F.J.H.M. van den Biggelaar, P.J. Nelemans and K. Flobbe
The Breast Volume 17, Issue 1, February 2008, Pages 85-90
Link
This systematic literature review focuses on the performance of radiographers (also referring to technologists and physician assistants) compared with radiologists in the interpretation of mammograms; the effect of training; and the question whether there are any studies evaluating the effects of involving radiographers in the interpretation of diagnostic mammograms in daily clinical practice on the sensitivity and specificity of cancer detection in breast imaging.
Six studies met the inclusion criteria (primary aim of the study has to be the evaluation of the performance of radiographers, sensitivity and specificity have to be reported or calculable and there has to be a sufficient gold standard). The results showed that, in a screening setting, radiographers scored higher false positive rates with a similar sensitivity in the detection of malignancies, compared with radiologists. Furthermore, results suggested that training could improve their performance. No studies were reported assessing the performance of radiographers interpreting diagnostic mammograms in a consecutive patient population in a daily clinical setting.
This indicates a need for a well-designed diagnostic study using an adequate gold standard, in order to evaluate the feasibility of deploying radiographers in the interpretation of diagnostic mammograms in a clinical setting.
Friday, 15 February 2008
Pain in different methods of breast biopsy: Emphasis on vacuum-assisted breast biopsy
Flora Zagouri, Theodoros N. Sergentanis, Antonia Gounaris, Dimitra Koulocheri, Afroditi Nonni, Philip Domeyer, Constantine Fotiadis, John Bramis and George C. Zografos
The Breast Volume 17, Issue 1, February 2008, Pages 71-75
Link
This study examines pain (visual analog scale 0–10) in women undergoing breast biopsy. Two hundred and twenty-seven patients with a palpable lesion underwent FNA (21 G, n=85), core biopsy (14 G, n=86) or open biopsy under local anesthesia (n=56). One hundred and twenty-six women presented with a non-palpable lesion, and underwent vacuum-assisted breast biopsy (VABB, 11 G) under mammographic guidance, prone position (n=72) or hook-wire localization followed by open surgery (n=54).
The techniques sampling non-palpable lesions were the most painful: hook-wire (9.15±0.74) and VABB (4.35±1.70). Larger needle diameter was associated with more intense pain. Concerning VABB, an S-shape curve of pain (third-order pattern) was documented. A second dose of lidocaine just before the rapid increase phase was then adopted (n=61), and reduced the total/maximum pain. In conclusion, although VABB is less painful than hook-wire, the pain experienced in VABB is significant; however, it can be attenuated by a second dose of lidocaine.
The Breast Volume 17, Issue 1, February 2008, Pages 71-75
Link
This study examines pain (visual analog scale 0–10) in women undergoing breast biopsy. Two hundred and twenty-seven patients with a palpable lesion underwent FNA (21 G, n=85), core biopsy (14 G, n=86) or open biopsy under local anesthesia (n=56). One hundred and twenty-six women presented with a non-palpable lesion, and underwent vacuum-assisted breast biopsy (VABB, 11 G) under mammographic guidance, prone position (n=72) or hook-wire localization followed by open surgery (n=54).
The techniques sampling non-palpable lesions were the most painful: hook-wire (9.15±0.74) and VABB (4.35±1.70). Larger needle diameter was associated with more intense pain. Concerning VABB, an S-shape curve of pain (third-order pattern) was documented. A second dose of lidocaine just before the rapid increase phase was then adopted (n=61), and reduced the total/maximum pain. In conclusion, although VABB is less painful than hook-wire, the pain experienced in VABB is significant; however, it can be attenuated by a second dose of lidocaine.
Outcome of initially only magnetic resonance mammography-detected findings with and without correlate at second-look sonography
Outcome of initially only magnetic resonance mammography-detected findings with and without correlate at second-look sonography: Distribution according to patient history of breast cancer and lesion size
Anna Linda, Chiara Zuiani, Viviana Londero and Massimo Bazzocchi
The Breast Volume 17, Issue 1, February 2008, Pages 51-57
The purpose of the study was to evaluate the outcome of initially only magnetic resonance mammography (MRM)-detected breast lesions as a function of radiologic features, history of breast cancer and lesion size.
Radiologic features, history of breast cancer and large diameter are associated with high likelihood of malignancy in case of initially only MRM-detected lesions. Nevertheless, biopsy might be spared just for MRI BI-RADS 3 lesions in patients without history of breast carcinoma.
Anna Linda, Chiara Zuiani, Viviana Londero and Massimo Bazzocchi
The Breast Volume 17, Issue 1, February 2008, Pages 51-57
The purpose of the study was to evaluate the outcome of initially only magnetic resonance mammography (MRM)-detected breast lesions as a function of radiologic features, history of breast cancer and lesion size.
Radiologic features, history of breast cancer and large diameter are associated with high likelihood of malignancy in case of initially only MRM-detected lesions. Nevertheless, biopsy might be spared just for MRI BI-RADS 3 lesions in patients without history of breast carcinoma.
The acceptance and feasibility of breast cancer screening in the East
Ava Kwong, Polly S.Y. Cheung, Ada Y.W. Wong, Gloria T.Y. Hung, Gladys Lo, Marion Tsao, Edith W.K. Chan, Ting Wong and Michael Ma
The Breast Volume 17, Issue 1, February 2008, Pages 42-50
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WC2-4PHJGMR-1&_user=4430&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059594&_version=1&_urlVersion=0&_userid=4430&md5=6b73ef38c616738fb79e6473b687d629
An overall malignancy detection rate of 2.3 per 1000 screens and a recall rate of 9.2% were found. Despite culture differences and differences in breast characteristics (denser and smaller breasts), breast screening is feasible and acceptable in the East
The Breast Volume 17, Issue 1, February 2008, Pages 42-50
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WC2-4PHJGMR-1&_user=4430&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059594&_version=1&_urlVersion=0&_userid=4430&md5=6b73ef38c616738fb79e6473b687d629
An overall malignancy detection rate of 2.3 per 1000 screens and a recall rate of 9.2% were found. Despite culture differences and differences in breast characteristics (denser and smaller breasts), breast screening is feasible and acceptable in the East
Quantitative assessment of mammographic density and breast cancer risk for Japanese women
Yasuyuki Kotsuma, Yasuhiro Tamaki, Toshihiro Nishimura, Masayoshi Tsubai, Satsuki Ueda, Kenzo Shimazu, Seung Jin Kim, Yasuo Miyoshi, Yoshio Tanji, Tetsuya Taguchi and Shinzaburo Noguchi
The Breast Volume 17, Issue 1, February 2008, Pages 27-35
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WC2-4PGH4B3-1&_user=4430&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059594&_version=1&_urlVersion=0&_userid=4430&md5=778797e49bafc65100bb6b6aa186d2f7
We conducted a case-control study to examine the relationship between breast density (BD) on mammography and breast cancer risk for postmenopausal Japanese women. The mammograms (205 cases and 223 controls) were classified by two doctors employing Wolfe's classification and used to measure BD with original computer software. A weak relationship between breast cancer risk and the parenchymal pattern of Wolfe's classification was found. The BD measured with the computer software, however, showed a significant relationship with breast cancer risk.
The Breast Volume 17, Issue 1, February 2008, Pages 27-35
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WC2-4PGH4B3-1&_user=4430&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059594&_version=1&_urlVersion=0&_userid=4430&md5=778797e49bafc65100bb6b6aa186d2f7
We conducted a case-control study to examine the relationship between breast density (BD) on mammography and breast cancer risk for postmenopausal Japanese women. The mammograms (205 cases and 223 controls) were classified by two doctors employing Wolfe's classification and used to measure BD with original computer software. A weak relationship between breast cancer risk and the parenchymal pattern of Wolfe's classification was found. The BD measured with the computer software, however, showed a significant relationship with breast cancer risk.
Atypical ductal hyperplasia: A way to minimize underestimation in vacuum-assisted breast biopsy?
Flora Zagouri, Theodoros N. Sergentanis, Dimitra Koulocheri, Aphrodite Nonni, John Bramis and George C. Zografos
The Breast Volume 17, Issue 1, February 2008, Page 6
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WC2-4RV5S14-1&_user=4430&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059594&_version=1&_urlVersion=0&_userid=4430&md5=cbdb6cda71a63b774631bde5c69d6618
The underestimation rate of atypical ductal hyperplasia (ADH) diagnosed via vacuum-assisted breast biopsy (VABB) is a crucial issue in the common clinical practice. Bedei et al. examined the underestimation of ADH diagnosis by VABB.
Independently, our research team has evaluated putative ways of minimizing underestimation rate in pre-invasive breast lesions.
The Breast Volume 17, Issue 1, February 2008, Page 6
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WC2-4RV5S14-1&_user=4430&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059594&_version=1&_urlVersion=0&_userid=4430&md5=cbdb6cda71a63b774631bde5c69d6618
The underestimation rate of atypical ductal hyperplasia (ADH) diagnosed via vacuum-assisted breast biopsy (VABB) is a crucial issue in the common clinical practice. Bedei et al. examined the underestimation of ADH diagnosis by VABB.
Independently, our research team has evaluated putative ways of minimizing underestimation rate in pre-invasive breast lesions.
Ectopic breast cancer without breast parenchyma
Letter -
N. Toman, A. Buschmann and T. Muehlberger
The Breast Volume 17, Issue 1, February 2008, Pages 3-4
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WC2-4PRHKS2-2&_user=4430&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059594&_version=1&_urlVersion=0&_userid=4430&md5=50a6cdbd3ec67454f0fe1e0426839fdf
Primary breast cancer of aberrant breast tissue is virtually never diagnosed preoperatively. Once the diagnosis of breast tissue has been established through the detection of hormone receptors, its origin as a metastatic lesion from classical breast cancer has to be ruled out. There are no specific therapeutic guidelines for these rare tumors; however, the interdisciplinary adjustment of treatment to the recommendations for orthotopic breast cancer seems reasonable and effective
N. Toman, A. Buschmann and T. Muehlberger
The Breast Volume 17, Issue 1, February 2008, Pages 3-4
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WC2-4PRHKS2-2&_user=4430&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059594&_version=1&_urlVersion=0&_userid=4430&md5=50a6cdbd3ec67454f0fe1e0426839fdf
Primary breast cancer of aberrant breast tissue is virtually never diagnosed preoperatively. Once the diagnosis of breast tissue has been established through the detection of hormone receptors, its origin as a metastatic lesion from classical breast cancer has to be ruled out. There are no specific therapeutic guidelines for these rare tumors; however, the interdisciplinary adjustment of treatment to the recommendations for orthotopic breast cancer seems reasonable and effective
Subscribe to:
Comments (Atom)