ArticleEuropean radiology2018
Comparison of digital mammography and digital breast tomosynthesis in the detection of architectural distortion.
Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Pooled it
- Comparison of Diagnostic Test Accuracy of Cone-Beam Breast Computed Tomography and Digital Breast Tomosynthesis for Breast Cancer: A Systematic Review and Meta-Analysis Approach.Sensors (Basel, Switzerland) · 2022Pooled it
- DBT-based habitat imaging for differentiating benign and malignant breast architectural distortion : a two-center study.BMC medical imaging · 2025Article
- Malignancy rate of lesions presenting as architectural distortion on DBT related to accompanied features, ultrasound findings, and BI-RADS density.European journal of radiology · 2025Article
- Architectural distortion on digital breast tomosynthesis mammograms in symptomatic breast clinics: what are the result outcomes?The British journal of radiology · 2024Article
- Discordant and false-negative interpretations at digital breast tomosynthesis in the prospective Oslo Tomosynthesis Screening Trial (OTST) using independent double reading.European radiology · 2024Article
- A comprehensive analysis of imaging features and clinical characteristics to differentiate malignant from non-malignant mammographic architectural distortion.Gland surgery · 2024Article
- Digital Breast Tomosynthesis for Upgraded BIRADS Scoring towards the True Pathology of Lesions Detected by Contrast-Enhanced Mammography.Tomography (Ann Arbor, Mich.) · 2024Article
- Diagnostic accuracy of the breast MRI Kaiser score in suspected architectural distortions and its comparison with mammography.Scientific reports · 2024Article
- Article
- Lesion detection in digital breast tomosynthesis: human reader experiments indicate no benefit from the integration of information from multiple planes.Journal of medical imaging (Bellingham, Wash.) · 2023Article
- Diagnostic Performance of Digital Breast Tomosynthesis with the Two-Dimensional Synthesized Mammogram for Suspicious Breast Microcalcifications Compared to Full-Field Digital Mammography in Stereotactic Breast Biopsy.Journal of the Korean Society of Radiology · 2022Article
- Mammographic features of benign breast lesions and risk of subsequent breast cancer in women attending breast cancer screening.European radiology · 2022Article
- Architectural distortion outcome: digital breast tomosynthesis-detected versus digital mammography-detected.La Radiologia medica · 2022Article
- Malignancy Upgrade Rates of Radial Sclerosing Lesions at Breast Cancer Screening.Radiology. Imaging cancer · 2021Article
- Additive values of pelvic tomosynthesis in comparison to pelvic radiography alone for the diagnosis of sacroiliitis in patients with suspected axial spondyloarthritis.Skeletal radiology · 2021Article
- Assessment of MRI-detected lesions on screening tomosynthesis in patients with newly diagnosed breast cancer.Clinical imaging · 2020Article
- Initial Clinical Experience with Stationary Digital Breast Tomosynthesis.Academic radiology · 2019Article
- Digital Breast Tomosynthesis: Concepts and Clinical Practice.Radiology · 2019Review
- Mammographic architectural distortion caused by cyst aspiration.Acta radiologica open · 2019Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare interobserver variability (IOV), reader confidence, and sensitivity/specificity in detecting architectural distortion (AD) on digital mammography (DM) versus digital breast tomosynthesis (DBT).
methodsThis IRB-approved, HIPAA-compliant reader study used a counterbalanced experimental design. We searched radiology reports for AD on screening mammograms from 5 March 2012-27 November 2013. Cases were consensus-reviewed. Controls were selected from demographically matched non-AD examinations. Two radiologists and two fellows blinded to outcomes independently reviewed images from two patient groups in two sessions. Readers recorded presence/absence of AD and confidence level. Agreement and differences in confidence and sensitivity/specificity between DBT versus DM and attendings versus fellows were examined using weighted Kappa and generalised mixed modeling, respectively.
resultsThere were 59 AD patients and 59 controls for 1,888 observations (59 × 2 (cases and controls) × 2 breasts × 2 imaging techniques × 4 readers). For all readers, agreement improved with DBT versus DM (0.61 vs. 0.37). Confidence was higher with DBT, p = .001. DBT achieved higher sensitivity (.59 vs. .32), p < .001; specificity remained high (>.90). DBT achieved higher positive likelihood ratio values, smaller negative likelihood ratio values, and larger ROC values.
conclusionsDBT decreases IOV, increases confidence, and improves sensitivity while maintaining high specificity in detecting AD. KEY POINTS: • Digital breast tomosynthesis decreases interobserver variability in the detection of architectural distortion. • Digital breast tomosynthesis increases reader confidence in the detection of architectural distortion. • Digital breast tomosynthesis improves sensitivity in the detection of architectural distortion.
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Registered trials
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.