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Volume 10
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10.3390/tomography10050061
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Article

Digital Breast Tomosynthesis for Upgraded BIRADS Scoring towards the True Pathology of Lesions Detected by Contrast-Enhanced Mammography

by
Ahuva Grubstein
1,*,
Tal Friehmann
1,
Marva Dahan
1,
Chen Abitbol
1,
Ithai Gadiel
1,
Dario M. Schejtman
1,
Tzippy Shochat
2,
Eli Atar
1 and
Shlomit Tamir
1
1
Radiology, Rabin Medical Center, Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo 49100, Israel
2
Biostatistics, Rabin Medical Center, Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo 49100, Israel
*
Author to whom correspondence should be addressed.
Tomography 2024, 10(5), 806-815; https://doi.org/10.3390/tomography10050061
Submission received: 23 April 2024 / Revised: 14 May 2024 / Accepted: 15 May 2024 / Published: 20 May 2024
(This article belongs to the Special Issue Imaging in Cancer Diagnosis)
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Abstract

Objective: To determine the added value of digital breast tomosynthesis (DBT) in the assessment of lesions detected by contrast-enhanced mammography (CEM). Material and methods: A retrospective study was conducted in a tertiary university medical center. All CEM studies including DBT performed between January 2016 and December 2020 were included. Lesions were categorized and scored by four dedicated breast radiologists according to the recent CEM and DBT supplements to the Breast Imaging Reporting and Data System (BIRADS) lexicon. Changes in the BIRADS score of CEM-detected lesions with the addition of DBT were evaluated according to the pathology results and 1-year follow-up imaging study. Results: BIRADS scores of CEM-detected lesions were upgraded toward the lesion’s pathology with the addition of DBT (p > 0.0001), overall and for each reader. The difference in BIRADS scores before and after the addition of DBT was more significant for readers who were less experienced. The reason for changes in the BIRADS score was better lesion margin visibility. The main BIRADS descriptors applied in the malignant lesions were spiculations, calcifications, architectural distortion, and sharp or obscured margins. Conclusions: The addition of DBT to CEM provides valuable information on the enhancing lesion, leading to a more accurate BIRADS score.
Keywords: digital breast tomosynthesis; contrast-enhanced mammography; breast imaging digital breast tomosynthesis; contrast-enhanced mammography; breast imaging

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MDPI and ACS Style

Grubstein, A.; Friehmann, T.; Dahan, M.; Abitbol, C.; Gadiel, I.; Schejtman, D.M.; Shochat, T.; Atar, E.; Tamir, S. Digital Breast Tomosynthesis for Upgraded BIRADS Scoring towards the True Pathology of Lesions Detected by Contrast-Enhanced Mammography. Tomography 2024, 10, 806-815. https://doi.org/10.3390/tomography10050061

AMA Style

Grubstein A, Friehmann T, Dahan M, Abitbol C, Gadiel I, Schejtman DM, Shochat T, Atar E, Tamir S. Digital Breast Tomosynthesis for Upgraded BIRADS Scoring towards the True Pathology of Lesions Detected by Contrast-Enhanced Mammography. Tomography. 2024; 10(5):806-815. https://doi.org/10.3390/tomography10050061

Chicago/Turabian Style

Grubstein, Ahuva, Tal Friehmann, Marva Dahan, Chen Abitbol, Ithai Gadiel, Dario M. Schejtman, Tzippy Shochat, Eli Atar, and Shlomit Tamir. 2024. "Digital Breast Tomosynthesis for Upgraded BIRADS Scoring towards the True Pathology of Lesions Detected by Contrast-Enhanced Mammography" Tomography 10, no. 5: 806-815. https://doi.org/10.3390/tomography10050061

APA Style

Grubstein, A., Friehmann, T., Dahan, M., Abitbol, C., Gadiel, I., Schejtman, D. M., Shochat, T., Atar, E., & Tamir, S. (2024). Digital Breast Tomosynthesis for Upgraded BIRADS Scoring towards the True Pathology of Lesions Detected by Contrast-Enhanced Mammography. Tomography, 10(5), 806-815. https://doi.org/10.3390/tomography10050061

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