Study of role of digital breast tomosynthesis over digital mammography in the assessment of BIRADS 3 breast lesions, Egyptian Journal of Radiology and Nuclear Medicine

Background Breast cancer is the most common malignancy in women and thus, screening has become an important health issue. Although mammography remains the standard of care for breast cancer screening and diagnosis (with biopsy), tomosynthesis (3D DBT) allows the separation of overlapping structures seen on 2D mammography and thus enables better depiction of masses or asymmetries. Results A prospective study for mammographic cases referred to our radiology unit included 60 lesions detected in 59 patients that were performed during the period from January 2016 to September 2017. Patients’ ages ranged from 26 to 72 years with mean age 51 ± 12 SD. Sixty percent of breast imaging-reporting and data system (BIRADS) 3 lesions detected by 2D digital mammography (36/60) changed their category after 3D DBT, 40% (24/60) digital mammography noticed lesions did not change their BIRADS after 3D DBT. Twenty-nine BIRADS 3 lesions out of the 60 were downgraded to BIRADS 1and 2, while 7 BIRADS 3 lesions out of the 60 were upgraded to BIRADS 4 and 5 which were all biopsied. Six out of the 7 lesions were pathologically proven ducal carcinoma and 1 out of 7 pathologically proven to be atypical ductal hyperplasia. Conclusion 3D DBT significantly reduced the need for additional mammographic views and frequent follow-up studies as it gave better characterization for all BIRADS 3 lesions.

Digital Breast Tomosynthesis: an Overview

PDF) Role of tomosynthesis and ultrasound in the assessment of asymmetric breast densities: a comparative prospective study

Artificial intelligence system reduces false-positive findings in the interpretation of breast ultrasound exams

Characterization of breast masses: a comparative study between automated breast ultrasound (ABUS) and digital breast tomosynthesis (DBT), Egyptian Journal of Radiology and Nuclear Medicine

Comparative study between breast tomosynthesis and classic digital mammography in the evaluation of different breast lesions - ScienceDirect

Breast tomosynthesis: A diagnostic addition to screening digital mammography - ScienceDirect

Luc Rotenberg : Digital Breast Tomosynthesis

PDF) Breast imaging reporting and data system (BI-RADS) lexicon for breast MRI: Interobserver variability in the description and assignment of BI-RADS category

PDF) Study of role of digital breast tomosynthesis over digital mammography in the assessment of BIRADS 3 breast lesions