Examining the effectiveness of supplementary imaging modalities for breast cancer screening in women with dense breasts: A systematic review and meta-analysis.

Autor: Mizzi D; Department of Radiography, Faculty of Health Sciences, University of Malta, Msida, MSD 2080, Malta. Electronic address: deborah.mizzi@um.edu.mt., Allely C; School of Health and Society, University of Salford, Manchester M5 4WT, United Kingdom. Electronic address: c.s.allely@salford.ac.uk., Zarb F; Department of Radiography, Faculty of Health Sciences, University of Malta, Msida, MSD 2080, Malta. Electronic address: francis.zarb@um.edu.mt., Kelly J; Wirral and Chester Breast Unit, Countess of Chester Health Park, Liverpool Road, CH2 1UL Chester, United Kingdom. Electronic address: judith.kelly2@nhs.net., Hogg P; School of Health and Society, University of Salford, Manchester M5 4WT, United Kingdom. Electronic address: P.Hogg@salford.ac.uk., McEntee M; Chair of Diagnostic Radiography, Brookfield Health Sciences, University College Cork, T12 AK54, Ireland. Electronic address: mark.mcentee@ucc.ie., England A; School of Medicine, University College Cork, Co, Cork, Ireland. Electronic address: aengland@ucc.ie., Mercer C; School of Health and Society, University of Salford, Manchester M5 4WT, United Kingdom. Electronic address: c.e.mercer@salford.ac.uk.
Jazyk: angličtina
Zdroj: European journal of radiology [Eur J Radiol] 2022 Sep; Vol. 154, pp. 110416. Date of Electronic Publication: 2022 Jun 22.
DOI: 10.1016/j.ejrad.2022.110416
Abstrakt: Purpose: To systematically review studies on the effectiveness of supplementary imaging for breast cancer screening in women with dense breasts.
Materials and Methods: A systematic search of peer-reviewed publications in English (January 2000 to March 2021) was carried out. Eight databases were used to retrieve the studies: MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Clinical Answers, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, PubMed, and Web of Science. Two radiographers and an academic independently reviewed the articles to determine if the studies met inclusion criteria. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Summary estimates of diagnostic accuracy were obtained by using proportion and diagnostic metanalysis.
Results: From 3764 studies that underwent title and abstract screening, 221 studies underwent full-text screening. Of these 42 were included in the qualitative and quantitative synthesis. Results for sensitivity, specificity, positive and negative predictive values, cancer detection rates, recall and biopsy rates in women with dense breasts undergoing supplementary imaging were reported. Studies included in this review were heterogeneous, as was the proportion of women undergoing prevalence and incidence screening rounds.
Conclusions: Supplementary screening among women with dense breasts who had recent negative mammograms can consistently identify additional cancers and lead to further recalls and biopsies.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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