EDITOR'S CHOICE

By Dr AJ Maxwell


Digital breast tomosynthesis (DBT) has rapidly been adopted by the breast screening community as a useful adjunct to, and possibly even a replacement for, conventional 2D digital mammography. Its superior sensitivity to 2D mammography for cancer detection is now well established but the evidence for its effect
on screening recall rates is less consistent.




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By Dr SA Lee-Felker


This article summarizes the results of a recent study comparing the diagnostic performance of MRI and Contrast-Enhanced Spectral Mammography (CESM) for the detection of index and secondary cancers in women with newly diagnosed breast cancer. The results indicate that, in such patients, CESM has a
sensitivity equal to that of MRI and a PPV greater than that of MRI.



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By Prof. Nico Karssemeijer


The reading by radiologists of the mammograms generated in current breast screening programs is an extremely time-consuming process, a situation which
is likely to be exacerbated by the increasing use of digital breast tomosynthesis systems in the future. In addition, even with the currently recommended
process of using double readers, there are still a significant number of breast cancers which are not identified in screening mammography. Several years ago, it
was thought that the use of Computer-Aided Detection (CAD) systems could address these issues, but in practice such CAD systems failed to live up to expectations.



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By Prof. K Grimbergen & Prof. A den Heeten


One of the factors dissuading women from continuing participation in breast screening mammography programmes is the pain and discomfort caused by
the compression of the breast necessary to optimize the quality of the mammographic image. Recently a new system for breast compression has
been developed based on the use of pressure (i.e. the force applied to the breast divided by the contact area of the breast with the paddle).



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By Prof. Christopher L Vaughan


Screening for breast cancer using full-field digital mammography (FFDM) has benefited many women over the past two decades, despite the poor sensitivity of this imaging modality in dense breast tissue. This has led more recently to the development and application of automated breast ultrasound (ABUS) as an adjunctive modality to reduce the incidence of false negative findings.



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By Dr A Oliver


In this article we summarize our recent study where we evaluated the consistency of the spatial glandular volumetric tissue distribution provided by Volpara software. To that end, we used repeated pairs of mammograms, which were acquired in a slightly changed position of the breast. We found that the Volpara
Density Maps tool is reliable in estimating the local glandular tissue distribution, being robust to small variations of the acquisition angle and in the beam energy, although divergences may arise due to different breast compression conditions.



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