Comparison of synthetic and digital mammography with digital breast tomosynthesis or alone for the detection and classification of microcalcifications.

Objective: To compare the performance of synthetic mammography (SM) and digital mammography (DM) with digital breast tomosynthesis (DBT) or alone for the evaluation of microcalcifications.Methods: This retrospective study includes 198 mammography cases, all with DM, SM, and DBT images, from January...

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Published in:European Radiology Vol. 29; no. 1; pp. 319 - 330
Main Authors: Choi, Ji Soo, Han, Boo-Kyung, Ko, Eun Young, Kim, Ga Ram, Ko, Eun Sook, Park, Ko Woon
Format: research Journal Article
Published: Springer Nature Jan2019
Online Access:View this record in EBSCOhost
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      dt: Jan2019
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      pub: Springer Nature
      place: New York, New York
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        atl: Comparison of synthetic and digital mammography with digital breast tomosynthesis or alone for the detection and classification of microcalcifications.
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        au:
          Choi, Ji Soo
          Han, Boo-Kyung
          Ko, Eun Young
          Kim, Ga Ram
          Ko, Eun Sook
          Park, Ko Woon
        affil: Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-Ro Gangnam-gu, 135-710, Seoul, Korea
      sug:
        subj:
          Calcinosis Diagnosis
          Mammography Methods
          Breast Diseases Diagnosis
          Breast
          Reproducibility of Results
          Female
          Calcinosis Classification
          Breast Diseases Classification
          Retrospective Design
          Middle Age
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Barthel Index
          Psychological Tests
          Middle Aged: 45-64 years
          Female
      ab: Objective: To compare the performance of synthetic mammography (SM) and digital mammography (DM) with digital breast tomosynthesis (DBT) or alone for the evaluation of microcalcifications.Methods: This retrospective study includes 198 mammography cases, all with DM, SM, and DBT images, from January to October 2013. Three radiologists interpreted images and recorded the presence of microcalcifications and their conspicuity scores and final BI-RADS categories (1, 2, 3, 4a, 4b, 4c, 5). Readers' area under the ROC curves (AUCs) were analyzed for SM plus DBT vs. DM plus DBT and SM alone vs. DM alone using the BI-RADS categories for the overall group and dense breast subgroup.Results: Conspicuity scores of detected microcalcifications were neither significantly different between SM and DM with DBT nor alone (p>0.05). In predicting malignancy of detected microcalcifications, no significant difference was found between readers' AUCs for SM and DM with DBT or alone in the overall group or dense breast subgroup (p>0.05).Conclusions: Diagnostic performances of SM and DM for the evaluation of microcalcifications are not significantly different, whether performed with DBT or alone.Key Points: • In DBT-imaging, SM and DM show comparable performances when evaluating microcalcifications. • For BI-RADS classification of microcalcifications, SM and DM show similar AUCs. • DBT with SM may be sufficient for diagnosing microcalcifications, without DM.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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