Outcomes by Race in Breast Cancer Screening With Digital Breast Tomosynthesis Versus Digital Mammography.

Autor:	Alsheik N; Section Chief, Division Breast Imaging. Co-Medical Director, Advocate Caldwell Breast Center; Chair, Advocate Breast Imaging Medical Directors Committee; Chair, AAHC Imaging Research Council; Advocate Lutheran General Hospital, Park Ridge, Illinois., Blount L; President and CEO of Black Women's Health Imperative; Vice-Chair of the board of Creating Healthier Communities; Chair of the Rare Disease Diversity Coalition, Washington, District of Columbia., Qiong Q; Advocate Caldwell Breast Center, Park Ridge, Illinois., Talley M; Sanford Health, Sioux Falls, South Dakota., Pohlman S; Director, Outcomes Research at Hologic, Marlborough, Massachusetts., Troeger K; Senior Director, Outcomes Research at Hologic, Marlborough, Massachusetts., Abbey G; Program Manager, RAD-AID Breast Imaging, RAD-AID International; Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York, New York., Mango VL; Director of Radiology at the Ralph Lauren Center for Cancer Care at Memorial Sloan Kettering; Head of Breast Imaging Clinical Research at Memorial Sloan Kettering; Associate Training Program Director Breast Imaging Fellowship at Memorial Sloan Kettering, Memorial Sloan Kettering Cancer Center, New York, New York; Director, RAD-AID Kenya, Nairobi, Kenya., Pollack E; Director of Breast Imaging at RAD-AID, RAD-AID International; Head of the breast imaging division at Denver Health and Hospital Authority, Denver, Colorado., Chong A; Associate Professor, Department of Radiology, University of California, San Diego, La Jolla, California; Vice Chair of Clinical Operations, Department of Radiology, RAD-AID Breast Imaging Program Manager, RAD-AID International., Donadio G; OM1, Boston, Massachusetts., Behling M; OM1, Boston, Massachusetts., Mortimer K; OM1, Boston, Massachusetts. Electronic address: kmortimer@om1.com., Conant E; Division Chief, Breast Imaging Hospital of the University of Pennsylvania Vice Chair of Faculty Development, Department of Radiology, Perelman School of Medicine, Professor of Radiology at the Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2021 Jul; Vol. 18 (7), pp. 906-918. Date of Electronic Publication: 2021 Feb 17.
DOI:	10.1016/j.jacr.2020.12.033
Abstrakt:	Purpose: Digital breast tomosynthesis (DBT) in conjunction with digital mammography (DM) is becoming the preferred imaging modality for breast cancer screening compared with DM alone, on the basis of improved recall rates (RR) and cancer detection rates (CDRs). The aim of this study was to investigate racial differences in the utilization and performance of screening modality. Methods: Retrospective data from 63 US breast imaging facilities from 2015 to 2019 were reviewed. Screening outcomes were linked to cancer registries. RR, CDR per 1,000 examinations, and positive predictive value for recall (cancers/recalled patients) were compared. Results: A total of 385,503 women contributed 542,945 DBT and 261,359 DM screens. A lower proportion of screenings for Black women were performed using DBT plus DM (referred to as DBT) (44% for Black, 48% for other, 63% for Asian, and 61% for White). Non-White women were less likely to undergo more than one mammographic examination. RRs were lower for DBT among all women (8.74 versus 10.06, P < .05) and lower across all races and within age categories. RRs were significantly higher for women with only one mammogram. CDRs were similar or higher in women undergoing DBT compared with DM, overall (4.73 versus 4.60, adjusted P = .0005) and by age and race. Positive predictive value for recall was greater for DBT overall (5.29 versus 4.45, adjusted P < .0001) and by age, race, and screening frequency. Conclusions: All racial groups had improved outcomes with DBT screening, but disparities were observed in DBT utilization. These data suggest that reducing inequities in DBT utilization may improve the effectiveness of breast cancer screening. (Copyright © 2021 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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