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Comparing tumor characteristics and rates of breast cancers detected by screening digital breast tomosynthesis and full-field digital mammography

American Journal of Roentgenology Feb 28, 2020

Dang PA, Wang A, Senapati GM, et, al. - This study was undertaken to correlate the cancer detection rates (CDRs), tumor types, and characteristics between screening digital breast tomosynthesis (DBT) and screening full-field digital mammography (FFDM) in a matched patient population in a large academic breast imaging practice with mixed DBT and FFDM technology. Between October 2012 and September 2014, researchers conducted consecutive screening FFDM and DBT examinations. They used propensity score matching on the basis of patient age, imaging site, and prior imaging findings to control for nonrandomized selection of FFDM vs DBT examinations. The study compared CDR and tumor type, grade, receptor, nodal status, and size between matched FFDM and DBT groups. The study found 61 cancers in the matched screening cohort of DBT (n = 9,817) and FFDM (n = 14,180) examinations. It was indicated that DBT appears in an overall rise in CDR irrespective of the tumor type, size, or grade of cancer.
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