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3D Mammography Significantly Reduces Breast Biopsies

By MedImaging International staff writers
Posted on 01 Apr 2019

Image: An 8-mm indeterminate mass on FFDM, which was interpreted as benign on DBT (Photo courtesy of LBORO).

Digital breast tomosynthesis (DBT) considerably reduces the number of women who undergo breast biopsy following an abnormal mammogram, according to a new study.

Researchers at Seacroft Hospital (Leeds, United Kingdom) and Loughborough University (LBORO; United Kingdom) conducted a prospective study that included 30,933 women who had a full-field digital mammography (FFDM) screening between 2015 and 2016; recalled women also underwent DBT and biopsy. Readers blinded to biopsy results analyzed DBT images in isolation and then in conjunction with FFDM images, and any additional mammographic or ultrasound images. The aim of the study was to evaluate the benign biopsy rate of DBT versus that of FFDM.

The results revealed that 1,470 women were recalled for further imaging (a 4.8% recall rate) to assess an abnormality. A final recall group of 827 women (after exclusions) required 571 biopsies, for a biopsy rate of 69%. While biopsy detected 142 cancers, in the other 429 biopsies performed, the suspicious lesion was not cancerous, a benign biopsy rate of 75%. Inclusion of DBT would have reduced the number of biopsies performed on recalled women from 571 to 298--while still detecting the 142 cancers--for a biopsy rate of 36%, and a benign biopsy rate of 52%. The study was published on March 19, 2019, in Radiology.

“The thin slice images of the breast taken with DBT reduce the effect of tissue overlap, which often leads to cancers being missed or to women who don't have breast cancer being recalled for diagnostic imaging,” said lead author Nisha Sharma, MB, ChB, director of breast screening at Seacroft Hospital. “DBT allows for improved reader accuracy and confidence in determining if a mammographic abnormality is concerning or not, and reduces harm to women through fewer false positive biopsies without any reduction in the cancer detection rate.”

DBT acquires multiple images over a limited angular range to produce a set of reconstructed images, which can then be viewed individually or sequentially in a cine loop, and in a three-dimensional (3D) image of the breast, which can viewed in narrow slices, similar to CT scans. While in conventional 2D mammography overlapping tissues can mask suspicious areas, 3D images eliminate the overlap, making abnormalities easier to recognize. It is estimated that 3D DBT will replace conventional mammography within ten years.

Related Links:
Seacroft Hospital
Loughborough University

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71 (307.08312988281): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777449 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (57.93571472168): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (215.05355834961): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (86.069107055664): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777449 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (49.829483032227): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777449 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (51.021575927734): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

105 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

106 (58.174133300781): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294777449 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (50.067901611328): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294777449 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

109 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

110 (72.002410888672): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294777449 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (581.02607727051): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294777449 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (733.1371307373): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (498.05641174316): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

115 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

116 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

117 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

118 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

119 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

120 (338.79280090332): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 21214.008331299): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

123 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

124 (751.97219848633): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777449 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777449 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 444986.10496521): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (92.983245849609): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (59.127807617188): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (47.922134399414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (691.89071655273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (571.96617126465): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (349.04479980469): SELECT name FROM jos_deeppockets WHERE id=215

136 (52.213668823242): SELECT name FROM jos_deeppockets WHERE id=215

137 (642.06123352051): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (586.98654174805): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

140 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

141 (!!!!! 11553.049087524): TRUNCATE TABLE jos_trademed_module

142 (104.90417480469): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294777449 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (64.13459777832): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294777449 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (635.14709472656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

147 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

148 (!!!!! 1108.8848114014): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

150 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

151 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777449 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777449 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (41.007995605469): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

153 (39.100646972656): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

154 (39.815902709961): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

156 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777449 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777449 AND published='1' LIMIT 1

157 (42.915344238281): select jos_twitters.link from jos_twitters where cat=10

158 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

159 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

160 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

161 (277.99606323242): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1384.973526001): insert into jos_banners_delta values (14615,'2025-06-19 19:43:03','216.73.216.120','view'),(14202,'2025-06-19 19:43:03','216.73.216.120','view'),(14203,'2025-06-19 19:43:03','216.73.216.120','view')

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