Mammography before and after bariatric surgery

Abstract Background Morbidly obese women are at increased risk for breast cancer, and the majority of surgical weight-loss patients are older than 40 years old. Objective The purpose of the present study was to determine the technical and interpretive changes in mammography following bariatric surge...

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Veröffentlicht in:Surgery for obesity and related diseases 2017-03, Vol.13 (3), p.451-456
Hauptverfasser: Mokhtari, Tara E., B.S, Rosas, Ulysses S., B.A, Downey, John R., M.D., M.P.H, Miyake, Kanae K., M.D., Ph.D, Ikeda, Debra M., M.D, Morton, John M., M.D., M.P.H
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container_end_page 456
container_issue 3
container_start_page 451
container_title Surgery for obesity and related diseases
container_volume 13
creator Mokhtari, Tara E., B.S
Rosas, Ulysses S., B.A
Downey, John R., M.D., M.P.H
Miyake, Kanae K., M.D., Ph.D
Ikeda, Debra M., M.D
Morton, John M., M.D., M.P.H
description Abstract Background Morbidly obese women are at increased risk for breast cancer, and the majority of surgical weight-loss patients are older than 40 years old. Objective The purpose of the present study was to determine the technical and interpretive changes in mammography following bariatric surgery. Setting Accredited Academic Hospital. Methods Two breast-imaging radiologists reviewed screening mammograms performed on 10 morbidly obese women undergoing bariatric surgery both pre- and postoperatively. American College of Radiology Breast Imaging Reporting and Data System (ACR BI-RADS) density, imaging quality measurements, compression force, breast thickness, pectoral nipple line (PNL) length, and x-ray beam kilovoltage (kVp) and miliamperes per second (mAs) were recorded. Results The average patient age was 56 years old, with mean age at menarche of 13 years old; 70% of patients were postmenopausal (average age 49 years at menopause) and 50% had a family history of breast cancer. There was a significant reduction in both BMI (-13.2 kg/m2 , P
doi_str_mv 10.1016/j.soard.2016.10.021
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Objective The purpose of the present study was to determine the technical and interpretive changes in mammography following bariatric surgery. Setting Accredited Academic Hospital. Methods Two breast-imaging radiologists reviewed screening mammograms performed on 10 morbidly obese women undergoing bariatric surgery both pre- and postoperatively. American College of Radiology Breast Imaging Reporting and Data System (ACR BI-RADS) density, imaging quality measurements, compression force, breast thickness, pectoral nipple line (PNL) length, and x-ray beam kilovoltage (kVp) and miliamperes per second (mAs) were recorded. Results The average patient age was 56 years old, with mean age at menarche of 13 years old; 70% of patients were postmenopausal (average age 49 years at menopause) and 50% had a family history of breast cancer. There was a significant reduction in both BMI (-13.2 kg/m2 , P &lt;.01) and waist circumference (-32.0 cm, P &lt;.01) following bariatric surgery. There was a significant reduction in breast thickness (-23.8 mm), reduction in PNL length (-1.9 cm), reduction in kVp (-1.2), and reduction in mAs (-16.7) even though there was no compression force change in pre- and postoperative mammograms detected. All breast densities were fatty or scattered though there were more scattered and fewer fatty images after surgery ( P = .002). Conclusion Morbidly obese women can undergo quality mammograms before and after bariatric surgery; however, weight loss after bariatric surgery leads to only slightly denser mammograms. Furthermore, weight loss reduces mammographic radiation doses.</description><identifier>ISSN: 1550-7289</identifier><identifier>EISSN: 1878-7533</identifier><identifier>DOI: 10.1016/j.soard.2016.10.021</identifier><identifier>PMID: 27986574</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>bariatric ; Bariatric Surgery ; breast ; Breast Neoplasms - diagnostic imaging ; cancer ; Early Detection of Cancer ; Female ; Gastroenterology and Hepatology ; Humans ; Laparoscopy ; mammography ; Mammography - standards ; Middle Aged ; Obesity, Morbid - surgery ; Postmenopause - physiology ; Postoperative Care ; Preoperative Care ; Retrospective Studies ; Surgery ; Waist Circumference ; weight loss ; Weight Loss - physiology</subject><ispartof>Surgery for obesity and related diseases, 2017-03, Vol.13 (3), p.451-456</ispartof><rights>American Society for Bariatric Surgery</rights><rights>2017 American Society for Bariatric Surgery</rights><rights>Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-4a3839962df7fecdac6a3e9f5d5b232e62085f17d4affb0a0beeceb9a46bb5433</citedby><cites>FETCH-LOGICAL-c414t-4a3839962df7fecdac6a3e9f5d5b232e62085f17d4affb0a0beeceb9a46bb5433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.soard.2016.10.021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27986574$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mokhtari, Tara E., B.S</creatorcontrib><creatorcontrib>Rosas, Ulysses S., B.A</creatorcontrib><creatorcontrib>Downey, John R., M.D., M.P.H</creatorcontrib><creatorcontrib>Miyake, Kanae K., M.D., Ph.D</creatorcontrib><creatorcontrib>Ikeda, Debra M., M.D</creatorcontrib><creatorcontrib>Morton, John M., M.D., M.P.H</creatorcontrib><title>Mammography before and after bariatric surgery</title><title>Surgery for obesity and related diseases</title><addtitle>Surg Obes Relat Dis</addtitle><description>Abstract Background Morbidly obese women are at increased risk for breast cancer, and the majority of surgical weight-loss patients are older than 40 years old. Objective The purpose of the present study was to determine the technical and interpretive changes in mammography following bariatric surgery. Setting Accredited Academic Hospital. Methods Two breast-imaging radiologists reviewed screening mammograms performed on 10 morbidly obese women undergoing bariatric surgery both pre- and postoperatively. American College of Radiology Breast Imaging Reporting and Data System (ACR BI-RADS) density, imaging quality measurements, compression force, breast thickness, pectoral nipple line (PNL) length, and x-ray beam kilovoltage (kVp) and miliamperes per second (mAs) were recorded. Results The average patient age was 56 years old, with mean age at menarche of 13 years old; 70% of patients were postmenopausal (average age 49 years at menopause) and 50% had a family history of breast cancer. There was a significant reduction in both BMI (-13.2 kg/m2 , P &lt;.01) and waist circumference (-32.0 cm, P &lt;.01) following bariatric surgery. There was a significant reduction in breast thickness (-23.8 mm), reduction in PNL length (-1.9 cm), reduction in kVp (-1.2), and reduction in mAs (-16.7) even though there was no compression force change in pre- and postoperative mammograms detected. All breast densities were fatty or scattered though there were more scattered and fewer fatty images after surgery ( P = .002). Conclusion Morbidly obese women can undergo quality mammograms before and after bariatric surgery; however, weight loss after bariatric surgery leads to only slightly denser mammograms. Furthermore, weight loss reduces mammographic radiation doses.</description><subject>bariatric</subject><subject>Bariatric Surgery</subject><subject>breast</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>cancer</subject><subject>Early Detection of Cancer</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>mammography</subject><subject>Mammography - standards</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - surgery</subject><subject>Postmenopause - physiology</subject><subject>Postoperative Care</subject><subject>Preoperative Care</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Waist Circumference</subject><subject>weight loss</subject><subject>Weight Loss - physiology</subject><issn>1550-7289</issn><issn>1878-7533</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctO3TAQhi3UCijtEyBVWXaT1Jc4ThZFQggKElUXhbU1tsfg01wOdoJ03r4Oh7Lopqu56P9nNN8QcspoxShrvm6qNEF0Fc9F7lSUswNyzFrVlkoK8S7nUtJS8bY7Ih9S2lAqGqn4ITniqmtzWh-T6gcMw_QQYfu4Kwz6KWIBoyvAzxgLAzHAHIMt0hIfMO4-kvce-oSfXuMJub-6vLu4Lm9_fr-5OL8tbc3quaxBtKLrGu688mgd2AYEdl46abjg2HDaSs-Uq8F7Q4EaRIumg7oxRtZCnJAv-7nbOD0tmGY9hGSx72HEaUmatZI3HZWyy1Kxl9o4pRTR620MA8SdZlSvoPRGv4DSK6i1mUFl1-fXBYsZ0L15_pLJgm97AeYznwNGnWzA0aILEe2s3RT-s-DsH7_twxgs9L9xh2kzLXHMBDXTiWuqf62_Wl_FGkGVUq34AwcRj60</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Mokhtari, Tara E., B.S</creator><creator>Rosas, Ulysses S., B.A</creator><creator>Downey, John R., M.D., M.P.H</creator><creator>Miyake, Kanae K., M.D., Ph.D</creator><creator>Ikeda, Debra M., M.D</creator><creator>Morton, John M., M.D., M.P.H</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Mammography before and after bariatric surgery</title><author>Mokhtari, Tara E., B.S ; Rosas, Ulysses S., B.A ; Downey, John R., M.D., M.P.H ; Miyake, Kanae K., M.D., Ph.D ; Ikeda, Debra M., M.D ; Morton, John M., M.D., M.P.H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-4a3839962df7fecdac6a3e9f5d5b232e62085f17d4affb0a0beeceb9a46bb5433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>bariatric</topic><topic>Bariatric Surgery</topic><topic>breast</topic><topic>Breast Neoplasms - diagnostic imaging</topic><topic>cancer</topic><topic>Early Detection of Cancer</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>mammography</topic><topic>Mammography - standards</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - surgery</topic><topic>Postmenopause - physiology</topic><topic>Postoperative Care</topic><topic>Preoperative Care</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Waist Circumference</topic><topic>weight loss</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mokhtari, Tara E., B.S</creatorcontrib><creatorcontrib>Rosas, Ulysses S., B.A</creatorcontrib><creatorcontrib>Downey, John R., M.D., M.P.H</creatorcontrib><creatorcontrib>Miyake, Kanae K., M.D., Ph.D</creatorcontrib><creatorcontrib>Ikeda, Debra M., M.D</creatorcontrib><creatorcontrib>Morton, John M., M.D., M.P.H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery for obesity and related diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mokhtari, Tara E., B.S</au><au>Rosas, Ulysses S., B.A</au><au>Downey, John R., M.D., M.P.H</au><au>Miyake, Kanae K., M.D., Ph.D</au><au>Ikeda, Debra M., M.D</au><au>Morton, John M., M.D., M.P.H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mammography before and after bariatric surgery</atitle><jtitle>Surgery for obesity and related diseases</jtitle><addtitle>Surg Obes Relat Dis</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>13</volume><issue>3</issue><spage>451</spage><epage>456</epage><pages>451-456</pages><issn>1550-7289</issn><eissn>1878-7533</eissn><abstract>Abstract Background Morbidly obese women are at increased risk for breast cancer, and the majority of surgical weight-loss patients are older than 40 years old. Objective The purpose of the present study was to determine the technical and interpretive changes in mammography following bariatric surgery. Setting Accredited Academic Hospital. Methods Two breast-imaging radiologists reviewed screening mammograms performed on 10 morbidly obese women undergoing bariatric surgery both pre- and postoperatively. American College of Radiology Breast Imaging Reporting and Data System (ACR BI-RADS) density, imaging quality measurements, compression force, breast thickness, pectoral nipple line (PNL) length, and x-ray beam kilovoltage (kVp) and miliamperes per second (mAs) were recorded. Results The average patient age was 56 years old, with mean age at menarche of 13 years old; 70% of patients were postmenopausal (average age 49 years at menopause) and 50% had a family history of breast cancer. There was a significant reduction in both BMI (-13.2 kg/m2 , P &lt;.01) and waist circumference (-32.0 cm, P &lt;.01) following bariatric surgery. There was a significant reduction in breast thickness (-23.8 mm), reduction in PNL length (-1.9 cm), reduction in kVp (-1.2), and reduction in mAs (-16.7) even though there was no compression force change in pre- and postoperative mammograms detected. All breast densities were fatty or scattered though there were more scattered and fewer fatty images after surgery ( P = .002). Conclusion Morbidly obese women can undergo quality mammograms before and after bariatric surgery; however, weight loss after bariatric surgery leads to only slightly denser mammograms. Furthermore, weight loss reduces mammographic radiation doses.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27986574</pmid><doi>10.1016/j.soard.2016.10.021</doi><tpages>6</tpages></addata></record>
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subjects bariatric
Bariatric Surgery
breast
Breast Neoplasms - diagnostic imaging
cancer
Early Detection of Cancer
Female
Gastroenterology and Hepatology
Humans
Laparoscopy
mammography
Mammography - standards
Middle Aged
Obesity, Morbid - surgery
Postmenopause - physiology
Postoperative Care
Preoperative Care
Retrospective Studies
Surgery
Waist Circumference
weight loss
Weight Loss - physiology
title Mammography before and after bariatric surgery
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