Evidence map›Paper›PMID 26458206›Full record

ArticleRadiology2016

Increased Cancer Detection Rate and Variations in the Recall Rate Resulting from Implementation of 3D Digital Breast Tomosynthesis into a Population-based Screening Program.

Richard E Sharpe, Shambavi Venkataraman, Jordana Phillips, Vandana Dialani, Valerie J Fein-Zachary, Seema Prakash, Priscilla J Slanetz, Tejas S Mehta

Erratum issuedOpen access · greenAbstract readComparative Study
In one paragraph

Article in Radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
11.7field-weighted citation impact, top 1% of its field
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

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 134 citations in OpenAlex.

  1. Guideline
  2. Extending the Age Range in Mammography Screening: A Benefit-Risk Assessment from a Radiation Protection Perspective.RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Richard E SharpeFrom the Department of Radiology, Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro Clinical Center, 4th Floor, Breast Imaging, Boston, MA 02215.
Shambavi VenkataramanFrom the Department of Radiology, Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro Clinical Center, 4th Floor, Breast Imaging, Boston, MA 02215.
Jordana PhillipsFrom the Department of Radiology, Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro Clinical Center, 4th Floor, Breast Imaging, Boston, MA 02215.
Vandana DialaniFrom the Department of Radiology, Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro Clinical Center, 4th Floor, Breast Imaging, Boston, MA 02215.
Valerie J Fein-ZacharyFrom the Department of Radiology, Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro Clinical Center, 4th Floor, Breast Imaging, Boston, MA 02215.
Seema PrakashFrom the Department of Radiology, Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro Clinical Center, 4th Floor, Breast Imaging, Boston, MA 02215.
Priscilla J SlanetzFrom the Department of Radiology, Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro Clinical Center, 4th Floor, Breast Imaging, Boston, MA 02215.
Tejas S MehtaFrom the Department of Radiology, Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro Clinical Center, 4th Floor, Breast Imaging, Boston, MA 02215.
Beth Israel Deaconess Medical Center · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
NCATS NIH HHS UL1 TR001102
6 · The paper itself

Abstract

purposeTo compare the recall and cancer detection rates (CDRs) at screening with digital breast tomosynthesis (DBT) with those at screening with two-dimensional (2D) mammography and to evaluate variations in the recall rate (RR) according to patient age, risk factors, and breast density and among individual radiologists at a single U.S. academic medical center. MATERIALS AND

methodsThis institutional review board-approved, HIPAA-compliant prospective study with a retrospective cohort included 85 852 asymptomatic women who presented for breast cancer screening over a 3-year period beginning in 2011. A DBT unit was introduced into the existing 2D mammography screening program, and patients were assigned to the first available machine. Ten breast-subspecialized radiologists interpreted approximately 90% of the examinations. RRs were calculated overall and according to patient age, breast density, and individual radiologist. CDRs were calculated. Single and multiple mixed-effect logistic regression analyses, χ(2) tests, and Bonferroni correction were utilized, as appropriate.

resultsThe study included 5703 (6.6%) DBT examinations and 80 149 (93.4%) 2D mammography examinations. The DBT subgroup contained a higher proportion of patients with risk factors for breast cancer and baseline examinations. DBT was used to detect 54.3% more carcinomas (+1.9 per 1000, P < .0018) than 2D mammography. The RR was 7.51% for 2D mammography and 6.10% for DBT (absolute change, 1.41%; relative change, -18.8%; P < .0001). The DBT subgroup demonstrated a significantly lower RR for patients with extremely or heterogeneously dense breasts and for patients in their 5th and 7th decades.

conclusionImplementing DBT into a U.S. breast cancer screening program significantly decreased the screening RR overall and for certain patient subgroups, while significantly increasing the CDR. These findings may encourage more widespread adoption and reimbursement of DBT and facilitate improved patient selection.

Indexed as

Continuity of Patient CareImaging, Three-DimensionalBreast NeoplasmsFemaleHumansMammographyMass ScreeningMiddle AgedProspective StudiesRetrospective Studies

Identifiers

PMID26458206
PMCPMC4770944
OpenAlexW2138111902

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.