Anna Starikov1, Michele Drotman1, Keith Hentel1, Janine Katzen1, Robert J Min1, Elizabeth Kagan Arleo2. 1. New York-Presbyterian/Weill Cornell, Department of Radiology, 425 East 61st Street, 9th floor, New York, NY 10065. 2. New York-Presbyterian/Weill Cornell, Department of Radiology, 425 East 61st Street, 9th floor, New York, NY 10065. Electronic address: ela9033@med.cornell.edu.
Abstract
PURPOSE: To determine which modalities [2D mammography (2D), digital breast tomosynthesis (DBT), whole breast sonography (WBS)] are optimal for screening depending on breast density. METHODS: Institutional retrospective cohort study of 2013 screening mammograms (16,789), sorted by modalities and density. RESULTS: Cancer detection is increased by adding WBS to 2D (P=.02) for the overall study population. Recall rate was lowest with 2D+DBT (10.2%, P<.001) and highest with 2D+DBT+WBS (23.6%, P<.001) for the overall study population as well. CONCLUSION: Women with dense and nondense breasts benefit from reduced recall rate with the addition of DBT; however, this benefit is negated with the addition of WBS.
PURPOSE: To determine which modalities [2D mammography (2D), digital breast tomosynthesis (DBT), whole breast sonography (WBS)] are optimal for screening depending on breast density. METHODS: Institutional retrospective cohort study of 2013 screening mammograms (16,789), sorted by modalities and density. RESULTS: Cancer detection is increased by adding WBS to 2D (P=.02) for the overall study population. Recall rate was lowest with 2D+DBT (10.2%, P<.001) and highest with 2D+DBT+WBS (23.6%, P<.001) for the overall study population as well. CONCLUSION:Women with dense and nondense breasts benefit from reduced recall rate with the addition of DBT; however, this benefit is negated with the addition of WBS.
Authors: Xuan-Anh Phi; Alberto Tagliafico; Nehmat Houssami; Marcel J W Greuter; Geertruida H de Bock Journal: BMC Cancer Date: 2018-04-03 Impact factor: 4.430