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. 2016 Jan-Feb;40(1):68-71.
doi: 10.1016/j.clinimag.2015.10.001. Epub 2015 Oct 8.

2D mammography, digital breast tomosynthesis, and ultrasound: which should be used for the different breast densities in breast cancer screening?

Anna Starikov  1 , Michele Drotman  1 , Keith Hentel  1 , Janine Katzen  1 , Robert J Min  1 , Elizabeth Kagan Arleo  2
Affiliations

2D mammography, digital breast tomosynthesis, and ultrasound: which should be used for the different breast densities in breast cancer screening?

Anna Starikov et al. Clin Imaging. 2016 Jan-Feb.

Abstract

Purpose: To determine which modalities [2D mammography (2D), digital breast tomosynthesis (DBT), whole breast sonography (WBS)] are optimal for screening depending on breast density.

Methods: Institutional retrospective cohort study of 2013 screening mammograms (16,789), sorted by modalities and density.

Results: Cancer detection is increased by adding WBS to 2D (P=.02) for the overall study population. Recall rate was lowest with 2D+DBT (10.2%, P<.001) and highest with 2D+DBT+WBS (23.6%, P<.001) for the overall study population as well.

Conclusion: Women with dense and nondense breasts benefit from reduced recall rate with the addition of DBT; however, this benefit is negated with the addition of WBS.

Keywords: 2D mammography; 3D mammography; Breast density; Digital breast tomosynthesis; Keywords.

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