Comparison between automated breast volume scanner (ABVS) versus hand-held ultrasound as a second look procedure after magnetic resonance imaging.
Objectives: To evaluate the agreement between automated breast volume scanner (ABVS) and conventional ultrasound (US) as a second-look (SL) tool for assessing additional findings found on MRI.Methods: Over a 7-month period, we prospectively assigned to SL-US and SL-ABVS all patients undergoing 1.5 T...
| Published in: | European Radiology Vol. 27; no. 9; pp. 3767 - 3776 |
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| Main Authors: | , , , , |
| Format: | diagnostic images research tables/charts Journal Article |
| Published: |
Springer Nature
Sep2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124485425&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124485425 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Sep2017 vid: 27 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 124485425 124485425 144086097 NLM28120030 124485425 10.1007/s00330-017-4749-4 NLM28120030 124485425 ppf: 3767 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Comparison between automated breast volume scanner (ABVS) versus hand-held ultrasound as a second look procedure after magnetic resonance imaging. aug: au: Girometti, Rossano Zanotel, Martina Londero, Viviana Bazzocchi, Massimo Zuiani, Chiara affil: Institute of Diagnostic Radiology, Department of Medical and Biological Sciences , University of Udine, Azienda Ospedaliero-Universitaria, 'S. Maria della Misericordia' , Udine Italy sug: subj: Ultrasonography Methods Breast Neoplasms Magnetic Resonance Imaging Methods Female Adult Image Interpretation, Computer Assisted Methods Aged Breast Neoplasms Pathology Prospective Studies Middle Age Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female ab: Objectives: To evaluate the agreement between automated breast volume scanner (ABVS) and conventional ultrasound (US) as a second-look (SL) tool for assessing additional findings found on MRI.Methods: Over a 7-month period, we prospectively assigned to SL-US and SL-ABVS all patients undergoing 1.5 T breast MRI in whom additional findings were found. Five experienced breast radiologists independently interpreted SL-US and SL-ABVS in blinded sessions to evaluate the detection rate of MRI findings and assign them to BI-RADS categories. We calculated the agreement between the two methods in assessing MRI findings as significant (BI-RADS 3-5) versus not significant (BI-RADS 1-2), as well as their cancer detection rate.Results: In a population of 131 patients, SL-ABVS and SL-US showed a comparable detection rate of MRI findings (69.3 vs. 71.5%) (p > 0.05; McNemar test), with an almost perfect agreement in assessing them as significant or not (k = 0.94). This translated into a comparably high cancer detection rate (83.8% for SL-ABVS vs. 87.0% for SL-US). Only 1/31 cancers was missed by SL-ABVS.Conclusions: SL-ABVS and SL-US are nearly equivalent in assessing the significance of MRI findings, leading to a comparable cancer detection rate. SL-ABVS has the potential to replace SL-US in the SL scenario.Key Points: • SL-ABVS shows almost perfect agreement with SL-US in assessing MRI findings. • SL-ABVS shows a comparably high cancer detection rate with respect to SL-US. • SL-ABVS has the potential to replace SL-US in evaluating additional MRI findings. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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