Elizabeth Rafferty Tomosynthesis

Elizabeth Rafferty Tomosynthesis-13
Tomosynthesis has significantly better sensitivity in detecting invasive breast cancers, especially in women with scattered fibroglandular dense breasts, and also helps reduce false positives and the recall rates compared with digital mammography.Tomosynthesis is also a more efficient test, however; the reimbursement by insurers varies between states.

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"It allows a more efficient diagnostic workflow, leads to a more confident interpretation, and is rapidly replacing full-field digital mammography." Tomosynthesis can be performed either in combination with standard 2-D mammography or synthetic reconstructions can be created from the projection images used to create tomosynthesis.

In the former case, the radiation exposure to the patient is about 2- to 2.5-fold more than a regular mammogram, said Wendie Berg, MD, Ph D, of the University of Pittsburg, in a presentation at the most recent ASCO annual meeting.

The time has come for tomosynthesis to be viewed as the standard of care for breast cancer screening, beginning at age 40.” Read Full Article – Source: Search our current open opportunities to take your first step to success in Medical Device and Healthcare IT today.

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Perhaps most importantly, women with very dense breasts are four to five times more likely to develop breast cancer than women with less dense breasts.

To increase awareness of this issue, thirty-one states require some level of breast density notification after a mammogram, but often this can result in confusion for women receiving the notification letters.

OBJECTIVE Digital breast tomosynthesis (DBT) has rapidly emerged as an important new imaging tool that reduces the masking effect of overlapping fibroglandular tissue, thereby improving breast cancer detection. A, Screening mammogram reveals fibroglandular tissue in upper left breast.

This article will review key features of DBT including technique, clinical implementation, and benign and malignant imaging findings. B, Subtle mass with spiculated margins in left central breast is revealed only on digital breast tomosynthesis.

“Radiologists and referring physicians needed an answer for how to screen the roughly half of women with dense breasts, because until now, this patient population was confused and frustrated without a clear path forward,” said , Hologic’s Division President, Breast and Skeletal Health Solutions.

Separately, subgroup data analysis from a previously published retrospective multicenter clinical study (JAMA 2014) supporting breast tomosynthesis as the standard of care in women starting at age 40 has recently been made available.


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