Rafferty et al,5 2013 |
Two enriched reader studies. |
312 |
Reduction in callback from 6% to 67% (P<.03). |
Mitchell et al,7 2012 |
Prospective study, patients recalled from film-screen screening. DM and DBT and callback. |
738 patients including 204 breast cancers |
Improved accuracy (AUC) when DBT added to film or film with FFDM for masses (not calcifications). Improved cancer detection for fatty and dense breasts. |
Skaane et al,4 2012 |
Reader study, mix of symptomatic and patients recalled from screening. Patients had two-view DBT. |
129 patients with 27 breast cancer |
DBT concordant with no statistical increase in callback; however, two additional cancers detected by DBT alone (8% increase in cancer detection). |
Bernardi et al,17 2012 |
Prospective integrating DBT to assess recalled patient from DM screening (7 readers). |
158 consecutive patients with 21 cancers |
DBT recalled all cancer cases and DBT reduced FP callback by 74%. Similar cancer detection rates. |
Nozroozian et al,16 2012 |
Enriched reader study (4 readers) comparing spot compression DM vs DBT in assessment of masses. |
67 patients with breast masses (30 cancer, 37 benign) |
No statistical difference in accuracy but mass visibility rating slightly better with DBT. |
Svahn et al,13 2010 |
Reader study (5 readers) evaluating subtle screen detected or diagnostic lesions. |
Comparing two-view DM vs one-view DM/DBT vs one-view DBT only |
Highest accuracy with DM plus DBT (P<.05). |
Poplack et al,21 2007 |
Prospective evaluation of the impact of DBT on consecutive recalls from screening. |
98 recalls including 5 breast cancers |
40% reduction in FP recall with DBT. No missed cancers. Subjective assessment of lesion conspicuity: DBT equivalent or superior in 89%. However, in calcification-only lesions, DBT inferior. |
Tagliaficio et al,22 2012 |
Prospective study, patients recalled from screening (2 readers) compared spot compression vs DBT. |
52 consecutive recalls with 9 cancers, accuracy and conspicuity assessed |
No statistical difference in DM spot compression vs DBT; however, lesion conspicuity considered significantly better with DBT (P<.001). |
Gennaro et al,23 2010 |
Reader study (6 readers) evaluating lesions seen on DM to evaluation with one-view, MLO DBT. |
200 patients with 63 cancers |
Overall performance of one-view DBT was similar to conventional DM. |