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Title:
Diagnostic accuracy of digital breast tomosynthesis versus digital mammography for benign and malignant lesions in breasts: a meta-analysis | European Radiology
Description:
To evaluate the diagnostic performance of digital breast tomosynthesis (DBT) and digital mammography (DM) for benign and malignant lesions in breasts. Document retrieval was conducted on PubMed, EMBASE, the Cochrane Library, Web of Science and Chinese Biomedical Literature Database, etc., from 1950 to June 2013. Metadisc1.4 software was used to analyse the pooled sensitivity, specificity, diagnostic odds ratio (DOR), and positive and negative likelihood ratio. The heterogeneity was assessed using forest plots and the inconsistency index (I2). Before statistical comparison, the area under (AUC) the summary receiver-operating characteristic curve (SROC) of two different diagnostic methods was calculated respectively. A total of seven studies involving 2,014 patients and 2,666 breast lesions were included. Compared with the gold standard (histological results), the pooled sensitivity and specificity of DBT were 90.0 % and 79.0 %, and for DM they were 89.0 % and 72.0 %, respectively. The pooled positive likelihood ratio of DBT and DM was 3.50 and 2.83; the pooled negative likelihood ratio of DBT and DM was 15 % and 18 %; the pooled DOR for DBT and DM was 26.04 and 16.24, respectively. Digital breast tomosynthesis has a higher sensitivity and specificity in breast diagnosis than digital mammography. • Digital breast tomosynthesis has high sensitivity and specificity in breast diagnosis. • DBT appears to have superior diagnostic accuracy relative to digital mammography. • DBT images were captured at a lower dose than 2D images. • DBT displays abnormal features of lesions more clearly than DM. • Digital breast tomosynthesis could become the first choice for assessing breast lesions.
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Keywords {🔍}
breast, digital, article, google, scholar, tomosynthesis, pubmed, mammography, diagnostic, radiol, accuracy, metaanalysis, dbt, med, lesions, yang, comparison, ratio, diagnosis, access, cancer, eur, privacy, cookies, content, zhang, pooled, sensitivity, specificity, medical, clinical, roentgenol, study, lanzhou, data, publish, search, versus, lei, performance, software, likelihood, test, systematic, cas, central, choice, european, area, information,
Topics {✒️}
evidence-based medicine centre month download article/chapter full-field breast tomosynthesis full-field digital mammography meta-analysis breast published pin yang & kehu yang full article pdf multidisciplinary breast center medical publishing house young women webmd digital breast tomosynthesis breast cancer visibility digital tomosynthesis mammography privacy choices/manage cookies breast cancer detection related subjects negative likelihood ratio basic medical sciences 2d digital mammography diagnostic odds ratio higgins jpt breast imaging european economic area diagnosis text accuracy film-screen mammography diagnostic test accuracy franken ea jr related statistical software meta-analysis approach test accuracy data manage diagnostic technology bmj brit med cranio-caudal mlo subtle mammographic findings environmental tobacco smoke system evaluation guideline contrast enhanced ct article lei breast cancer check access instant access diagnostic accuracy studies assessing breast lesions conditions privacy policy radiological diagnosis applications li zhang pilot observer study contrast enhanced ultrasound clinical medical school multireader performance study
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headline:Diagnostic accuracy of digital breast tomosynthesis versus digital mammography for benign and malignant lesions in breasts: a meta-analysis
description:To evaluate the diagnostic performance of digital breast tomosynthesis (DBT) and digital mammography (DM) for benign and malignant lesions in breasts. Document retrieval was conducted on PubMed, EMBASE, the Cochrane Library, Web of Science and Chinese Biomedical Literature Database, etc., from 1950 to June 2013. Metadisc1.4 software was used to analyse the pooled sensitivity, specificity, diagnostic odds ratio (DOR), and positive and negative likelihood ratio. The heterogeneity was assessed using forest plots and the inconsistency index (I2). Before statistical comparison, the area under (AUC) the summary receiver-operating characteristic curve (SROC) of two different diagnostic methods was calculated respectively. A total of seven studies involving 2,014 patients and 2,666 breast lesions were included. Compared with the gold standard (histological results), the pooled sensitivity and specificity of DBT were 90.0 % and 79.0 %, and for DM they were 89.0 % and 72.0 %, respectively. The pooled positive likelihood ratio of DBT and DM was 3.50 and 2.83; the pooled negative likelihood ratio of DBT and DM was 15 % and 18 %; the pooled DOR for DBT and DM was 26.04 and 16.24, respectively. Digital breast tomosynthesis has a higher sensitivity and specificity in breast diagnosis than digital mammography. • Digital breast tomosynthesis has high sensitivity and specificity in breast diagnosis.
• DBT appears to have superior diagnostic accuracy relative to digital mammography.
• DBT images were captured at a lower dose than 2D images.
• DBT displays abnormal features of lesions more clearly than DM.
• Digital breast tomosynthesis could become the first choice for assessing breast lesions.
datePublished:2013-09-13T00:00:00Z
dateModified:2013-09-13T00:00:00Z
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keywords:
Digital breast tomosynthesis
Mammography
Breast neoplasms
Diagnosis
Meta-analysis
Imaging / Radiology
Diagnostic Radiology
Interventional Radiology
Neuroradiology
Ultrasound
Internal Medicine
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headline:Diagnostic accuracy of digital breast tomosynthesis versus digital mammography for benign and malignant lesions in breasts: a meta-analysis
description:To evaluate the diagnostic performance of digital breast tomosynthesis (DBT) and digital mammography (DM) for benign and malignant lesions in breasts. Document retrieval was conducted on PubMed, EMBASE, the Cochrane Library, Web of Science and Chinese Biomedical Literature Database, etc., from 1950 to June 2013. Metadisc1.4 software was used to analyse the pooled sensitivity, specificity, diagnostic odds ratio (DOR), and positive and negative likelihood ratio. The heterogeneity was assessed using forest plots and the inconsistency index (I2). Before statistical comparison, the area under (AUC) the summary receiver-operating characteristic curve (SROC) of two different diagnostic methods was calculated respectively. A total of seven studies involving 2,014 patients and 2,666 breast lesions were included. Compared with the gold standard (histological results), the pooled sensitivity and specificity of DBT were 90.0 % and 79.0 %, and for DM they were 89.0 % and 72.0 %, respectively. The pooled positive likelihood ratio of DBT and DM was 3.50 and 2.83; the pooled negative likelihood ratio of DBT and DM was 15 % and 18 %; the pooled DOR for DBT and DM was 26.04 and 16.24, respectively. Digital breast tomosynthesis has a higher sensitivity and specificity in breast diagnosis than digital mammography. • Digital breast tomosynthesis has high sensitivity and specificity in breast diagnosis.
• DBT appears to have superior diagnostic accuracy relative to digital mammography.
• DBT images were captured at a lower dose than 2D images.
• DBT displays abnormal features of lesions more clearly than DM.
• Digital breast tomosynthesis could become the first choice for assessing breast lesions.
datePublished:2013-09-13T00:00:00Z
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Digital breast tomosynthesis
Mammography
Breast neoplasms
Diagnosis
Meta-analysis
Imaging / Radiology
Diagnostic Radiology
Interventional Radiology
Neuroradiology
Ultrasound
Internal Medicine
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