refat, M., el-gazzar, H., Galal, O., Abdelmonem, H. (2024). Comparing breast tomosynthesis with conventional digital mammography in the evaluation of the breast. Benha Medical Journal, 41(7), 1-12. doi: 10.21608/bmfj.2022.153501.1629
medhat mohamed refat; hesham mohamed el-gazzar; osama Taha Galal; Hazem Abdelmonem. "Comparing breast tomosynthesis with conventional digital mammography in the evaluation of the breast". Benha Medical Journal, 41, 7, 2024, 1-12. doi: 10.21608/bmfj.2022.153501.1629
refat, M., el-gazzar, H., Galal, O., Abdelmonem, H. (2024). 'Comparing breast tomosynthesis with conventional digital mammography in the evaluation of the breast', Benha Medical Journal, 41(7), pp. 1-12. doi: 10.21608/bmfj.2022.153501.1629
refat, M., el-gazzar, H., Galal, O., Abdelmonem, H. Comparing breast tomosynthesis with conventional digital mammography in the evaluation of the breast. Benha Medical Journal, 2024; 41(7): 1-12. doi: 10.21608/bmfj.2022.153501.1629
Comparing breast tomosynthesis with conventional digital mammography in the evaluation of the breast
2radiology, benha faculty of medicine, Benha university,benha, Egypt
Abstract
Background:Diagnostic mammography is used to investigate probable abnormalities, evaluate patients who have signs or symptoms, and offer short-term follow-up of patients with presumably benign results. The purpose of this research was to compare DBT with FFDM in the assessment of the breast asymmetries, masses, architectural distortion as well as screening recalls and cancer detection. Methods:This cross-sectional investigation was undertaken.The research comprised 100 females with symptoms as palpable mass, discomfort or indicators like calcifications. The period of the trial varied from 6-12 months. Results:DBT finding, more than one third had masses (39.0percent) About 1/3had uneven form(31.0percent). The most common patients showed spiculated margins (13.0percent). 1/4of patients had high density(55.0percent). Morphology revealed fine pleomorphic(89.0 percent ). Distribution revealed(72.0percent) were diffuse (13.0percent) were clustered(13.0 percent ) were segmental and(2.0 percent ) were linear. 1/3of patients experienced Architectural distortion. The recall rates were observed in(7.0percent). FFDM results identify that (7.0percent) had masses and most of them had irregular form (50.0percent) the rest had Circumscribed margins (5.0 percent ). Equal density were identified in(4.0percent).Distribution indicated that(91.0 percent)were diffuse(2.0percent)were clustered and(1.0percent) were linear.(4.0percent) exhibited Architectural distortion. Comparison between their results indicated extremely statistically significant discrepancies. Conclusion:DBT is a promising imaging modality giving improved identification and characterisation of diverse breast abnormalities, particularly in young females, those with dense breasts with an increase of sensitivity and specificity than FFDM.