 99%

Iodinated Contrast Enhancement of Breast Cancer on Prone Multidetector Computed Tomography—Preliminary Findings

Felipe

Barbosa

Chojniak

et al. 2022

J Comput Assist Tomogr

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The chest radiologist's role in invasive breast cancer detection

et al. 2018

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Costs associated with evaluation of incidental breast lesions identified on computed tomography

Abstract: The radiologist should carefully evaluate the breast on CT and all identified BI should be clarified. The evaluation of BI is associated with a low economic burden.

Cited by 5 publications

References 18 publications

Multi-detector CT chest: can it omit the further need for contrast enhnaced spectral mammography in breast cancer patients candidate for CT staging?

Multi-detector CT chest: can it omit the further need for contrast enhnaced spectral mammography in breast cancer patients candidate for CT staging?

Iodinated Contrast Enhancement of Breast Cancer on Prone Multidetector Computed Tomography—Preliminary Findings

The chest radiologist's role in invasive breast cancer detection

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