Evidence map›Paper›PMID 26374381›Full record

ArticleThe British journal of radiology2015

Digital breast tomosynthesis at screening assessment: are two views always necessary?

Rabea Haq, Yit Y Lim, Anthony J Maxwell, Emma Hurley, Ursula Beetles, Sara Bundred, Mary Wilson, Susan Astley, Fiona J Gilbert

Abstract readMulticenter Study
In one paragraph

Article in The British journal of radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rabea Haq1 Nightingale Centre and Genesis Prevention Centre, University Hospital South Manchester NHS Trust, Manchester, UK.
Yit Y Lim1 Nightingale Centre and Genesis Prevention Centre, University Hospital South Manchester NHS Trust, Manchester, UK.
Anthony J Maxwell1 Nightingale Centre and Genesis Prevention Centre, University Hospital South Manchester NHS Trust, Manchester, UK.
Emma Hurley1 Nightingale Centre and Genesis Prevention Centre, University Hospital South Manchester NHS Trust, Manchester, UK.
Ursula Beetles1 Nightingale Centre and Genesis Prevention Centre, University Hospital South Manchester NHS Trust, Manchester, UK.
Sara Bundred1 Nightingale Centre and Genesis Prevention Centre, University Hospital South Manchester NHS Trust, Manchester, UK.
Mary Wilson1 Nightingale Centre and Genesis Prevention Centre, University Hospital South Manchester NHS Trust, Manchester, UK.
Susan Astley2 Centre for Imaging Sciences, Institute of Population Health, University of Manchester, Manchester, UK.
Fiona J Gilbert3 Department of Radiology, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, UK.

Funding

Cancer Research UK 16465Department of Health 09/22/182
6 · The paper itself

Abstract

objectiveThe current recommendation from the UK National Health Service Breast Screening Programme is that digital breast tomosynthesis (DBT) can be used for further assessment of possible screen-detected soft-tissue abnormalities in place of spot compression views and when used should be performed in two projections. The aim of the study was to assess whether two-view DBT is necessary if the abnormality is seen only in one view on initial full-field digital mammography (FFDM).

methods617 cases with possible masses, distortions and asymmetrical densities visualized only in one view on screening FFDM were included. All of these females underwent two-view DBT, clinical examination and ultrasound. The FFDM and DBT findings on each view were compared and correlated with the histological diagnosis.

results586 of 617 cases had normal or benign findings on further assessment, and no additional information was obtained on the other DBT view. There were 31 confirmed cancers. In 26 cases (84%), the cancer was seen on the corresponding DBT view. No cancer was seen on the other DBT view alone. Five cancers (16%) were not seen on either view on DBT owing to technical reasons. No cancers would have been missed if only the corresponding DBT view was performed.

conclusionTwo-view DBT may not be necessary when used for further assessment of possible screen-detected soft-tissue abnormalities. Larger studies should be undertaken to investigate this further. ADVANCES IN KNOWLEDGE: One-view DBT may be adequate in assessing soft-tissue abnormalities seen only on one FFDM view.

Indexed as

AdultAgedBreast NeoplasmsEarly Detection of CancerFemaleHumansMammographyMiddle AgedRadiographic Image EnhancementUnited Kingdom

Identifiers

PMID26374381
PMCPMC4743456

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.