What question did this study set out to answer?

To identify clinical factors that predict changes in patient management and cancer detection when digital breast tomosynthesis is utilized alongside digital mammography.

March 3, 2014ISRN RadiologyOpen Access

Digital Breast Tomosynthesis Changes Management in Patients Seen at a Tertiary Care Breast Center

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To identify clinical factors that predict changes in patient management and cancer detection when digital breast tomosynthesis is utilized alongside digital mammography.
Evaluated N=996 patients undergoing digital breast tomosynthesis (DBT) with full field digital mammography (FFDM) at a tertiary care breast center.
Performed univariate analyses to determine predictors of clinical management modification and cancer detection across screening, symptomatic, and recall cohorts.
DBT modified clinical management in 11% of patients (109/996), resulting in 71% of these individuals (77/109) requiring less subsequent imaging.
Management changes occurred significantly more often in recalled patients (25% [24/97] vs 8% [13/163] symptomatic and 10% [72/736] screening; P < 0.001) and in patients with dense breasts (13% [68/526] vs 9% [41/470]; P = 0.03).
Breast cancer was diagnosed in 2% of patients (19/996), with DBT enabling 3 additional diagnoses (0.3%, 95% CI: 0.1–0.9%) and doubling the cancer detection rate in recalled patients.

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Implication

Observational study demonstrates digital breast tomosynthesis alters clinical management and enhances cancer detection in breast clinic attendees, indicating reduced unnecessary imaging.

Cite This Study

Margolies et al. (2014) studied this question.

synapsesocial.com/papers/6a1ec4b1bf2a5d44faaf4c14 https://doi.org/10.1155/2014/658929

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Implication

Observational study demonstrates digital breast tomosynthesis alters clinical management and enhances cancer detection in breast clinic attendees, indicating reduced unnecessary imaging.

Digital Breast Tomosynthesis Changes Management in Patients Seen at a Tertiary Care Breast Center

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Discussion

Implication

Cite This Study

Digital Breast Tomosynthesis Changes Management in Patients Seen at a Tertiary Care Breast Center

Key Points

Discussion

Implication

Cite This Study

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