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Clinical utility of contrast-enhanced spectral mammography as an adjunct for tomosynthesis-detected architectural distortion.
- Source :
-
Clinical Imaging . Nov2017, Vol. 46, p44-52. 9p. - Publication Year :
- 2017
-
Abstract
- Objective Supplement tomosynthesis-detected architectural distortions (AD) with CESM to better characterize malignant vs benign lesions. Methods Retrospective review CESM prior to biopsied AD. Pathology: benign, radial scar, or malignant. Results 49 lesions (45 patients). 29 invasive cancers, 1 DCIS (range, 0.4–4.7 cm); 9 radial scars; 10 benign. 37 (75.5%) ADs had associated enhancement. PPV 78.4% (29/37), sensitivity 96.7% (29/30); specificity, 57.9% (11/19); NPV, 91.7% (11/12). False-positive rate 21.6% (8/37); false-negative rate, 8.3% (1/12). Accuracy 81.6% (40/49). Conclusions High sensitivity and NPV of CESM in patients with AD is promising as an adjunct tool in diagnosing malignancy and avoiding unnecessary biopsy, respectively. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08997071
- Volume :
- 46
- Database :
- Academic Search Index
- Journal :
- Clinical Imaging
- Publication Type :
- Academic Journal
- Accession number :
- 126756542
- Full Text :
- https://doi.org/10.1016/j.clinimag.2017.07.003