Evidence map›Paper›PMID 30356116›Full record

ArticleScientific reports2018

Dose-compatible grating-based phase-contrast mammography on mastectomy specimens using a compact synchrotron source.

Elena Eggl, Susanne Grandl, Anikό Sztrόkay-Gaul, Martin Dierolf, Christoph Jud, Lisa Heck, Karin Burger, Benedikt Günther, Klaus Achterhold, Doris Mayr and 7 more

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

17 authors.

Elena EgglChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany. elena.eggl@ph.tum.de.
Susanne GrandlInstitute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistraße 15, 81377, München, Germany.
Anikό Sztrόkay-GaulInstitute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistraße 15, 81377, München, Germany.
Martin DierolfChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.ORCID http://orcid.org/0000-0001-5150-2949
Christoph JudChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.
Lisa HeckChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.
Karin BurgerChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.
Benedikt GüntherChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.
Klaus AchterholdChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.ORCID http://orcid.org/0000-0002-8724-1637
Doris MayrInstitute of Pathology, Ludwig-Maximilians-University München, Thalkirchner Straße 36, 80337, München, Germany.
Jan J WilkensChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.ORCID http://orcid.org/0000-0002-1851-0581
Sigrid D AuweterInstitute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistraße 15, 81377, München, Germany.
Bernhard GleichMunich School of BioEngineering, Technical University of Munich, Boltzmannstraße 11, 85748, Garching, Germany.
Karin HellerhoffInstitute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistraße 15, 81377, München, Germany.
Maximilian F ReiserInstitute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistraße 15, 81377, München, Germany.
Franz PfeifferChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.
Julia HerzenChair of Biomedical Physics, Department of Physics, Technical University of Munich, James-Franck-Straße 1, 85748, Garching, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the introduction of screening mammography, the mortality rate of breast cancer has been reduced throughout the last decades. However, many women undergo unnecessary subsequent examinations due to inconclusive diagnoses from mammography. Two pathways appear especially promising to reduce the number of false-positive diagnoses. In a clinical study, mammography using synchrotron radiation was able to clarify the diagnosis in the majority of inconclusive cases. The second highly valued approach focuses on the application of phase-sensitive techniques such as grating-based phase-contrast and dark-field imaging. Feasibility studies have demonstrated a promising enhancement of diagnostic content, but suffer from dose concerns. Here we present dose-compatible grating-based phase-contrast and dark-field images as well as conventional absorption images acquired with monochromatic x-rays from a compact synchrotron source based on inverse Compton scattering. Images of freshly dissected mastectomy specimens show improved diagnostic content over ex-vivo clinical mammography images at lower or equal dose. We demonstrate increased contrast-to-noise ratio for monochromatic over clinical images for a well-defined phantom. Compact synchrotron sources could potentially serve as a clinical second level examination.

Indexed as

MastectomySynchrotronsBreast NeoplasmsEarly Detection of CancerFemaleHumansMammographyPhantoms, ImagingRadiation DosageRadiation ToleranceX-Rays

Identifiers

PMID30356116
PMCPMC6200806

What OpenQuestion holds

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Registered trials

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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.