{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:27:52Z","timestamp":1715732872568},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82071934"],"award-info":[{"award-number":["82071934"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The coronal plane is the unique display mode of automated breast (AB) ultrasound (US), which has valuable features of showing the entire breast anatomy and providing additional diagnostic value for breast lesions. However, whether adding the coronal plane could improve the diagnostic performance in screening breast cancer remains uncertain. This study aimed to evaluate the value of adding the coronal plane in interpretation for AB US screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective study, AB US images from 644 women (396 in the no\u2010finding group, 143 with benign lesions, and 105 with malignant lesions) aged 40\u201370\u2009years were collected between January 2016 and October 2020. Four novice radiologists (with 1\u20135\u2009years of experience with breast US) and four experienced radiologists (with &gt;5\u2009years of experience with breast US) were assigned to read all AB US images in the transverse plane plus coronal plane (T\u2009+\u2009C planes) and transverse plane (T plane) alone in separate reading sessions. Diagnostic performance, lesion conspicuity, and reading time were compared using analysis of variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean reading time of all radiologists was significantly shorter in the T\u2009+\u2009C planes reading mode than in the T plane alone (115\u2009\u00b1\u200932 vs 128\u2009\u00b1\u200931\u2009s, respectively; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05), and cancers had a higher conspicuity (odds ratio, 1.76; 95% confidence interval [CI], 1.00\u20133.08; <jats:italic>P<\/jats:italic>\u2009=\u2009.04). No significant differences were noted in the two reading modes (T\u2009+\u2009C planes vs T plane) in the sensitivity (82% [95% CI, 74\u201389%] vs 81% [95% CI, 74\u201388%], respectively; <jats:italic>P<\/jats:italic>\u2009=\u2009.68) and specificity (68% [95% CI, 62\u201375%] vs 70% [95% CI, 64\u201375%], respectively; <jats:italic>P<\/jats:italic>\u2009=\u2009.39) when Breast Imaging\u2010Reporting and Data System (BI\u2010RADS) 3 was set as the threshold. There were also no significant differences in the two reading modes (T\u2009+\u2009C planes vs T plane) in the sensitivity (70% [95% CI, 64\u201376%] vs 69% [95% CI, 63\u201375%], respectively; <jats:italic>P<\/jats:italic>\u2009=\u2009.39) and specificity (91% [95% CI, 87\u201396%] vs 91% [95% CI, 88\u201395%], respectively; <jats:italic>P<\/jats:italic>\u2009=\u2009.90) when BI\u2010RADS 4 was set as the threshold. In addition, the mean areas under the receiver operating characteristic curves of all radiologists in the two reading modes (T\u2009+\u2009C planes vs T plane) were not significantly different (0.84 [95% CI, 0.79\u20130.89] vs 0.83 [95% CI, 0.78\u20130.89], respectively; <jats:italic>P<\/jats:italic>\u2009=\u2009.61).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adding a coronal plane in the AB US screening setting saved the reading time and improved the conspicuity of breast cancers but not the diagnostic performance.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16428","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T10:33:34Z","timestamp":1707302014000},"page":"1013-1024","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing Diagnostic Performance Using the Transverse Plane Plus Coronal Plane Compared With the Transverse Plane Alone in Screening Automated Breast Ultrasound"],"prefix":"10.1002","volume":"43","author":[{"given":"Yin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Ultrasound Xijing Hospital, Fourth Military Medical University  Xi'an China"},{"name":"Department of Ultrasound Xi'an Daxing Hospital  Xi'an China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinzhuo","family":"Yue","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Xi'an Daxing Hospital  Xi'an China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yangfeng","family":"Xing","sequence":"additional","affiliation":[{"name":"Department of Health Statistics, School of Public Health Shanxi Medical University  Taiyuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Ju","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Xijing Hospital, Fourth Military Medical University  Xi'an 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