By Alberto Tagliafico, Nehmat Houssami, Massimo Calabrese

This e-book presents a entire description of the screening and scientific purposes of electronic breast tomosynthesis (DBT) and provides effortless, transparent tips on use of the process. Informative scientific situations are offered to demonstrate easy methods to reap the benefits of DBT in medical perform. the significance of DBT as a diagnostic device for either screening and analysis is expanding quickly. DBT improves upon mammography by means of depicting breast tissue on a video clip made up of cross‐sectional photos reconstructed in correspondence with their mammographic planes of acquisition. DBT ends up in markedly diminished summation of overlapping breast tissue and provides the aptitude to enhance mammographic breast melanoma surveillance and prognosis. This ebook could be a superb sensible educating advisor for newbies and an invaluable reference for more matured radiologists.

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Extra resources for Digital Breast Tomosynthesis: A Practical Approach

Example text

Note that the microcalcifications are best seen on the synthetic 2D image (“highlighting”) and the desmoplastic reaction is seen only on DBT. Both mammographic findings could easily be missed on FFDM. The radiation dose for synthetic 2D + DBT (right half) is comparable to conventional FFDM (left image) a b Fig. 6 Screening mammography, left breast. (a) Synthetic 2D image shows segmental-linear calcifications highly suspicious for high-grade DCIS. (b) FFDM fine-focus magnification image at assessment demonstrates more fine microcalcifications, and the characterization of the calcification is also better.

Overdiagnosis is likely to be driven by new technological developments including DBT. What we can conclude already today is that regardless how promising results are presented from ongoing and future studies on tomosynthesis, the “never-ending” controversy on mammography screening will continue. Tomosynthesis has been considered as “A new era in mammography screening” (Kopans 2014). Several editorials have discussed the implementation of DBT in breast cancer screening. Although DBT represents the most significant improvement in mammography development in recent years and shows extremely promising results, more evidence is needed before a change in well-established mammography screening practice can be more broadly recommended (Houssami and Zackrisson 2013).

Br J Radiol 85:e1174–e1178 26 P. Skaane Bonafede MM, Kalra VB, Miller JD et al (2015) Value analysis of digital breast tomosynthesis for breast cancer screening in a commercially-insured US population. Clinicoecon Outcomes Res 7:53–63 Brandt KR, Craig DA, Hoskins TL et al (2013) Can digital breast tomosynthesis replace conventional diagnostic mammography views for screening recalls without calcifications? A comparison study in a simulated clinical setting. AJR Am J Roentgenol 200:291–298 Ciatto S, Houssami N, Bernardi D et al (2013) Integration of 3D digital mammography with tomosynthesis for population breast-cancer screening (STORM): a prospective comparison study.

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Digital Breast Tomosynthesis: A Practical Approach by Alberto Tagliafico, Nehmat Houssami, Massimo Calabrese
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