Accuracy in tumor size measurements: Comparison of digital mammography, digital breast tomosynthesis and synthetic mammography

The aim of this study was to assess the accuracy of digital mammography (DM), digital breast tomosynthesis (DBT) and synthetic mammography (SM) in tumor size measurements compared with histological tumor sizes. 71 breast cancer patients who underwent DM and DBT acquisitions simultaneously were inclu...

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Veröffentlicht in:Clinical imaging 2021-01, Vol.69, p.115-119
Hauptverfasser: Şendur, Halit Nahit, Cerit, Mahi Nur, Gültekin, Serap, Cindil, Emetullah, Avdan Aslan, Aydan, Erdal, Zeynep Sezgi, Gültekin, Işıl İmge, Teke, Furkan
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container_start_page 115
container_title Clinical imaging
container_volume 69
creator Şendur, Halit Nahit
Cerit, Mahi Nur
Gültekin, Serap
Cindil, Emetullah
Avdan Aslan, Aydan
Erdal, Zeynep Sezgi
Gültekin, Işıl İmge
Teke, Furkan
description The aim of this study was to assess the accuracy of digital mammography (DM), digital breast tomosynthesis (DBT) and synthetic mammography (SM) in tumor size measurements compared with histological tumor sizes. 71 breast cancer patients who underwent DM and DBT acquisitions simultaneously were included in this study. One radiologist with 8 years of experience in breast imaging measured tumor sizes independently in three separate sessions which include DM, DBT and SM images, respectively. The correlations between the measured tumor sizes on each imaging technique and histological sizes were analyzed using Spearman correlation test. The patients were categorized into two subgroups according to assigned breast density categories (dense and non-dense), and histological tumor sizes (≤2 cm and > 2 cm). To assess the agreement levels between the measured tumor sizes and histological sizes Bland-Altman analyses were performed for each imaging technique. The mean of histological size of tumors was 23.85 ± 16.57 mm (median: 20). The means of measured tumor sizes were 21.21 ± 13.59 mm (median: 19), 21.52 ± 13.42 mm (median: 19) and 18.97 ± 11.21 mm (median: 17) in DM, DBT and SM, respectively. The Spearman correlation values with histologic sizes were 0.814 (P 
doi_str_mv 10.1016/j.clinimag.2020.07.004
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One radiologist with 8 years of experience in breast imaging measured tumor sizes independently in three separate sessions which include DM, DBT and SM images, respectively. The correlations between the measured tumor sizes on each imaging technique and histological sizes were analyzed using Spearman correlation test. The patients were categorized into two subgroups according to assigned breast density categories (dense and non-dense), and histological tumor sizes (≤2 cm and &gt; 2 cm). To assess the agreement levels between the measured tumor sizes and histological sizes Bland-Altman analyses were performed for each imaging technique. The mean of histological size of tumors was 23.85 ± 16.57 mm (median: 20). The means of measured tumor sizes were 21.21 ± 13.59 mm (median: 19), 21.52 ± 13.42 mm (median: 19) and 18.97 ± 11.21 mm (median: 17) in DM, DBT and SM, respectively. The Spearman correlation values with histologic sizes were 0.814 (P &lt; 0.001), 0.887 (P &lt; 0.001), and 0.852 (P &lt; 0.001) for DM, DBT and SM, respectively. In subgroup analyses, the correlation values showed decrement for tumors &gt;2 cm in size compared to tumors ≤2 cm in size. DBT provides the most accurate tumor size measurements among mammographic imaging techniques and if mammography will be used in tumor size measurements, DBT should be preferred. •DBT provides the most accurate tumor size measurements.•DBT demonstrated the highest correlation with histological tumor sizes.•The correlation values show decrement for tumors above 2 cm in size.•Breast density did not affect the accuracy of tumor size measurements.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2020.07.004</identifier><identifier>PMID: 32717538</identifier><language>eng</language><publisher>NEW YORK: Elsevier Inc</publisher><subject>Accuracy ; Breast - diagnostic imaging ; Breast cancer ; Breast Density ; Breast Neoplasms - diagnostic imaging ; Cancer therapies ; Correlation analysis ; Digital breast tomosynthesis ; Digital mammography ; Humans ; Imaging techniques ; Life Sciences &amp; Biomedicine ; Mammography ; Medical imaging ; Radiology, Nuclear Medicine &amp; Medical Imaging ; Science &amp; Technology ; Subgroups ; Surgery ; Synthetic mammography ; Tumor size ; Tumors</subject><ispartof>Clinical imaging, 2021-01, Vol.69, p.115-119</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>2020. 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One radiologist with 8 years of experience in breast imaging measured tumor sizes independently in three separate sessions which include DM, DBT and SM images, respectively. The correlations between the measured tumor sizes on each imaging technique and histological sizes were analyzed using Spearman correlation test. The patients were categorized into two subgroups according to assigned breast density categories (dense and non-dense), and histological tumor sizes (≤2 cm and &gt; 2 cm). To assess the agreement levels between the measured tumor sizes and histological sizes Bland-Altman analyses were performed for each imaging technique. The mean of histological size of tumors was 23.85 ± 16.57 mm (median: 20). The means of measured tumor sizes were 21.21 ± 13.59 mm (median: 19), 21.52 ± 13.42 mm (median: 19) and 18.97 ± 11.21 mm (median: 17) in DM, DBT and SM, respectively. 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One radiologist with 8 years of experience in breast imaging measured tumor sizes independently in three separate sessions which include DM, DBT and SM images, respectively. The correlations between the measured tumor sizes on each imaging technique and histological sizes were analyzed using Spearman correlation test. The patients were categorized into two subgroups according to assigned breast density categories (dense and non-dense), and histological tumor sizes (≤2 cm and &gt; 2 cm). To assess the agreement levels between the measured tumor sizes and histological sizes Bland-Altman analyses were performed for each imaging technique. The mean of histological size of tumors was 23.85 ± 16.57 mm (median: 20). The means of measured tumor sizes were 21.21 ± 13.59 mm (median: 19), 21.52 ± 13.42 mm (median: 19) and 18.97 ± 11.21 mm (median: 17) in DM, DBT and SM, respectively. The Spearman correlation values with histologic sizes were 0.814 (P &lt; 0.001), 0.887 (P &lt; 0.001), and 0.852 (P &lt; 0.001) for DM, DBT and SM, respectively. In subgroup analyses, the correlation values showed decrement for tumors &gt;2 cm in size compared to tumors ≤2 cm in size. DBT provides the most accurate tumor size measurements among mammographic imaging techniques and if mammography will be used in tumor size measurements, DBT should be preferred. •DBT provides the most accurate tumor size measurements.•DBT demonstrated the highest correlation with histological tumor sizes.•The correlation values show decrement for tumors above 2 cm in size.•Breast density did not affect the accuracy of tumor size measurements.</abstract><cop>NEW YORK</cop><pub>Elsevier Inc</pub><pmid>32717538</pmid><doi>10.1016/j.clinimag.2020.07.004</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-9345-1577</orcidid><orcidid>https://orcid.org/0000-0003-2878-6052</orcidid></addata></record>
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subjects Accuracy
Breast - diagnostic imaging
Breast cancer
Breast Density
Breast Neoplasms - diagnostic imaging
Cancer therapies
Correlation analysis
Digital breast tomosynthesis
Digital mammography
Humans
Imaging techniques
Life Sciences & Biomedicine
Mammography
Medical imaging
Radiology, Nuclear Medicine & Medical Imaging
Science & Technology
Subgroups
Surgery
Synthetic mammography
Tumor size
Tumors
title Accuracy in tumor size measurements: Comparison of digital mammography, digital breast tomosynthesis and synthetic mammography
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