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<a href="http://doi.org/10.2214/AJR.21.26180" target="_blank" rel="noreferrer noopener">http://doi.org/10.2214/AJR.21.26180</a>
ISSN
1546-3141 0361-803X
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Update Year & Number
July 2021 List
NEOMED College
NEOMED College of Medicine
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Department of Radiology
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Outcomes of Return to Routine Screening for BI-RADS 3 Lesions Detected at Supplemental Automated Whole-Breast Ultrasound in Women with Dense Breasts: A Prospective Study.
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American Journal Of Roentgenology
Date
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2021
2021-07-14
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Barr RG; DeSivestri A; Golatta M
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Background: Supplemental screening breast ultrasound (US) detects additional cancers in women with dense breasts but identifies many BI-RADS 3 lesions that result in short-term follow-ups and biopsies. Objective: To evaluate outcomes in patients recommended for return to routine screening for lesions assessed as BI-RADS 3 on supplemental automated whole-breast US (ABUS). Methods: This prospective study invited patients with BI-RADS 1 or 2 on screening mammography and breast density C or D to undergo supplemental ABUS. ABUS was interpreted as BI-RADS 1, 2, 3, or 0. Return to routine screening was recommended for ABUS BI-RADS 1, 2, or 3. ABUS BI-RADS 0 lesions underwent targeted hand-held US. Remaining patients were followed for 2 years. Malignancy rates were compared using Fisher's exact tests. Results: A total of 2257 women (mean age, 58.0±11.2 years) were included. Supplemental ABUS was scored as BI-RADS 1 in 1186 (52.5%), BI-RADS 2 in 591 (26.2%), BI-RADS 3 in 395 (17.5%), and BI-RADS 0 in 85 (3.8%). A total of 394 patients with ABUS BI-RADS 3 had 2-year follow-up, during which no cancer (0%, 95% CI 0.0%-0.9%) was diagnosed in the quadrant of the lesion. Among patients with 2-year follow-up, breast cancer was diagnosed in 4/1117 (0.4%) with ABUS BI-RADS 1, 2/556 (0.4%) with ABUS BI-RADS 2, and 2/394 (0.5%) with ABUS BI-RADS 3 (cancer in other quadrant than the lesion). Malignancy rates were not different between ABUS BI-RADS 1, 2, and 3 (p=.28). ABUS recall rate was 3.8% (85/2257; 95% CI 3.6%-4.0%). If short-term follow-up had been recommended for ABUS BI-RADS 3, ABUS recall rate would have been 21.3% (480/2257, 95% CI 19.6%-23.0%). Biopsy rate was 0.4% (12/2257; 95% CI 0.3%-0.9%); positive biopsy rate was 58.3% (7/12). One of 7 patients diagnosed with cancer by initial supplemental ABUS, and none of 8 patients diagnosed with cancer during subsequent follow-up, had node-positive cancer. Conclusions: Return to routine screening for ABUS BI-RADS 3 lesions results in a substantial decrease in recall rate, while being unlikely to result in adverse outcome. Clinical Impact: This prospective study supports a recommendation for routine annual follow-up for BI-RADS 3 lesions at supplemental ABUS.
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<a href="http://doi.org/10.2214/AJR.21.26180" target="_blank" rel="noreferrer noopener">10.2214/AJR.21.26180</a>
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journalArticle
2021
American Journal of Roentgenology
Barr RG
Department of Radiology
DeSivestri A
Golatta M
journalArticle
July 2021 List
NEOMED College of Medicine
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<a href="http://doi.org/10.1002/jum.15722" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/jum.15722</a>
ISSN
1550-9613
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May 2021 List
NEOMED College
NEOMED College of Medicine
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Department of Radiology
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Title
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A New Practical Decision Rule to Better Differentiate BI-RADS© 3 or 4 Breast Masses on Breast Ultrasound.
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Journal Of Ultrasound In Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-05-04
Subject
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BI-RADS; breast mass; decision rule; malignancy; reliability; ultrasound; BI-RADS; breast mass; decision rule; malignancy; reliability; ultrasound
Creator
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Pfob A; Barr RG; Duda V; Büsch C; Bruckner T; Spratte J; Nees J; Togawa R; Ho C; Fastner S; Riedel F; Schaefgen B; Hennigs A; Sohn C; Heil J; Golatta M
Description
An account of the resource
Objectives: The BI-RADS© classification provides a standardized way to describe ultrasound findings in breast cancer diagnostics. However, there is little information regarding which BI-RADS© descriptors are most strongly associated with malignancy, to better distinguish BI-RADS© 3 (follow-up imaging) and 4 (diagnostic biopsy) breast masses.; Methods: Patients were recruited as part of an international, multicenter trial (NCT02638935). The trial enrolled 1294 women (6 excluded) categorized as BI-RADS© 3 or 4 upon routine B-mode ultrasound examination. Ultrasound images were evaluated by three expert physicians according to BI-RADS©. All patients underwent histopathological confirmation (reference standard). We performed univariate and multivariate analyses (chi-square test, logistic regression, and Krippendorff's alpha).; Results: Histopathologic evaluation showed malignancy in 368 of 1288 masses (28.6%). Upon performing multivariate analysis, the following descriptors were significantly associated with malignancy (P < .05): age ≥50 years (OR 8.99), non-circumscribed indistinct (OR 4.05) and microlobulated margin (OR 2.95), nonparallel orientation (OR 2.69), and calcification (OR 2.64). A clinical decision rule informed by these results demonstrated a 97% sensitivity and missed fewer cancers compared to three physician experts (range of sensitivity 79-95%) and a previous decision rule (sensitivity 59%). Specificity was 44% versus 22-83%, respectively. The inter-reader reliability of the BI-RADS© descriptors and of the final BI-RADS© score was fair-moderate.; Conclusions: A patient should undergo a diagnostic biopsy (BI-RADS© 4) instead of follow-up imaging (BI-RADS© 3) if the patient is 50 years or older or exhibits at least one of the following features: calcification, nonparallel orientation of mass, non-circumscribed margin, or posterior shadowing. (© 2021 The Authors. Journal of Ultrasound in Medicine published by Wiley Periodicals LLC on behalf of American Institute of Ultrasound in Medicine.)
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<a href="http://doi.org/10.1002/jum.15722" target="_blank" rel="noreferrer noopener">10.1002/jum.15722</a>
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journalArticle
2021
Barr RG
BI-RADS
Breast mass
Bruckner T
Büsch C
decision rule
Department of Radiology
Duda V
Fastner S
Golatta M
Heil J
Hennigs A
Ho C
Journal of Ultrasound in Medicine
journalArticle
malignancy
May 2021 List
Nees J
NEOMED College of Medicine
Pfob A
reliability
Riedel F
Schaefgen B
Sohn C
Spratte J
Togawa R
Ultrasound
-
Text
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Issue
4, S
Volume
81
ISSN
0008-5472
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Department of Radiology
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Title
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Identifying the most relevant descriptors when evaluating ultrasound images in breast cancer diagnostics: A secondary analysis of an international multicenter trial
Publisher
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Cancer Research
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-02
Creator
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Pfob A; Barr RG; Duda V; Buesch C; Heil J; Golatta M
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
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journalArticle
2021
April 2021 List
Barr RG
Buesch C
Cancer Research
Department of Radiology
Duda V
Golatta M
Heil J
journalArticle
NEOMED College of Medicine
Pfob A
-
Text
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Issue
4, S
Volume
81
ISSN
0008-5472
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April 2021 List
NEOMED College
NEOMED College of Medicine
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Department of Radiology
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Title
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Differences in the diagnostic performance of breast ultrasound with or without additional patient information: A secondary analysis of an international multicenter trial
Publisher
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Cancer Research
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-02
Creator
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Pfob A; Barr RG; Duda V; Buesch C; Heil J; Golatta M
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
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journalArticle
2021
April 2021 List
Barr RG
Buesch C
Cancer Research
Department of Radiology
Duda V
Golatta M
Heil J
journalArticle
NEOMED College of Medicine
Pfob A
-
Text
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<a href="http://doi.org/10.1007/s00330-020-07573-3" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s00330-020-07573-3</a>
ISSN
0938-7994
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January 2021 List
NEOMED College
NEOMED College of Medicine
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Department of Radiology
Affiliated Hospital
Mercy Health St. Elizabeth Boardman Hospital
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Title
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Evaluation of the FUSION-X-US-II prototype to combine automated breast ultrasound and tomosynthesis
Publisher
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European Radiology
Subject
The topic of the resource
Imaging; Ultrasonography; Mammography; mammary; Early detection of cancer; Multimodal imaging; three-dimensional
Creator
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Schaefgen B; Juskic M; Radicke M; Hertel M; Barr R; Pfob A; Togawa R; Nees J; von Au A; Fastner S; Harcos A; Gomez C; Stieber A; Riedel F; Hennigs A; Sohn C; Heil J; Golatta M
Description
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Objective The FUSION-X-US-II prototype was developed to combine 3D automated breast ultrasound (ABUS) and digital breast tomosynthesis in a single device. We evaluated the performance of ABUS and tomosynthesis in a single examination in a clinical setting. Methods In this prospective feasibility study, digital breast tomosynthesis and ABUS were performed using the FUSION-X-US-II prototype without any change of the breast position in patients referred for clarification of breast lesions with an indication for tomosynthesis. The tomosynthesis and ABUS images of the prototype were interpreted independently from the clinical standard by a breast diagnostics specialist. Any detected lesion was classified using BI-RADS (R) scores, and results of the standard clinical routine workup (gold standard) were compared to the result of the separate evaluation of the prototype images. Image quality was rated subjectively and coverage of the breast was measured. Results One hundred one patients received both ABUS and tomosynthesis using the prototype. The duration of the additional ABUS acquisition was 40 to 60 s. Breast coverage by ABUS was approximately 80.0%. ABUS image quality was rated as diagnostically useful in 86 of 101 cases (85.1%). Thirty-three of 34 malignant breast lesions (97.1%) were identified using the prototype. Conclusion The FUSION-X-US-II prototype allows a fast ABUS scan in combination with digital breast tomosynthesis in a single device integrated in the clinical workflow. Malignant breast lesions can be localized accurately with direct correlation of ABUS and tomosynthesis images. The FUSION system shows the potential to improve breast cancer screening in the future after further technical improvements.
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<a href="http://doi.org/10.1007/s00330-020-07573-3" target="_blank" rel="noreferrer noopener">10.1007/s00330-020-07573-3</a>
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journalArticle
Barr R
Department of Radiology
Early Detection of Cancer
European Radiology
Fastner S
Golatta M
Gomez C
Harcos A
Heil J
Hennigs A
Hertel M
Imaging
January 2021 List
journalArticle
Juskic M
Mammary
Mammography
Mercy Health St. Elizabeth Boardman Hospital
Multimodal Imaging
Nees J
NEOMED College of Medicine
Pfob A
Radicke M
Riedel F
Schaefgen B
Sohn C
Stieber A
Three-Dimensional
Togawa R
Ultrasonography
Von Au A
-
Text
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<a href="http://doi.org/10.1016/s0959-8049(18)30694-4" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0959-8049(18)30694-4</a>
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Pages
S155-S156
Volume
92
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Title
A name given to the resource
Initial results of the FUSION-X-US prototype combining 3D automated breast ultrasound and tomosynthesis
Publisher
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European Journal of Cancer
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-04
Subject
The topic of the resource
Oncology
Creator
An entity primarily responsible for making the resource
Schaefgen B; Heil J; Barr R; Radicke M; Harcos A; Gomez A; Stieber A; Andre H; Von Au A; Spratte J; Rauch G; Rom J; Schutz F; Sohn C; Golatta M
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0959-8049(18)30694-4" target="_blank" rel="noreferrer noopener">10.1016/s0959-8049(18)30694-4</a>
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The file format, physical medium, or dimensions of the resource
Journal Article
2018
Andre H
Barr R
European Journal of Cancer
Golatta M
Gomez A
Harcos A
Heil J
Journal Article
oncology
Radicke M
Rauch G
Rom J
Schaefgen B
Schutz F
Sohn C
Spratte J
Stieber A
Von Au A
-
Text
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<a href="http://doi.org/10.1007/s00330-017-5235-8" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s00330-017-5235-8</a>
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Pages
2499-2506
Issue
6
Volume
28
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Title
A name given to the resource
Initial results of the FUSION-X-US prototype combining 3D automated breast ultrasound and digital breast tomosynthesis
Publisher
An entity responsible for making the resource available
European Radiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-06
Subject
The topic of the resource
Breast; cancer; cancer; combination; dense breasts; future; hhus; Mammography; Multimodal Imaging; Nuclear Medicine & Medical Imaging; program; Radiology; screening mammography; therapy; Ultrasonography; volume; women
Creator
An entity primarily responsible for making the resource
Schaefgen B; Heil J; Barr R G; Radicke M; Harcos A; Gomez C; Stieber A; Hennigs A; Von Au A; Spratte J; Rauch G; Rom J; Schutz F; Sohn C; Golatta M
Description
An account of the resource
To determine the feasibility of a prototype device combining 3D-automated breast ultrasound (ABVS) and digital breast tomosynthesis in a single device to detect and characterize breast lesions. In this prospective feasibility study, the FUSION-X-US prototype was used to perform digital breast tomosynthesis and ABVS in 23 patients with an indication for tomosynthesis based on current guidelines after clinical examination and standard imaging. The ABVS and tomosynthesis images of the prototype were interpreted separately by two blinded experts. The study compares the detection and BI-RADSA (R) scores of breast lesions using only the tomosynthesis and ABVS data from the FUSION-X-US prototype to the results of the complete diagnostic workup. Image acquisition and processing by the prototype was fast and accurate, with some limitations in ultrasound coverage and image quality. In the diagnostic workup, 29 solid lesions (23 benign, including three cases with microcalcifications, and six malignant lesions) were identified. Using the prototype, all malignant lesions were detected and classified as malignant or suspicious by both investigators. Solid breast lesions can be localized accurately and fast by the Fusion-X-US system. Technical improvements of the ultrasound image quality and ultrasound coverage are needed to further study this new device. The prototype combines tomosynthesis and automated 3D-ultrasound (ABVS) in one device. It allows accurate detection of malignant lesions, directly correlating tomosynthesis and ABVS data. The diagnostic evaluation of the prototype-acquired data was interpreter-independent. The prototype provides a time-efficient and technically reliable diagnostic procedure. The combination of tomosynthesis and ABVS is a promising diagnostic approach.
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<a href="http://doi.org/10.1007/s00330-017-5235-8" target="_blank" rel="noreferrer noopener">10.1007/s00330-017-5235-8</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2018
Barr R G
breast
Cancer
Combination
dense breasts
European Radiology
future
Golatta M
Gomez C
Harcos A
Heil J
Hennigs A
hhus
Journal Article
Mammography
Multimodal Imaging
Nuclear Medicine & Medical Imaging
program
Radicke M
Radiology
Rauch G
Rom J
Schaefgen B
Schutz F
screening mammography
Sohn C
Spratte J
Stieber A
therapy
Ultrasonography
volume
Von Au A
Women