Digital Mammography in Young Women: Is a Single View Sufficient?
Introduction: Single view mammography may be a less time consuming, more comfortable and radiation reduced alternative for young women, but there are no studies examining this approach after the implementation of digital mammography into clinical practice. Materials and Methods: Retrospective a...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2016-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/7502/17342_CE(RA1)_F(T)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Introduction: Single view mammography may be a less time
consuming, more comfortable and radiation reduced alternative
for young women, but there are no studies examining this
approach after the implementation of digital mammography into
clinical practice.
Materials and Methods: Retrospective analysis of all mammographies performed in women younger than 40 years during a
24 month period. The sample consisted of 109 women with 212
examined breasts. All patients initially received standard twoview mammography. In the study setting the MLO- views were
read by a single viewer and compared to a composite reference
standard.
Results: In this sample 7 malignant findings were present and
the review of the MLO-view detected 6 of them (85%). In patients
with dense breasts 4 out of 5 malignant findings were found on
the single-view (sensitivity 80%) and all 2 malignant findings were
detected in patients with low breast density (sensitivity 100%).
There were 7 false positive findings (3.3%). i.e. in total 8 out of
212 examined breasts were therefore misinterpreted (3.8%).
Conclusion: Single view digital mammography detects the vast
majority of malignant findings, especially in low density breast
tissue and the rate of false-positive findings is within acceptable
limits. Therefore this approach may be used in different scenarios
(for example in increasing patient throughput, in resource poor
settings, reducing radiation burden in the young or in combination
with ultrasound to use the strengths of both methods). More
research on this topic is needed to establish its potential role in
breast imaging. |
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| ISSN: | 2249-782X 0973-709X |