Evidence map›Paper›PMID 30495975›Full record

ArticleThe British journal of radiology2019

Masses in the era of screening tomosynthesis: Is diagnostic ultrasound sufficient?

Sadia Choudhery, Jessica Axmacher, Amy Lynn Conners, Jennifer Geske, Kathy Brandt

Abstract read
In one paragraph

Article in The British journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Sadia Choudhery1 Department of Radiology, Mayo Clinic , Rochester MN , US.
Jessica Axmacher1 Department of Radiology, Mayo Clinic , Rochester MN , US.
Amy Lynn Conners1 Department of Radiology, Mayo Clinic , Rochester MN , US.
Jennifer Geske2 Biomedical Statistics and Informatics, Mayo Clinic , Rochester MN , US.
Kathy Brandt1 Department of Radiology, Mayo Clinic , Rochester MN , US.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

methods: All masses recalled from screening digital breast tomosynthesis between July 1, 2017 and December 31, 2017 that were sent either to diagnostic mammography or ultrasound were compared. Size, shape, margins, visibility on ultrasound, diagnostic assessment and pathology of all masses along with breast density were evaluated.

results: 102/212 digital breast tomosynthesis screen-detected masses were worked up with diagnostic mammography initially and 110/212 were worked up with ultrasound directly. There was no significant difference in ultrasound visibility of masses sent to diagnostic mammography first with those sent to ultrasound first (p = 0.42). 4 (4%) masses sent to mammogram first and 2 (2%) masses sent to ultrasound first were not visualized. There was a significant difference in size between masses that were visualized under ultrasound versus those that were not (p = 0.01), when masses in both groups were assessed cumulatively.

conclusions: 98% of digital breast tomosynthesis screen-detected masses sent to ultrasound directly were adequately assessed without diagnostic mammography. ADVANCES IN KNOWLEDGE:: There is potential for avoiding a diagnostic mammogram for evaluation of majority of digital breast tomosynthesis screen-detected masses.

Indexed as

BreastBreast NeoplasmsEarly Detection of CancerFemaleHumansMammographyMiddle AgedRetrospective StudiesSensitivity and SpecificityUltrasonography, Mammary

Identifiers

PMID30495975
PMCPMC6540861

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.