Diagnostic performance of a near-infrared breast imaging system as adjunct to mammography versus X-ray mammography alone

Objectives Radiologist reader performance for breast cancer detection using mammography plus Near-Infrared Breast Imaging (NIBI) was compared with mammography alone. Methods Two hundred seventy-six consecutive patients with suspected breast lesions underwent both mammography and NIBI. Four blinded r...

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Veröffentlicht in:European radiology 2012-02, Vol.22 (2), p.350-357
Hauptverfasser: Collettini, F., Martin, J. C., Diekmann, F., Fallenberg, E., Engelken, F., Ponder, S., Kroencke, T. J., Hamm, B., Poellinger, A.
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container_end_page 357
container_issue 2
container_start_page 350
container_title European radiology
container_volume 22
creator Collettini, F.
Martin, J. C.
Diekmann, F.
Fallenberg, E.
Engelken, F.
Ponder, S.
Kroencke, T. J.
Hamm, B.
Poellinger, A.
description Objectives Radiologist reader performance for breast cancer detection using mammography plus Near-Infrared Breast Imaging (NIBI) was compared with mammography alone. Methods Two hundred seventy-six consecutive patients with suspected breast lesions underwent both mammography and NIBI. Four blinded radiologists independently first reviewed the mammograms alone. Readers subsequently reviewed the mammograms in combination with NIBI. The diagnostic benefit of NIBI as an adjunct to mammography was determined by performing receiver operating characteristics (ROC) analyses for each reader based on BI-RADS categories (Breast Imaging Reporting and Data System) and LOS (level of suspicion) scores. Additionally, a multireader-multicase (ROC) analysis of variance (ANOVA) was carried out. Results For the LOS-based analysis, the combination of mammography and NIBI resulted in a slightly larger area under the curve (AUC) for all four readers. The analysis based on BI-RADS categories also demonstrated a slight increase in AUC for three readers for the combination of mammography and NIBI compared with mammography alone. For the fourth reader, AUC was smaller for the combination compared with mammography alone. Neither for the separate ROC-analyses nor for the ANOVA, significant differences between the two methods were obtained. Conclusions The combination of mammography and NIBI did not perform significantly better than mammography alone. Key Points The intrinsic contrast provided by optical breast imaging may be inadequate We found slightly (but nonsignificant) higher accuracy for optical imaging and mammography compared with mammography alone. Contrast agents might be necessary to improve the performance of optical breast imaging
doi_str_mv 10.1007/s00330-011-2276-2
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C. ; Diekmann, F. ; Fallenberg, E. ; Engelken, F. ; Ponder, S. ; Kroencke, T. J. ; Hamm, B. ; Poellinger, A.</creator><creatorcontrib>Collettini, F. ; Martin, J. C. ; Diekmann, F. ; Fallenberg, E. ; Engelken, F. ; Ponder, S. ; Kroencke, T. J. ; Hamm, B. ; Poellinger, A.</creatorcontrib><description>Objectives Radiologist reader performance for breast cancer detection using mammography plus Near-Infrared Breast Imaging (NIBI) was compared with mammography alone. Methods Two hundred seventy-six consecutive patients with suspected breast lesions underwent both mammography and NIBI. Four blinded radiologists independently first reviewed the mammograms alone. Readers subsequently reviewed the mammograms in combination with NIBI. The diagnostic benefit of NIBI as an adjunct to mammography was determined by performing receiver operating characteristics (ROC) analyses for each reader based on BI-RADS categories (Breast Imaging Reporting and Data System) and LOS (level of suspicion) scores. Additionally, a multireader-multicase (ROC) analysis of variance (ANOVA) was carried out. Results For the LOS-based analysis, the combination of mammography and NIBI resulted in a slightly larger area under the curve (AUC) for all four readers. The analysis based on BI-RADS categories also demonstrated a slight increase in AUC for three readers for the combination of mammography and NIBI compared with mammography alone. For the fourth reader, AUC was smaller for the combination compared with mammography alone. Neither for the separate ROC-analyses nor for the ANOVA, significant differences between the two methods were obtained. Conclusions The combination of mammography and NIBI did not perform significantly better than mammography alone. Key Points The intrinsic contrast provided by optical breast imaging may be inadequate We found slightly (but nonsignificant) higher accuracy for optical imaging and mammography compared with mammography alone. Contrast agents might be necessary to improve the performance of optical breast imaging</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-011-2276-2</identifier><identifier>PMID: 21947512</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Area Under Curve ; Biopsy ; Breast - pathology ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - diagnostic imaging ; Diagnostic Radiology ; Experimental ; Female ; Hemoglobin ; Humans ; Image Processing, Computer-Assisted - methods ; Imaging ; Infrared imaging systems ; Internal Medicine ; Interventional Radiology ; Lasers ; Mammography ; Mammography - methods ; Medical screening ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neuroradiology ; Patients ; Radiology ; Radiology - methods ; Reproducibility of Results ; ROC Curve ; Spectroscopy, Near-Infrared - methods ; Tomography ; Ultrasonic imaging ; Ultrasound ; Variance analysis ; X-Rays</subject><ispartof>European radiology, 2012-02, Vol.22 (2), p.350-357</ispartof><rights>European Society of Radiology 2011</rights><rights>European Society of Radiology 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-4362d6acc68b29a7f6710fd4ccabec2e2d7dc9ef1376fe8acd59bc8b15cb3cb83</citedby><cites>FETCH-LOGICAL-c371t-4362d6acc68b29a7f6710fd4ccabec2e2d7dc9ef1376fe8acd59bc8b15cb3cb83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-011-2276-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-011-2276-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21947512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Collettini, F.</creatorcontrib><creatorcontrib>Martin, J. C.</creatorcontrib><creatorcontrib>Diekmann, F.</creatorcontrib><creatorcontrib>Fallenberg, E.</creatorcontrib><creatorcontrib>Engelken, F.</creatorcontrib><creatorcontrib>Ponder, S.</creatorcontrib><creatorcontrib>Kroencke, T. J.</creatorcontrib><creatorcontrib>Hamm, B.</creatorcontrib><creatorcontrib>Poellinger, A.</creatorcontrib><title>Diagnostic performance of a near-infrared breast imaging system as adjunct to mammography versus X-ray mammography alone</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives Radiologist reader performance for breast cancer detection using mammography plus Near-Infrared Breast Imaging (NIBI) was compared with mammography alone. Methods Two hundred seventy-six consecutive patients with suspected breast lesions underwent both mammography and NIBI. Four blinded radiologists independently first reviewed the mammograms alone. Readers subsequently reviewed the mammograms in combination with NIBI. The diagnostic benefit of NIBI as an adjunct to mammography was determined by performing receiver operating characteristics (ROC) analyses for each reader based on BI-RADS categories (Breast Imaging Reporting and Data System) and LOS (level of suspicion) scores. Additionally, a multireader-multicase (ROC) analysis of variance (ANOVA) was carried out. Results For the LOS-based analysis, the combination of mammography and NIBI resulted in a slightly larger area under the curve (AUC) for all four readers. The analysis based on BI-RADS categories also demonstrated a slight increase in AUC for three readers for the combination of mammography and NIBI compared with mammography alone. For the fourth reader, AUC was smaller for the combination compared with mammography alone. Neither for the separate ROC-analyses nor for the ANOVA, significant differences between the two methods were obtained. Conclusions The combination of mammography and NIBI did not perform significantly better than mammography alone. Key Points The intrinsic contrast provided by optical breast imaging may be inadequate We found slightly (but nonsignificant) higher accuracy for optical imaging and mammography compared with mammography alone. 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C.</au><au>Diekmann, F.</au><au>Fallenberg, E.</au><au>Engelken, F.</au><au>Ponder, S.</au><au>Kroencke, T. J.</au><au>Hamm, B.</au><au>Poellinger, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic performance of a near-infrared breast imaging system as adjunct to mammography versus X-ray mammography alone</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>22</volume><issue>2</issue><spage>350</spage><epage>357</epage><pages>350-357</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives Radiologist reader performance for breast cancer detection using mammography plus Near-Infrared Breast Imaging (NIBI) was compared with mammography alone. Methods Two hundred seventy-six consecutive patients with suspected breast lesions underwent both mammography and NIBI. Four blinded radiologists independently first reviewed the mammograms alone. Readers subsequently reviewed the mammograms in combination with NIBI. The diagnostic benefit of NIBI as an adjunct to mammography was determined by performing receiver operating characteristics (ROC) analyses for each reader based on BI-RADS categories (Breast Imaging Reporting and Data System) and LOS (level of suspicion) scores. Additionally, a multireader-multicase (ROC) analysis of variance (ANOVA) was carried out. Results For the LOS-based analysis, the combination of mammography and NIBI resulted in a slightly larger area under the curve (AUC) for all four readers. The analysis based on BI-RADS categories also demonstrated a slight increase in AUC for three readers for the combination of mammography and NIBI compared with mammography alone. For the fourth reader, AUC was smaller for the combination compared with mammography alone. Neither for the separate ROC-analyses nor for the ANOVA, significant differences between the two methods were obtained. Conclusions The combination of mammography and NIBI did not perform significantly better than mammography alone. Key Points The intrinsic contrast provided by optical breast imaging may be inadequate We found slightly (but nonsignificant) higher accuracy for optical imaging and mammography compared with mammography alone. Contrast agents might be necessary to improve the performance of optical breast imaging</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21947512</pmid><doi>10.1007/s00330-011-2276-2</doi><tpages>8</tpages></addata></record>
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ispartof European radiology, 2012-02, Vol.22 (2), p.350-357
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source MEDLINE; SpringerNature Journals
subjects Adult
Aged
Aged, 80 and over
Area Under Curve
Biopsy
Breast - pathology
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - diagnostic imaging
Diagnostic Radiology
Experimental
Female
Hemoglobin
Humans
Image Processing, Computer-Assisted - methods
Imaging
Infrared imaging systems
Internal Medicine
Interventional Radiology
Lasers
Mammography
Mammography - methods
Medical screening
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Patients
Radiology
Radiology - methods
Reproducibility of Results
ROC Curve
Spectroscopy, Near-Infrared - methods
Tomography
Ultrasonic imaging
Ultrasound
Variance analysis
X-Rays
title Diagnostic performance of a near-infrared breast imaging system as adjunct to mammography versus X-ray mammography alone
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