Can the synthetic C view images be used in isolation for diagnosing breast malignancy without reviewing the entire digital breast tomosynthesis data set?
| Autor: | Louise Coffey, Cecily Quinn, Mark C. Murphy, Ailbhe C. O’Neill, Sorcha McNally, Ruth Prichard |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Biopsy Breast Neoplasms Breast malignancy Malignancy 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Breast cancer Radiologists medicine Mammography Humans Breast skin and connective tissue diseases Early Detection of Cancer medicine.diagnostic_test business.industry General Medicine Digital Breast Tomosynthesis Middle Aged medicine.disease Tomosynthesis Data set 030220 oncology & carcinogenesis Radiographic Image Interpretation Computer-Assisted Female Radiology business |
| Zdroj: | Irish journal of medical science. 187(4) |
| ISSN: | 1863-4362 |
| Popis: | The aim of this study was to determine if the synthetic C view acquired at digital breast tomosynthesis (DBT) would give adequate information to confirm a malignancy and could obviate the need to review all the tomosynthesis image data set. All patients with biopsy-proven breast cancer recalled from screening mammograms between May and September 2016 were included for review. For each patient, the screening 2D mammogram, the synthetic C view, and the DBT images were reviewed by three breast radiologists and each assigned a BIRADS code. Any discrepancies were reviewed and resolved by consensus. A total of 92 patients were diagnosed with breast cancer in this time period. Fourteen were excluded because they did not have DBT performed. Five women were recalled for evaluation of two lesions. In total, 83 lesions were assessed. In 27 cases, the BIRADS code remained unchanged in the three modalities. In 16 cases, the lesions appeared more concerning on C view and DBT that on the original mammogram but were not definitive for malignancy (BIRADS 4). In 29 cases, a BIRADS 5 code was assigned on C view and tomosynthesis but not on 2D. For 11 lesions, a BIRADS 5 code was assigned only on DBT. Four women had BIRADS 5 lesions seen on both the C view and DBT that were not seen on the screening 2D mammogram. One was multifocal. While the synthetic C view gives additional information when compared to a screening 2D mammogram, the full DBT tomosynthesis data set needs to be reviewed to diagnose a breast malignancy. |
| Databáze: | OpenAIRE |
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