%0 Journal Article
%T Our experience using synthesized mammography vs full field digital mammography in population-based screening.
%A Ahmadinejad N
%A Rasoulighasemlouei S
%A Rostamzadeh N
%A Arian A
%A Mohajeri A
%A Miratashi Yazdi SN
%J Eur J Radiol Open
%V 10
%N 0
%D 2023
%M 36647512
暂无%R 10.1016/j.ejro.2023.100475
%X <B>UNASSIGNED: </B>Synthesized Mammogram (SM) from Digital Breast Tomosynthesis (DBT) images is introduced to replace the routine Full Field Digital Mammography (FFDM) to reduce radiation dose.<BR><B>UNASSIGNED: </B>to compare the conspicuity of cancer related findings between SM and FFDM and combination of these methods with DBT.<BR><B>UNASSIGNED: </B>The study was conducted in a tertiary breast imaging center, where 200 women referred for screening were enrolled in the study sequentially. Patients underwent FFDM and DBT simultaneously and a two-year follow-up was done. Data was evaluated for Breast Imaging Reporting and Data System (BI-RADS) score, breast density, mass lesions, calcification, and focal asymmetry by two expert breast radiologists. Comparison between different methods was made by Cohen Kappa test.<BR><B>UNASSIGNED: </B>22 patients with likely malignant findings went under biopsy. Taking histopathologic findings and two-year follow up as reference, the overall sensitivity and specificity for FFDM+DBT (86.1 and 88.9 respectively) and SM+DBT (86.1 and 88.2) didn't show a meaningful difference. Comparing SM and FFDM, calcification in 20 subjects were overlooked on SM, but later detected when combined with DBT. Considering breast composition and BI-RADS categorization, an excellent agreement existed between the readers.<BR><B>UNASSIGNED: </B>Screening with SM+DBT shows comparable results with FFDM+DBT considering BI-RADS categorization of the patients. Although SM showed slightly inferior sensitivity compared to FFDM, after combining DBT with SM no malignant appearing calcification or mass lesion was missed.