Skip to main content

Digital Breast Tomosynthesis

  • Chapter
  • First Online:
Breast Cancer

Abstract

There has been significant advancement in mammographic technology since the widespread deployment of screening began in the 1970s. Utilization of screening mammography has dramatically altered the clinical presentation of breast cancer. There remains, however, a subset of breast cancer (accounting for approximately 15–20 %), which is not detectable with even modern digital 2D mammography. This is generally seen in women with radiographically dense breasts in whom mammographic sensitivity for breast cancer falls to just 50 % [Carney et al., Ann Intern Med 138:168–175, 2003]. According to a recent study in the Journal of the National Cancer Institute, these women with dense breast tissue, in whom conventional 2D mammography is limited, are actually at a higher risk for developing breast cancer [Yaghjyan et al., J Natl Cancer Inst 103(15):1179–89, 2011].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tabar L, Yen M, Vitak B, et al. Mammography service screening and mortality in breast cancer patients: 20-year follow-up before and after introduction of screening. Lancet. 2003;361:1405–10.

    Article  PubMed  Google Scholar 

  2. Cady B, Stone MD, Schuler JG, Thakur R, Wanner MA, Lavin PT. The new era in breast cancer: invasion, size and nodal involvement dramatically decreasing as a result of mammographic screening. Arch Surg. 1996;131:301–8.

    Article  PubMed  CAS  Google Scholar 

  3. Carney PA, Miglioretti DL, Yankaskas BC, et al. Individual and combined effects of age, breast density, and hormone replacement therapy use on the accuracy of screening mammography. Ann Intern Med. 2003;138:168–75.

    Article  PubMed  Google Scholar 

  4. Yaghjyan L et al. Mammographic breast density and subsequent risk of breast cancer in postmenopausal women according to tumor characteristics. J Natl Cancer Inst. 2011;103(15):1179–89.

    Article  PubMed  Google Scholar 

  5. Niklason LT, Christian BT, Niklason LE, et al. Digital tomosynthesis in breast imaging. Radiology. 1997;205:399–406.

    PubMed  CAS  Google Scholar 

  6. Rafferty E, Niklason L. FFDM vs. FFDM with tomosynthesis for women with radiographically dense breasts: an Enriched Retrospective Reader Study. Presented at Radiological Society of North America 2011 scientific assembly and annual meeting, Chicago, IL. rsna2011.rsna.org/search/event_display.cfm?am_id=2&em_id=11016626&printmode=Y&autoprint=N.

    Google Scholar 

  7. Gur D, Bandos AI, Rockette HE, et al. Localized detection and classification of abnormalities on FFDM and tomosynthesis examinations rated under an FROC paradigm. AJR Am J Roentgenol. 2011;096:737–41.

    Article  Google Scholar 

  8. Skaane P, Gullien R, Eben E, et al. Reading time of FFDM and tomosynthesis in a population-based screening program (abstr). Presented at Radiological Society of North America 2011 scientific assembly and annual meeting, Chicago, IL. rsna2011.rsna.org/search/event_display.cfm?am_id=2&em_id=11011027&printmode=Y&autoprint=N

    Google Scholar 

  9. Wallis MG, Moa E, Zanca F, et al. Two-view and single-view tomosynthesis versus full-field digital mammography: high resolution X-Ray Imaging Observer Study. Radiology. 2012;262(3):788–96. doi:10.1148/radiol.11103514. 103514; Published online January 24, 2012.

    Article  PubMed  Google Scholar 

  10. Tingberg A, Förnvik D, Mattsson S, et al. Breast cancer screening with tomosynthesis – initial experiences. Radiat Prot Dosimetry. 2011;147(1–2):180–3.

    Article  PubMed  CAS  Google Scholar 

  11. Gennaro G, Toledano A, di Maggio C, et al. Digital breast tomosynthesis versus digital mammography: a clinical performance study. Eur Radiol. 2010;20:1545–53.

    Article  PubMed  Google Scholar 

  12. Poplack SP, Tosteson TD, Kogel CA, et al. Digital breast tomosynthesis: initial experience in 98 women with abnormal digital screening mammography. AJR Am J Roentgenol. 2007;189:616–23.

    Article  PubMed  Google Scholar 

  13. Kopans D, Gavenonis S, Halpern E, et al. Calcifications in the breast and digital breast tomosynthesis. Breast J. 2011;17:638–44.

    Article  PubMed  Google Scholar 

  14. Spangler ML, Zuley ML, Sumkin JH, et al. Detection and classification of calcifications on digital breast tomosynthesis and 2D digital mammography: a comparison. AJR Am J Roentgenol. 2011;196:320–4.

    Article  PubMed  Google Scholar 

  15. Gur D, Abrams GS, Chough DM, et al. Digital breast tomosynthesis: observer performance study. AJR Am J Roentgenol. 2009;193:586–91.

    Article  PubMed  Google Scholar 

  16. Gur D, Sumkin J, Zuley M, et al. Recall rate reduction with tomosynthesis during baseline examinations: preliminary assessment from a prospective screening trial. Presented at Radiological Society of North America 2011 scientific assembly and annual meeting, Chicago, IL. rsna2011.rsna.org/search/event_display.cfm?am_id=2&em_id=11004417&printmode=Y&autoprint=N

    Google Scholar 

  17. Noroozian M, Hadjiiski L, Rahnama-Moghadam S, et al. Digital breast tomosynthesis is comparable to mammographic spot views for mass characterization. Radiology. 2012;262:61–8.

    Article  PubMed  Google Scholar 

  18. Tagliafico A, Astengo D, Cavagnetto F, et al. One-to-one comparison between digital spot compression view and digital breast tomosynthesis. Eur Radiol. 2012;22(3):539–44.

    Article  PubMed  Google Scholar 

  19. Hakim CM, Chough DM, Ganott MA, et al. Digital breast tomosynthesis in the diagnostic environment: a subjective side-by-side review. AJR Am J Roentgenol. 2010;195:172–6.

    Article  Google Scholar 

  20. Position Statement of the Health Physics Society—Radiation Risk in Perspective. 2010.

    Google Scholar 

  21. Kopans D, Moore R. Digital breast tomosynthesis (DBT) NCI 3000-Women Trial. Presented at the 95th scientific assembly and annual meeting of the Radiological Society of North America, Chicago, IL, 30 Nov 2009. Abstract SSE01-01.

    Google Scholar 

  22. Good WJ, Abrams GS, Catullo VJ, et al. Digital breast tomosynthesis: a pilot observer study. AJR Am J Roentgenol. 2008;190:865–9.

    Article  PubMed  Google Scholar 

  23. National Center for Health Statistics. Health, United States, 2011: with special feature on socioeconomic status and health. Hyattsville, MD: National Center for Health Statistics; 2012.

    Google Scholar 

  24. Saunders RS, Samei E, Lo JY, et al. Can compression be reduced for breast tomosynthesis? Monte Carlo Study on mass and microcalcification conspicuity in tomosynthesis. Radiology. 2009;251:673–82.

    Article  PubMed  Google Scholar 

  25. Förnvik D, Andersson I, Svahn T, et al. The effect of reduced breast compression in breast tomosynthesis: human observer study using clinical cases. Radiat Prot Dosimetry. 2010;139(1–3):118–23.

    Article  PubMed  Google Scholar 

  26. Chen SC, Carton AK, Albert M, et al. Initial clinical experience with contrast-enhanced digital breast tomosynthesis. Acad Radiol. 2007;14:229–38.

    Article  PubMed  CAS  Google Scholar 

  27. Williams MB, Judy PG, Gunn S, et al. Dual-modality breast tomosynthesis. Radiology. 2010;255:191–8.

    Article  PubMed  Google Scholar 

  28. Fang Q, Selb J, Carp SA, et al. Combined optical and X-ray tomosynthesis breast imaging. Radiology. 2011;258:89–97.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gary Levine M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Levine, G., Lopez, J. (2014). Digital Breast Tomosynthesis. In: Francescatti, D., Silverstein, M. (eds) Breast Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8063-1_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8063-1_9

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8062-4

  • Online ISBN: 978-1-4614-8063-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics