Digital Breast Tomosynthesis: Principles and Practice

详细信息    查看全文

• 作者：Stamatia Destounis ; Renee Morgan ; Andrea Arieno
• 关键词：Mammography ; Breast imaging ; Digital mammography ; Digital breast tomosynthesis ; Synthetic view ; Breast biopsy
• 刊名：Current Radiology Reports
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：4
• 期：3
• 全文大小：658 KB
• 参考文献：1.Ledley RS, Di Chiro G, Luessenhop AJ, Twigg HL. Computerized transaxial x-ray tomography of the human body. Science. 1974;186(4160):207–12.CrossRef PubMed
  2.Niklason LT, Christian BT, Niklason LE, Kopans DB, Castleberry DE, Opsahl-Ong BH, et al. Digital tomosynthesis in breast imaging. Radiology. 1997;205(1):399–406.CrossRef PubMed
  3.Pisano ED, Gatsonis C, Hendrick E, Yaffe M, Baum JK, Acharyya S, et al. Diagnostic performance of digital versus film mammography for breast-cancer screening. N Engl J Med. 2005;353(17):1773–83.CrossRef PubMed
  4.Tabar L, Vitak B, Chen THH, Yen AMF, Cohen A, Tot T, et al. Swedish two-County trial: impact of mammographic screening on breast cancer mortality during 3 decades. Radiology. 2011;260(3):658–63.CrossRef PubMed
  5.Warner E. Breast-cancer screening. NEJM. 2011;365:1025–32.CrossRef PubMed
  6.Pisano ED, Hendrick RE, Yaffe MJ, et al. Diagnostic accuracy of digital versus film mammography: exploratory analysis of selected population subgroups in DMIST. Radiology. 2008;246(2):376–83.PubMedCentral CrossRef PubMed
  7.Boyd NF, Guo H, Martin LJ, Lun L, Stone J, Fishell E, et al. Mammographic density and the risk and detection of breast cancer. NEJM. 2007;356(3):227–36.CrossRef PubMed
  8.Gilbert FJ, Tucker L, Gillan MGC, Willsher P, Cooke J, Duncan KA. Accuracy of digital breast tomosynthesis for depicting breast cancer subgroups in a UK Retrospective Study (TOMMY Trial). Radiology. 2015. doi:10.​1148/​radiol.​2015142566 .
  9.• Skaane P, Bandos AI, Gullien R, Eben EB, Ekseth U, Haakenaasen U, et al. Comparison of digital mammography alone and digital mammography plus tomosynthesis in a population-based screening program. Radiology. 2013;267(1):47–55. This large prospective study strongly demonstrates the cancer detection improvement that the use of combination 2D mammography and tomosynthesis provides.
  10.• Rose SL, Tidwell AL, Bujnoch LJ, Kushwaha AC, Nordmann AS, Sexton R. Implementation of breast tomosynthesis in a routine screening practice: an observation study. AJR. 2013;200:1401–08. This comparison study of outcomes prior to DBT implementation to that of outcomes after DBT implementation excellently conveys the advantages to a breast cancer screening program. 
  11.Friedewald SM, Rafferty EA, Rose SL, Durand MA, Plecha DM, Greenberg JS, et al. Breast cancer screening using tomosynthesis in combination with digital mammography. JAMA. 2014;311(24):2499–507.CrossRef PubMed
  12.Lang K, Andresson I, Rosso A, Tingberg A, Timberg P, Zackrisson S. Performance of one-view breast tomosynthesis as a stand-alone breast cancer screening modality: results from the Malmö breast tomosynthesis screening trial, a population-based study. Eur Radiol. 2015. doi:10.​1007/​s00330-015-3803-3 .
  13.Schrading S, Distekmaier M, Dirrihs T, Detering S, Brolund L, Strobel K, Kuhl CK. Digital breast tomosynthesis-guided vacuum assisted breast biopsy: initial experiences and comparison with prone stereotactic vacuum-assisted biopsy. Radiology. 2015;247(3):654–62. doi:10.​1148/​radiol.​14141397 .CrossRef
  14.Freer PE, Niell B, Rafferty EA. Preoperative tomosynthesis-guided needle localization of mammographically and sonographically occult breast lesions. Radiology. 2015;275(2):377–83.CrossRef PubMed
  15.• Skaane P, Bandos AI, Eben EB, Jebsen IN, Krager M, Haakenaasen U et al. Two-view digital breast tomosynthesis screening with synthetically reconstructed projection images: comparison with digital breast tomosynthesis with full field digital mammographic images. Radiology. 2014;271(3):655–63. When looking at cancer detection rates, this comparison study of 2 versions of synthetic views demonstrates that the current version is comparable to that of 2D mammography, this study is very important to those considering eliminating the 2D portion to minimize dose.
  
• 作者单位：Stamatia Destounis (1)
  Renee Morgan (1)
  Andrea Arieno (1)
  
  1. Elizabeth Wende Breast Care, LLC, 170 Sawgrass Drive, Rochester, NY, 14620, USA
  
• 刊物主题：Imaging / Radiology;
• 出版者：Springer US
• ISSN：2167-4825

文摘

Digital breast tomosynthesis (DBT) has shown improved breast cancer detection and reduction in recall rates in comparison to full-field digital mammography on many recent clinical trials. This article will provide an analysis of some of the DBT research to date regarding the benefits this technology affords for breast cancer detection, as well as review recent DBT technology updates, such as the synthetic view (C-view) and DBT-guided biopsy. This article will assess the current utilization of DBT for breast cancer screening, as well as its use in the diagnostic evaluation of breast disease. The limitations of the technology, such as the visualization and characterization of calcifications, will be discussed, as well as how the technology may change in the future. Keywords Mammography Breast imaging Digital mammography Digital breast tomosynthesis Synthetic view Breast biopsy