Breast tomosynthesis state-of-the-art and review of the literature

After ethics approval, CESM and MRI examinations were performed in patients who had suspicious lesions described in conventional mammography. DBT helps eliminate the overlap problem and has been shown to reduce false positives by 30 to 39 percent.

Histopathology was taken as the gold standard. They compiled a narrative synthesis. Make sure to focus on recent articles. Women who place a higher value on the potential benefit than the potential harms may choose to begin biennial screening between the ages of 40 and 49 years C recommendation.

The reconstructed tomosynthesis slices can be displayed similarly to computed tomography reconstructed slices. If a patient is deemed to be at high risk, then a more robust pathway and education on surveillance and prophylactic intervention could be offered.

To mitigate motion artifacts, a detector composed of 2 layers may be used to simultaneously acquire the low and high energy images. They identified 8 studies that compared single reading with CAD against double reading, of which 6 reported on comparisons of both sensitivity and specificity.

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women aged 75 years or older I statement.

These limitations are largely overcome by automated breast ultrasound ABUS imaging. AUCs were not significantly different in any of the other subgroups.

An altenate method is to keep the detector stationary relative to the breast platform. The main drawbacks of this study were: Read good topics here: They stated that further research is required into the feasibility of implementing DBT in a screening setting, prognostic modeling on outcomes and mortality, and comparison of 2D and synthetic 2D for different lesion types.

Sensitivity for mammography plus ultrasound was 0. The system consisted of pre-screening, clustering, and FP reduction stages. These individual images are then reconstructed into slices. Thus, the role of these systems in clinical practice is still debated, and their real contribution to the overall management of the diagnostic process is still unclear.

In this work, these researchers evaluated both of these methods using amorphous selenium as the detection material to find the system parameters tube voltage, filtration, photoconductor thickness and relative intensity ratio leading to the optimal performance.

Based on 2 studies of U. Clearly, supplementing mammography with advanced imaging should be considered for women with dense breast tissue. Histopathology confirmed that 81 of lesions were malignant and 37 were benign.

Choose the right topic. This helps you get a better picture of how to create the review correctly. The use of DBT may reduce false positives, and there is a significant breast cancer detection benefit when using screening ultrasound to supplement annual mammography in women with dense breast tissue.

They determined the concordance between the methods, as well as their level of agreement with the pathology. Inclusion of anatomical noise is essential for optimizing spectral imaging systems. Berg et al compared the diagnostic yield, defined as the proportion of women with positive screen test results and positive reference standard, and performance of screening with ultrasound plus mammography versus mammography alone in women at elevated risk of breast cancer.

Automated Breast Ultrasound Ultrasound is a proven diagnostic tool in breast imaging; however, the limitations of traditional hand-held ultrasound HHUSwhich include operator-dependent variability and elevated acquisition times, make it unwieldy for broad-scale screening.


This has made it difficult for professional societies to develop specific mammography screening recommendations for high-risk women. These investigators systematically searched MedLine, EMBASE, and Web of Science for the terms breast cancer, screening, tomosynthesis, mammography, sensitivity, and specificity in publications in the period comprising June through February After 3 rounds of both screenings, of women who chose to undergo an MRI had complete data.

The authors noted that CEDM has a useful role in identifying occult lesions in dense breasts and in triaging lesions. For women with dense breasts given the choice of US or tomosynthesis, US shows more cancers.

The authors concluded that DBT is a promising new technology that has shown improved accuracy for screening and diagnostic breast imaging. The technique is the same as in screen-film mammography. They included studies on diagnostic tests and systematic reviews. You can also choose to include only recent articles, which is very helpful.

The authors concluded that no statistically significant differences were found between soft-copy digital and screen-film mammography for Fischer, Fuji, and GE digital mammography equipment. Each breast is positioned and compressed between two clear plates, which are attached to a specialized camera, and pictures are taken from two directions.

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The literature review encompasses all existing literature on a given subject, while the state-of-art refers to the latest evidence available, in the. Background. A mammogram is an x-ray of the breast.

A screening mammography is one of several tools that are used for early detection of breast cancer in asymptomatic women. This article will review the current literature and develop an evidence-based approach to supplemental imaging for women with dense breast tissue by concentrating on two U.S.

Food and Drug Administration (FDA)-approved supplemental techniques, digital breast tomosynthesis (DBT) and automated breast ultrasound (ABUS). Breast cancer is the most common life-threatening cancer among women in British Columbia and the second most common cause of cancer mortality.

Mammography is a very well‐established imaging modality for the early detection and diagnosis of breast cancer. However, since the introduction of digital imaging to the realm of radiology, more advanced, and especially.

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Digital breast tomosynthesis (DBT): initial experience in a clinical setting Breast tomosynthesis state-of-the-art and review of the literature
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State of the art literature review on performance measurement - ScienceDirect