ArticleRadiology2023
Digital Breast Tomosynthesis versus Digital Mammography Screening Performance on Successive Screening Rounds from the Breast Cancer Surveillance Consortium.
Open access · greenAbstract read
In one paragraph
Article in Radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% of its field
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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Pooled it
- Comparative Accuracy of Digital Breast Tomosynthesis and Digital Mammography for Surveillance After Breast Cancer Treatment.Journal of the National Comprehensive Cancer Network : JNCCN · 2025Article
- Predicting the quality of digital mammography from the perspective of detectability of microcalcifications: A Radiomics approach.Medical physics · 2025Article
- Deep Learning in Digital Breast Tomosynthesis: Current Status, Challenges, and Future Trends.MedComm · 2025Review
- Accuracy of self-reported exam indications for breast cancer screening.JNCI cancer spectrum · 2025Article
- Artificial intelligence for breast cancer screening in mammography (AI-STREAM): preliminary analysis of a prospective multicenter cohort study.Nature communications · 2025Article
- Article
- Cost-Effectiveness Analysis of Digital Breast Tomosynthesis and Mammography in Breast Cancer Screening: A Markov Modeling Study.Journal of epidemiology and global health · 2024Article
- Budget impact analysis of introducing digital breast tomosynthesis in breast cancer screening in Italy.La Radiologia medica · 2024Article
- Integrating Clinical Workflow for Breast Cancer Screening with AI.Radiology. Artificial intelligence · 2024Article
- Article
- Discordant and false-negative interpretations at digital breast tomosynthesis in the prospective Oslo Tomosynthesis Screening Trial (OTST) using independent double reading.European radiology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 3 institutions in 1 country.
Brian L SpragueFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0001-7948-8317
Rebecca Yates ColeyFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0003-1708-4880
Kathryn P LowryFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0002-0840-7855
Karla KerlikowskeFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0001-8793-8779
Louise M HendersonFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0001-8356-9267
Yu-Ru SuFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).
Christoph I LeeFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).
Tracy OnegaFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).
Erin J A BowlesFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0001-6287-7391
Sally D HerschornFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0002-9193-6490
Roberta M diFlorio-AlexanderFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0003-0589-8158
Diana L MigliorettiFrom the Departments of Surgery (B.L.S.) and Radiology (B.L.S., S.D.H.), University of Vermont Cancer Center, University of Vermont Larner College of Medicine, UHC Bldg, Room 4425, 1 S Prospect St, Burlington, VT 05401; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, Wash (R.Y.C., Y.R.S., E.J.A.B., D.L.M.); Department of Radiology, University of Washington, Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., C.I.L.); Departments of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, Calif (K.K.); Department of Radiology, University of North Carolina, Chapel Hill, NC (L.M.H.); Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah (T.O.); Department of Radiology, Giesel School of Medicine at Dartmouth, Lebanon, NH (R.M.d.F.A.); and Division of Biostatistics, Department of Public Health Sciences, University of California-Davis, Davis, Calif (D.L.M.).ORCID 0000-0002-5547-1833
Kaiser Permanente · USUniversity of Vermont · USUniversity of North Carolina at Chapel Hill · US
Funding
Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KARLA M KERLIKOWSKE · 2011 to 2026
$52.9MVermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SIGMON, STACEY C · 2013 to 2022
$21.3MVermont Screening Process Documentation UnitU54CA163303 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SPRAGUE, BRIAN L · 2011 to 2017
$6.4MIdentifying effective risk-based supplemental ultrasound screening strategies for women with dense breastsR01CA248068 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Diana L Miglioretti, Brian L Sprague · 2020 to 2026
$5.1MComparative effectiveness of breast imaging modalities: a natural experimentR01HS018366 · AHRQ · UNIVERSITY OF ILLINOIS AT CHICAGO · PI RAUSCHER, GARTH H · 2010 to 2014
$1.8MGroup Health Cancer Research Program Research Specialist AwardR50CA211115 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI BOWLES, ERIN JANELLE AIELLO · 2017 to 2021
$919kAHRQ HHS R01 HS018366NCI NIH HHS P01 CA154292NCI NIH HHS R01 CA248068NCI NIH HHS R50 CA211115NCI NIH HHS U54 CA163303NIGMS NIH HHS P20 GM103644
Abstract
Background Prior cross-sectional studies have observed that breast cancer screening with digital breast tomosynthesis (DBT) has a lower recall rate and higher cancer detection rate compared with digital mammography (DM). Purpose To evaluate breast cancer screening outcomes with DBT versus DM on successive screening rounds. Materials and Methods In this retrospective cohort study, data from 58 breast imaging facilities in the Breast Cancer Surveillance Consortium were collected. Analysis included women aged 40-79 years undergoing DBT or DM screening from 2011 to 2020. Absolute differences in screening outcomes by modality and screening round were estimated during the study period by using generalized estimating equations with marginal standardization to adjust for differences in women's risk characteristics across modality and round. Results A total of 523 485 DBT examinations (mean age of women, 58.7 years ± 9.7 [SD]) and 1 008 123 DM examinations (mean age, 58.4 years ± 9.8) among 504 863 women were evaluated. DBT and DM recall rates decreased with successive screening round, but absolute recall rates in each round were significantly lower with DBT versus DM (round 1 difference, -3.3% [95% CI: -4.6, -2.1] [
Indexed as
Breast NeoplasmsBreast DensityCross-Sectional StudiesEarly Detection of CancerFemaleHumansMammographyMass ScreeningMiddle AgedRetrospective Studies
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