Digital Breast Tomosynthesis in the Diagnostic Environment: A Subjective Side-by-Side Review
Christiane M. Hakim, Denise M. Chough, Marie A. Ganott, Jules H. Sumkin, Margarita L. Zuley, and David Gur
AJR 2010;195:172-176
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RESULTS:
FFDM and DBT (combined) were perceived to be better for diagnosis in 50% (50/100) of the ratings (25 cases x four readers = 100 ratings) compared with FFDM and additional diagnostic views. Over all readers, 92% of the ratings for verified cancer cases and 50% of the ratings for high-risk cases were rated as BI-RADS 4 or 5. In 12% (12/100) of the ratings, radiologists indicated that the availability of DBT would have eliminated the need for ultrasound as a part of the diagnostic process
CONCLUSION:
DBT may be an alternative to obtaining additional mammographic views in most but not all cases of patients with a lesion that is not solely calcifications. In a fraction of cases, the use of DBT may eliminate the need for ultrasound
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