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Breast Cancer Screening Recall Rates Drop with Tomosynthesis

By MedImaging International staff writers
Posted on 12 Aug 2013
Image: On the left: traditional 2D mammography shows a possible lesion. The four 3D tomosynthesis images to the right show there is no lesion present (Photo courtesy of Hologic).
Image: On the left: traditional 2D mammography shows a possible lesion. The four 3D tomosynthesis images to the right show there is no lesion present (Photo courtesy of Hologic).
Digital tomosynthesis is an effective tool for reducing the recall rate in breast cancer screening, according to new research.

The findings were published online July 2012 in the journal Radiology. Digital mammography is the gold standard for breast cancer screening, but may yield suspicious findings that turn out not to be cancer. These false-positive findings are associated with a higher recall rate.

Digital breast tomosynthesis has shown potential at reducing recall rates, especially in younger women and in those with dense breast tissue. Tomosynthesis is similar to mammography because it relies on ionizing radiation to generate images of the breast. However, dissimilar to traditional mammography, tomosynthesis allows for three-dimensional (3D) reconstruction of the breast tissue, which can then be viewed as sequential slices through the breast.

“Tomosynthesis increases the conspicuity of cancers by removing superimposed and overlapping tissue from the view,” said Brian M. Haas, MD, from the Yale University School of Medicine (New Haven, CT, USA).

In the study, Dr. Haas worked with Yale’s Liane E. Philpotts, MD, and other colleagues to compare screening recall rates and cancer detection rates in two groups of women: those who received only traditional digital mammography and those who had undergone tomosynthesis screening in addition to mammography.

Of the 13,158 patients who underwent screening mammography, 6,100 received tomosynthesis. The cancer detection rate was 5.7 per 1,000 in patients receiving tomosynthesis, compared with 5.2 per 1,000 in patients receiving mammography alone. By adding tomosynthesis resulted in a 30% reduction in the overall recall rate, from 12.0% for mammography alone to 8.4% in the tomosynthesis group.

“All age groups and breast densities had reduced risk for recall in the tomosynthesis group,” Dr. Haas said. “Women with dense breasts and those younger than age 50 particularly benefited from tomosynthesis.”

Lower recall rates help decrease patient apprehension and also reduce costs from further diagnostic testing, according to Dr. Haas. Tomosynthesis has one significant drawback, however, a radiation dose about twice that of digital mammography alone. However, Dr. Haas noted that new technology approved by the US Food and Drug Administration (FDA) could reduce the dose. “The technology involves taking the tomosynthesis data and collapsing it into planar imaging that resembles 2D mammography,” he said. “It has the potential to eliminate the need for acquisition of the conventional 2D images in addition to the tomosynthesis images.”

The research group is currently comparing the tumors detected on tomosynthesis with those identified on mammography. They are also monitoring the study group for interval tumors—those that develop in the interval between screenings—to validate that the reduced recall rate associated with tomosynthesis does not resulting in missed tumors.

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Yale University School of Medicine

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89 (55.074691772461): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747673 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
90 (65.803527832031): 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`
91 (!!!!! 1084.8045349121): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (!!!!! 5508.8996887207): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (334.02442932129): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (328.06396484375): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (184.05914306641): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (600.09956359863): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (!!!!! 1965.0459289551): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (273.9429473877): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (!!!!! 1003.9806365967): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1
105 (!!!!! 6870.9850311279): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
106 (126.12342834473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
107 (623.94142150879): 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=294747673 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (935.07766723633): 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=294747673 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
109 (!!!!! 2834.7969055176): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
110 (!!!!! 4040.9564971924): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
111 (180.00602722168): 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=294747673 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (890.01655578613): 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=294747673 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
113 (946.044921875): 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 (!!!!! 1784.086227417): 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
115 (197.8874206543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
116 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
117 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
118 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
119 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
120 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
121 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
122 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
123 (!!!!! 1086.950302124): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
124 (!!!!! 66642.045974731): 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
125 (!!!!! 3283.9775085449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747673 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747673 AND type='deeppockets_item' AND published='1' LIMIT 1
126 (!!!!! 24152.994155884): ( 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 (117.06352233887): ( 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
128 (92.983245849609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (51.021575927734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
130 (87.976455688477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (51.975250244141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
132 (495.91064453125): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (60.081481933594): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
134 (70.095062255859): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
136 (724.07722473145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (482.79762268066): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
138 (272.98927307129): SELECT name FROM jos_deeppockets WHERE id=211
139 (52.213668823242): SELECT name FROM jos_deeppockets WHERE id=211
140 (!!!!! 1806.0207366943): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (948.90594482422): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
142 (129.93812561035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
143 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
144 (!!!!! 28467.178344727): TRUNCATE TABLE jos_trademed_module
145 (903.84483337402): 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=294747673 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (105.14259338379): 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=294747673 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
147 (630.14030456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (!!!!! 2950.90675354): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
149 (!!!!! 3630.8765411377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
150 (!!!!! 3158.0924987793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
151 (!!!!! 2130.9852600098): 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
152 (533.10394287109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
153 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
154 (!!!!! 7143.0206298828): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747673 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747673 AND type='deeppockets_item' AND published='1' LIMIT 1
155 (123.97766113281): 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=211 or channel_id is null)
156 (45.061111450195): 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=211 or channel_id is null)
157 (61.03515625): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
158 (149.01161193848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
159 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747673 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747673 AND published='1' LIMIT 1
160 (!!!!! 3502.1305084229): select jos_twitters.link from jos_twitters where cat=10
161 (115.87142944336): select jos_facebook.link from jos_facebook where cat=10
162 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10
163 (39.815902709961): select jos_linkedin.link from jos_linkedin where cat=10