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Digital breast tomosynthesis for early detection of malignant breast microcalcification: A hospital-based cross-sectional study

Title: Digital breast tomosynthesis for early detection of malignant breast microcalcification: A hospital-based cross-sectional study
Authors: Showkat, Mst. Syeeda; Bhowmik, Bishwajit; Sultana, Syeda Naheed; Shirin, Mahbuba; Sharmin, Shohaila; Sarkar, Ashis Kumar; Chowdhury, Parisa
Source: Bangabandhu Sheikh Mujib Medical University Journal; Vol. 17 No. 4 (2024): Oct - Dec; e72500 ; 2224-7750 ; 2074-2908
Publisher Information: Bangabandhu Sheikh Mujib Medical University (currently, Bangladesh Medical University) Vice Chancellor office, Room: 113, Block: B; Shahbag, Dhaka 1000 Tel: 55165600, 9661065; PABX: 4597, 6666; FAX: 88-02-55165601 Email: vc@bsmmu.edu.bd
Publication Year: 2024
Collection: Bangladesh Journals Online (BanglaJOL)
Subject Terms: breast cancer; digital breast tomosynthesis; microcalcification; accuracy
Subject Geographic: Global
Description: Background: Breast cancer is the leading cause of cancer-related deaths in women. Early detection by screening is crucial for improved survival. Digital breast tomosynthesis (DBT) may offer better visibility than conventional screening. This study aims to assess the diagnostic accuracy of DBT in detecting malignant breast microcalcifications compared to histopathological findings. Methods: This cross-sectional study was done at the Department of Radiology and Imaging, Bangabandhu Sheikh Mujib Medical University, Dhaka, from July 2022 to June 2023 and enrolled 35 women suspected of having breast cancer. Each patient underwent DBT and histopathology tests. The diagnostic accuracy of DBT in detecting malignant breast microcalcifications was assessed compared to the gold standard of histopathology. Results: The average age of the participants was 48.6 years. Palpable breast lumps (91.4%) were the most common clinical presentation. Among them, 80% had malignant microcalcifications diagnosed by DBT, primarily with linear (40.0%) and segmental (28.6%) distribution. Histopathology identified 80% of cases as malignant, with ductal carcinoma in situ (34.3%) being the most prevalent type. DBT demonstrated high sensitivity (100%) and specificity (85.7%) in detecting malignant microcalcifications, resulting in an overall accuracy of 97.1%. Conclusions: DBT has high diagnostic accuracy for detecting malignant breast microcalcifications and can be considered a valid tool for the early detection of breast microcalcifications, particularly in the context of diagnosing breast cancer.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://banglajol.info/index.php/BSMMUJ/article/view/72500/50505; https://banglajol.info/index.php/BSMMUJ/article/view/72500/50506; https://banglajol.info/index.php/BSMMUJ/article/view/72500
Availability: https://banglajol.info/index.php/BSMMUJ/article/view/72500
Rights: Copyright (c) 2024 Mst. Syeeda Showkat, Bishwajit Bhowmik, Syeda Naheed Sultana, Mahbuba Shirin, Shohaila Sharmin, Ashis Kumar Sarkar, Parisa Chowdhury ; https://creativecommons.org/licenses/by-nc/4.0
Accession Number: edsbas.56F2D994
Database: BASE