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Ponte Academic Journal
Jul 2021, Volume 77, Issue 7

COMPARISON OF PRE-OP 2D MAMMOGRAPHY AND 3D MAMMOGRAPHY (TOMOCYNTHESIS) FINDINGS IN PATIENTS DUE TO BREAST LESION

Author(s): Vugar Samadli ,Sevinc Dagistanli, Mehmet Cingoz, Suleyman Sonmez

J. Ponte - Jul 2021 - Volume 77 - Issue 7
doi: 10.21506/j.ponte.2021.7.1



Abstract:
Aim: Conventional digital mammography (CDM) is a basic screening method especially used for women over 40 years of age. CDM enable multiple images from different angles and different depth levels. To avoid superposition of healthy and ill breast tissue the Digital Breast Tomosynthesis (DBT) reveals to be a certain method. Thus, we aimed to compare CDM and DBT (Digital Breast Tomosynthesis) images of preoperative lesions to detect their significance. Material and method: We retrospectively compared 646 patients divided into two groups with their CDM and DBT results at our Institution. Only patients with type C and D breast tissue paterns were included. In the first group (76 patients) lesions detected on CDM or DBT images were compared according to 6 parameters with 4 histopathological parameters correlation. In the second group 570 patients with lesions detected on CDM and/or DBT and without histopathological correlation were compared due to the parameters. Findings: There was a statistical significant result for detecting nodulary opacity and distortion with DBT compared to CDM (p<0.05). A parenchymal distorsion-area correlated with histopathology as a maligant lesion was significant better identified on DBT compared to CDM (p<0.05). Detection for nodulary opacity was significant better with DBT compared to CDM (p<0.05). Result: CDM is the gold Standard for detecting preoperative breast lesions and reveals to be the most commonly used method together with ultrasound. According to our study DBT is more successful at detecting findings like nodulary opacities and parenchymal distortion.
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