Digital breast tomosynthesis and ultrasonography: diagnostic performance and effect on recall rates versus digital mammography in category O

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dc.contributor.authorEmlik, Ganime Dilek
dc.contributor.authorPoyraz, Necdet
dc.contributor.authorAltunkeser, Aysegul
dc.date.accessioned2024-02-23T14:48:59Z
dc.date.available2024-02-23T14:48:59Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractThe purpose of this study was to compare diagnostic performance and screening recall rates of digital breast tomosynthesis (DBT) and ultrasound (US) added to digital mammography (DM) in the category O. This study was approved by the local ethics committee and informed consent was obtained. The additional breast US and DBT performed 216 women categorized as BI-RADS category O according to screening DM between January 2014 and February 2015. A total of 22 women that previously underwent breast surgery, radiotherapy, chemotherapy were excluded. Finally 194 patients were enrolled in this study. The DM+DBT images and DM+DBT images with US images of patients were independently reviewed by three breast radiologists and than recategorized according to BI-RADS category. Among 194 lesions, 165 (85%) were benign and 29 (14.9%) were malign. DBT reduced recall rate by 70%. For DBT, sensitivity, specificity, PPV, NPV and diagnostic accuracy were 97%, 82%, 48%, 99%, and 84%, whereas for US sensitivity, specificity, PPV, NPV and diagnostic accuracy were 93%, 79%, 47%, 98%, and 81%, respectively. AUC value was 0.89 and 0.86 for DBT and US. In conclusion, DBT reduced recall rates. DBT showed better diagnostic performance than breast US for category O. Reduction in RR was independent from breast parenchymal patterns.en_US
dc.identifier.endpage10675en_US
dc.identifier.issn1940-5901
dc.identifier.issue7en_US
dc.identifier.startpage10668en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17939
dc.identifier.volume10en_US
dc.identifier.wosWOS:000406058200094en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherE-Century Publishing Corpen_US
dc.relation.ispartofInternational Journal Of Clinical And Experimental Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectScreening Mammographyen_US
dc.subjectDigital Breast Tomosynthesisen_US
dc.subjectUltrasonographyen_US
dc.subjectDiagnostic Performanceen_US
dc.subjectRecall Ratesen_US
dc.titleDigital breast tomosynthesis and ultrasonography: diagnostic performance and effect on recall rates versus digital mammography in category Oen_US
dc.typeArticleen_US

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