Full Field Digital Mammography (FFDM) versus CMOS Technology, Specimen Radiography System (SRS) and Tomosynthesis (DBT) - Which System Can Optimise Surgical Therapy?
| Autor: | Marc Saake, Ruediger Schulz-Wendtland, Peter Dankerl, Sebastian M. Jud, G Dilbat, Peter A. Fasching, Michael Uder, M. Meier-Meitinger, B. Brehm, Christian M. Bayer, Michael P. Lux, Christian R. Loehberg, Katharina Heusinger, M. W. Beckmann, Claudia Rauh, Matthias Hammon, Mayada R. Bani |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Radiography Obstetrics and Gynecology Magnification medicine.disease Full field digital mammography Article Tomosynthesis Dot pitch Breast cancer CMOS Maternity and Midwifery medicine Mammography Medical physics business Nuclear medicine |
| Zdroj: | Geburtshilfe und Frauenheilkunde. 73:422-427 |
| ISSN: | 1438-8804 0016-5751 |
| DOI: | 10.1055/s-0032-1328600 |
| Popis: | Aim: This prospective clinical study aimed to evaluate whether it would be possible to reduce the rate of re-excisions using CMOS technology, a specimen radiography system (SRS) or digital breast tomosynthesis (DBT) compared to a conventional full field digital mammography (FFDM) system. Material and Method: Between 12/2012 and 2/2013 50 patients were diagnosed with invasive breast cancer (BI-RADS™ 5). After histological verification, all patients underwent breast-conserving therapy with intraoperative imaging using 4 different systems and differing magnifications: 1. Inspiration™ (Siemens, Erlangen, Germany), amorphous selenium, tungsten source, focus 0.1 mm, resolution 85 µm pixel pitch, 8 lp/mm; 2. BioVision™ (Bioptics, Tucson, AZ, USA), CMOS technology, photodiode array, flat panel, tungsten source, focus 0.05, resolution 50 µm pixel pitch, 12 lp/mm; 3. the Trident™ specimen radiography system (SRS) (Hologic, Bedford, MA, USA), amorphous selenium, tungsten source, focus 0.05, resolution 70 µm pixel pitch, 7.1 lp/mm; 4. tomosynthesis (Siemens, Erlangen, Germany), amorphous selenium, tungsten source, focus 0.1 mm, resolution 85 µm pixel pitch, 8 lp/mm, angular range 50 degrees, 25 projections, scan time > 20 s, geometry: uniform scanning, reconstruction: filtered back projection. The 600 radiographs were prospectively shown to 3 radiologists. Results: Of the 50 patients with histologically proven breast cancer (BI-RADS™ 6), 39 patients required no further surgical therapy (re-excision) after breast-conserving surgery. A retrospective analysis (n = 11) showed a significant (p |
| Databáze: | OpenAIRE |
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