- Oral presentation
- Open Access
- Published:
A comparison of the accuracy of digital breast tomosynthesis with supplementary views in the diagnostic workup of mammographic lesions
Breast Cancer Research volume 13, Article number: O6 (2011)
Introduction
Supplementary views (SV) are routinely used in the diagnostic workup of mammographic lesions. Previous studies have demonstrated that digital breast tomosynthesis (DBT) increases the accuracy of classification of mammographic lesions [1]. In this study the diagnostic accuracy of SV is compared with DBT.
Methods
The study included cases from screening assessment and symptomatic clinics requiring further mammographic workup. The cases were read by seven specialist breast radiologists. In the first session, readers read bilateral two-view full-field digital mammography (FFDM) and SV of the lesion. In the second session, at least 1 week later, readers read bilateral two-view FFDM plus one-view DBT in the same projection as the SV. Mammographic scores (1 to 5), lesion type and final outcome were recorded.
Results
A total of 356 cases were assessed using receiver operative characteristic analysis to evaluate the difference between the two modes. For FFDM plus SV, the area under the curve (AUC) was 0.8807 (95% CI = 0.84374 to 0.91766) and for FFDM plus DBT the AUC was 0.9186 (95% CI = 0.88821 to 0.94895); difference in AUCs was 0.0379 with P value 0.055.
Conclusion
These results demonstrate that the accuracy of DBT has borderline superiority to SV in the diagnostic workup of mammographic lesions.
References
Michell MJ, Iqbal A, Wasan RK, Douiri A, Evans DR, Peacock C, Morel JC, Lawinski CP: Phase I trial to determine the performance of digital breast tomosynthesis versus two dimension digital and film-screen mammography [abstract SSQ01-02]. 96th Scientific Assembly and Annual Meeting; 28 November-3. 2010, [http://rsna2010.rsna.org]December ; Chicago, IL, USA. RSNA
Author information
Authors and Affiliations
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
About this article
Cite this article
Morel, J., Iqbal, A., Peacock, C. et al. A comparison of the accuracy of digital breast tomosynthesis with supplementary views in the diagnostic workup of mammographic lesions. Breast Cancer Res 13 (Suppl 1), O6 (2011). https://doi.org/10.1186/bcr2952
Published:
DOI: https://doi.org/10.1186/bcr2952
Keywords
- Cancer Research
- Symptomatic Clinic
- Diagnostic Accuracy
- Final Outcome
- Characteristic Analysis