(Ivanhoe Newswire) – A new breast imaging technique could
significantly reduce the number of women who have to go back for more tests
after a routine screening mammography.
A new report from Emory University shows stereoscopic digital mammography
reduced false-positive findings by 49 percent compared to standard digital
mammography and reduced missed lesions by 40 percent.
1,093 patients at increased risk for breast cancer have enrolled in the
trial as of July, 2007. Each had a standard digital mammography screening
and a stereoscopic digital exam which were read by different radiologists.
Results show a total of 259 suspicious findings were detected by the two
screenings and were referred for more diagnostic testing. Of those, 109 were
true lesions. Standard mammography missed 40 of the 109 lesions; the stereo
mammography missed 24.
And of the 259 findings, 150 were false positives – 103 from standard
mammography; 53 from the stereoscopic exam.
“Standard mammography is one of the most difficult radiographic exams to
interpret,” David J. Getty, Ph.D., a scientist at BBN Technologies,
Cambridge, Massachusetts, was quoted as saying. “In a two-dimensional image
of the breast, subtle lesions may be masked by underlying or overlying
normal tissue and thus be missed, and normal tissue scattered at different
depths can align to mimic a lesion, leading to false-positive detections.”
Getty has been working on the development of stereo mammography. The
technique consists of two digital x-ray images of the breast from two
different point of view separated by about eight degrees. When radiologists
view the images on a stereo display workstation, they can see the internal
structure of the breast in three dimensions.
Researchers say offering stereo mammography across the country would just
take simple upgrades to existing digital mammography equipment and software.
SOURCE: Annual Meeting of the Radiological Society of North America in
Chicago, Illinois, Nov. 25-30, 2007