Digital Breast Tomosynthesis Practice Patterns Following 2011 FDA Approval: A Survey of Breast Imaging Radiologists.

Rationale and Objectives: To evaluate uptake, patterns of use, and perception of digital breast tomosynthesis (DBT) among practicing breast radiologists.Materials and Methods: Institutional Review Board exemption was obtained for this Health Insurance Portability and Accountability Act-compliant ele...

Descripción completa

Detalles Bibliográficos
Publicado en:Academic Radiology Vol. 24; no. 8; pp. 947 - 954
Autores principales: Gao, Yiming, Babb, James S., Toth, Hildegard K., Moy, Linda, Heller, Samantha L.
Formato: research Journal Article
Publicado: Elsevier B.V. Aug2017
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124048041&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 124048041
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10766332
        T4X
      jtl: Academic Radiology
      issn: 10766332
      maglogo: N
    pubinfo:
      dt: Aug2017
      vid: 24
      iid: 8
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
    artinfo:
      ui:
        124048041
        124048041
        NLM28188043
        124048041
        10.1016/j.acra.2016.12.011
        NLM28188043
        124048041
      ppf: 947
      ppct: 7
      formats:
      tig:
        atl: Digital Breast Tomosynthesis Practice Patterns Following 2011 FDA Approval: A Survey of Breast Imaging Radiologists.
      aug:
        au:
          Gao, Yiming
          Babb, James S.
          Toth, Hildegard K.
          Moy, Linda
          Heller, Samantha L.
        affil: Department of Radiology, NYU Langone School of Medicine, Laura and Isaac Perlmutter Cancer Center, 160 East 34th Street, 3rd Floor, New York, NY 10016
      sug:
        subj:
          Mammography Utilization
          Attitude of Health Personnel
          Breast Neoplasms
          Private Practice Statistics and Numerical Data
          Mammography Methods
          Patient Selection
          Female
          Device Approval
          Image Interpretation, Computer Assisted Methods
          Academic Medical Centers Statistics and Numerical Data
          United States
          United States Food and Drug Administration
          Specialties, Medical Statistics and Numerical Data
          Human
          Female
      ab: Rationale and Objectives: To evaluate uptake, patterns of use, and perception of digital breast tomosynthesis (DBT) among practicing breast radiologists.Materials and Methods: Institutional Review Board exemption was obtained for this Health Insurance Portability and Accountability Act-compliant electronic survey, sent to 7023 breast radiologists identified via the Radiological Society of North America database. Respondents were asked of their geographic location and practice type. DBT users reported length of use, selection criteria, interpretive sequences, recall rate, and reading time. Radiologist satisfaction with DBT as a diagnostic tool was assessed (1-5 scale).Results: There were 1156 (16.5%) responders, 65.8% from the United States and 34.2% from abroad. Of these, 749 (68.6%) use DBT; 22.6% in academia, 56.5% private, and 21% other. Participants are equally likely to report use of DBT if they worked in academics versus in private practice (78.2% [169 of 216] vs 71% [423 of 596]) (odds ratio, 1.10; 95% confidence interval: 0.87-1.40; P = 1.000). Of nonusers, 43% (147 of 343) plan to adopt DBT. No US regional differences in uptake were observed (P = 1.000). Although 59.3% (416 of 702) of DBT users include synthetic 2D (s2D) for interpretation, only 24.2% (170 of 702) use s2D alone. Majority (66%; 441 of 672) do not perform DBT-guided procedures. Radiologist (76.6%) (544 of 710) satisfaction with DBT as a diagnostic tool is high (score ≥ 4/5).Conclusions: DBT is being adopted worldwide across all practice types, yet variations in examination indication, patient selection, utilization of s2D images, and access to DBT-guided procedures persist, highlighting the need for consensus and standardization.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N