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  1. Article ; Online: Advantages and Challenges of Using Breast Biopsy Markers.

    Alshafeiy, Taghreed I / Matich, Alison / Rochman, Carrie M / Harvey, Jennifer A

    Journal of breast imaging

    2024  Volume 4, Issue 1, Page(s) 78–95

    Abstract: Percutaneous image-guided biopsy procedures are the standard of care for histologic assessment of suspicious breast lesions. Post-biopsy tissue markers (clips) optimize patient management by allowing for assessment on follow-up imaging and precise lesion ...

    Abstract Percutaneous image-guided biopsy procedures are the standard of care for histologic assessment of suspicious breast lesions. Post-biopsy tissue markers (clips) optimize patient management by allowing for assessment on follow-up imaging and precise lesion localization. Markers are used to ensure accurate correlation between imaging modalities, guide preoperative localization for malignant and high-risk lesions, and facilitate accurate identification of benign lesions at follow-up. Local practices differ widely, and there are no data detailing the exact frequency of use of clips for different breast biopsies. There are many indications for biopsy marker deployment, and some difficulties may be encountered after placement. The placement of biopsy markers has many advantages and few disadvantages, such that deployment should be routinely used after percutaneous biopsy procedures with rare exception.
    Language English
    Publishing date 2024-03-01
    Publishing country United States
    Document type Journal Article
    ISSN 2631-6129
    ISSN (online) 2631-6129
    DOI 10.1093/jbi/wbab052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prediction of Cancer Masking in Screening Mammography Using Density and Textural Features.

    Mainprize, James G / Alonzo-Proulx, Olivier / Alshafeiy, Taghreed I / Patrie, James T / Harvey, Jennifer A / Yaffe, Martin J

    Academic radiology

    2018  Volume 26, Issue 5, Page(s) 608–619

    Abstract: Rationale and objectives: High mammographic density reduces the diagnostic accuracy of screening mammography due to masking of tumors, resulting in possible delayed diagnosis and missed cancers. Women with high masking risk could be preselected for ... ...

    Abstract Rationale and objectives: High mammographic density reduces the diagnostic accuracy of screening mammography due to masking of tumors, resulting in possible delayed diagnosis and missed cancers. Women with high masking risk could be preselected for alternative screening regimens less susceptible to masking. In this study, various models to predict masking status are presented based on biometric and image-based parameters.
    Materials and methods: For a cohort of 67 nonscreen-detected (cancers detected via other means after a negative mammogram) and 147 screen-detected invasive cancers, quantitative volumetric breast density, BI-RADS density, and the distribution and appearance of dense tissue through statistical and texture metrics were measured. Age and Body Mass Index were recorded. Stepwise multivariate logistic regressions were computed to select those parameters that predicted nonscreen-detected cancers. Accuracy of the models was evaluated using the area under receiver operator characteristic curve (AUC).
    Results: Using BI-RADS density alone to predict masking risk yielded an AUC of 0.64 (95% confidence interval [0.57-0.70]). Age-adjusted BI-RADS density or volumetric breast density had AUCs of 0.72 [0.64-0.79] and 0.71 [0.62-0.78], respectively. A model extracted from the full pool of variables had an AUC of 0.75 [0.67-0.82].
    Conclusion: The optimal model predicts masking more accurately than density alone, suggesting that texture metrics may be useful in models to guide a stratified screening strategy.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Area Under Curve ; Body Mass Index ; Breast Density ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology ; Cohort Studies ; Early Detection of Cancer/methods ; Female ; Humans ; Mammography/methods ; Middle Aged ; ROC Curve
    Language English
    Publishing date 2018-08-10
    Publishing country United States
    Document type Evaluation Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2018.06.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4594: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Outcome of Architectural Distortion Detected Only at Breast Tomosynthesis versus 2D Mammography.

    Alshafeiy, Taghreed I / Nguyen, Jonathon V / Rochman, Carrie M / Nicholson, Brandi T / Patrie, James T / Harvey, Jennifer A

    Radiology

    2018  Volume 288, Issue 1, Page(s) 38–46

    Abstract: Purpose To compare the outcome of architectural distortion (AD) without associated mass only on digital breast tomosynthesis (DBT) with AD seen at two-dimensional (2D) mammography and to evaluate if the incidence of malignancy is influenced by the ... ...

    Abstract Purpose To compare the outcome of architectural distortion (AD) without associated mass only on digital breast tomosynthesis (DBT) with AD seen at two-dimensional (2D) mammography and to evaluate if the incidence of malignancy is influenced by the presence of a correlate at ultrasonography (US). Materials and Methods This retrospective study had institutional review board approval and was HIPAA compliant. All consecutive cases in which patients with AD were ultimately assigned Breast Imaging Reporting and Data System (BI-RADS) 4 or 5 categories from 2009 to 2016 were reviewed by three readers for visibility (2D vs DBT). The level of suspicion was assigned using a Likert scale. Pathologic results were compared between 2D-detected and DBT-detected AD. Frequencies were compared by using the McNemar and Pearson χ
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Breast/diagnostic imaging ; Breast Neoplasms/diagnostic imaging ; Female ; Humans ; Mammography/methods ; Middle Aged ; Reproducibility of Results ; Retrospective Studies ; Ultrasonography, Mammary/methods
    Language English
    Publishing date 2018-07
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.2018171159
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.106: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Comparison Between Digital and Synthetic 2D Mammograms in Breast Density Interpretation.

    Alshafeiy, Taghreed I / Wadih, Antoine / Nicholson, Brandi T / Rochman, Carrie M / Peppard, Heather R / Patrie, James T / Harvey, Jennifer A

    AJR. American journal of roentgenology

    2017  Volume 209, Issue 1, Page(s) W36–W41

    Abstract: Objective: The purpose of this study was to compare assessments of breast density on synthetic 2D images as compared with digital 2D mammograms.: Materials and methods: This retrospective study included consecutive women undergoing screening with ... ...

    Abstract Objective: The purpose of this study was to compare assessments of breast density on synthetic 2D images as compared with digital 2D mammograms.
    Materials and methods: This retrospective study included consecutive women undergoing screening with digital 2D mammography and tomosynthesis during May 2015 with a negative or benign outcome. In separate reading sessions, three radiologists with 5-25 years of clinical experience and 1 year of experience with synthetic 2D mammography read digital 2D and synthetic 2D images and assigned breast density categories according to the 5th edition of BI-RADS. Inter- and intrareader agreement was assessed for each BI-RADS density assessment and combined dense and nondense categories using percent agreement and Cohen kappa coefficient for consensus and all reads.
    Results: A total of 309 patients met study inclusion criteria. Agreement between consensus BI-RADS density categories assigned for digital and synthetic 2D mammography was 80.3% (95% CI, 75.4-84.5%) with κ = 0.73 (95% CI, 0.66-0.79). For combined dense and nondense categories, agreement reached 91.9% (95% CI, 88.2-94.7%). For consensus readings, similar numbers of patients were shifted between nondense and dense categories (11 and 14, respectively) with the synthetic 2D compared with digital 2D mammography. Interreader differences were apparent; assignment to dense categories was greater with digital 2D mammography for reader 1 (odds ratio [OR], 1.26; p = 0.002), the same for reader 2 (OR, 0.91; p = 0.262), and greater with synthetic 2D mammography for reader 3 (OR, 0.86; p = 0.033).
    Conclusion: Overall, synthetic 2D mammography is comparable with digital 2D mammography in assessment of breast density, though there is some variability by reader. Practices can readily adopt synthetic 2D mammography without concern that it will affect density assessment and subsequent recommendations for supplemental screening.
    MeSH term(s) Adult ; Aged ; Breast Density ; Breast Neoplasms/diagnostic imaging ; Early Detection of Cancer ; Female ; Humans ; Mammography/methods ; Middle Aged ; Radiographic Image Enhancement/methods ; Retrospective Studies
    Language English
    Publishing date 2017-07
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.16.16966
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.57: Show issues Location:
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