{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T14:23:00Z","timestamp":1780928580595,"version":"3.54.1"},"reference-count":32,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["academicradiology.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Academic Radiology"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.acra.2025.06.014","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T03:15:12Z","timestamp":1751426112000},"page":"5010-5015","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Malignancy Rates of Pure Radial Scars Detected on Digital Breast Tomosynthesis: A Meta-analysis"],"prefix":"10.1016","volume":"32","author":[{"given":"Romuald","family":"Ferre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherie M.","family":"Kuzmiak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.acra.2025.06.014_bib1","doi-asserted-by":"crossref","first-page":"216","DOI":"10.2214\/AJR.13.11047","article-title":"Detection of mammographically occult architectural distortion on digital breast tomosynthesis screening: initial clinical experience","volume":"203","author":"Partyka","year":"2014","journal-title":"AJR Am J Roentgenol"},{"issue":"2","key":"10.1016\/j.acra.2025.06.014_bib2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.2214\/AJR.20.23935","article-title":"Malignant outcomes of architectural distortion on tomosynthesis: a systematic review and meta-analysis","volume":"217","author":"Choudhery","year":"2021","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.acra.2025.06.014_bib3","series-title":"ACR BIRADS Atlas, Breast Imaging Reporting and Data System","author":"D\u2019Orsi","year":"2013"},{"issue":"4","key":"10.1016\/j.acra.2025.06.014_bib4","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1053\/j.sult.2011.03.008","article-title":"Spectrum of diseases presenting as architectural distortion on mammography: multimodality radiologic imaging with pathologic correlation","volume":"32","author":"Shaheen","year":"2011","journal-title":"Semin Ultrasound CT MR"},{"key":"10.1016\/j.acra.2025.06.014_bib5","doi-asserted-by":"crossref","unstructured":"Tan P.H., Ellis I., Allison K., Brogi E., Fox S.B., Lakhani S., Lazar A.J., Morris E.A., Sahin A., Salgado R., Sapino A., Sasano H., Schnitt S., Sotiriou C., van Diest P., White V.A., Lokuhetty D., Cree I.A. & for the WHO Classification of Tumours Editorial Board. (2020) Histopathology 77, 181\u2013185. \u3008https:\/\/doi.org\/10.1111\/his.14091\u3009 The 2019 World Health Organization classification of tumours of the breast.","DOI":"10.1111\/his.14091"},{"issue":"3","key":"10.1016\/j.acra.2025.06.014_bib6","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1111\/j.1365-2559.1993.tb01194.x","article-title":"Carcinoma and atypical hyperplasia in radial scars and complex sclerosing lesions: importance of lesion size and patient age","volume":"23","author":"Sloane","year":"1993","journal-title":"Histopathology"},{"issue":"10","key":"10.1016\/j.acra.2025.06.014_bib7","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1016\/j.ejso.2005.04.004","article-title":"All radial scars\/complex sclerosing lesions seen on breast screening mammograms should be excised","volume":"31","author":"Fasih","year":"2005","journal-title":"Eur J Surg Oncol"},{"key":"10.1016\/j.acra.2025.06.014_bib8","doi-asserted-by":"crossref","unstructured":"Ferre R., Kuzmiak C.M. Radial Scar: What the Radiologist Needs to Know in 2021. Arch Breast Cancer [Internet]. 2022 Jan. 23 [cited 2025 May 26];9(1):4\u20139. Available from: \u3008https:\/\/www.archbreastcancer.com\/index.php\/abc\/article\/view\/463\u3009.","DOI":"10.32768\/abc.2022914-9"},{"key":"10.1016\/j.acra.2025.06.014_bib9","doi-asserted-by":"crossref","DOI":"10.1186\/s13643-017-0663-8","article-title":"Evaluations of the uptake and impact of the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement and extensions: a scoping review","author":"Page","year":"2017","journal-title":"Syst Rev"},{"issue":"7","key":"10.1016\/j.acra.2025.06.014_bib10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"issue":"4","key":"10.1016\/j.acra.2025.06.014_bib11","doi-asserted-by":"crossref","first-page":"845","DOI":"10.2214\/AJR.20.24740","article-title":"Tomosynthesis-guided vacuum-assisted breast biopsy of architectural distortion without a sonographic correlate: a retrospective review","volume":"217","author":"Ambinder","year":"2021","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"10.1016\/j.acra.2025.06.014_bib12","doi-asserted-by":"crossref","DOI":"10.2214\/AJR.24.30845","article-title":"Radial scars on screening digital breast tomosynthesis: upstaging rates and management strategies","volume":"222","author":"Crowley","year":"2024","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"10.1016\/j.acra.2025.06.014_bib13","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1093\/jbi\/wbae046","article-title":"Radial sclerosing lesion (Radial Scar): radiologic-pathologic correlation","volume":"6","author":"Yan","year":"2024","journal-title":"J Breast Imaging"},{"issue":"3","key":"10.1016\/j.acra.2025.06.014_bib14","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1148\/radiol.2019191525","article-title":"Digital mammography stereotactic biopsy versus digital breast tomosynthesis-guided biopsy: differences in biopsy targets, pathologic results, and discordance rates","volume":"294","author":"Rochat","year":"2020","journal-title":"Radiology"},{"issue":"1","key":"10.1016\/j.acra.2025.06.014_bib15","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s10549-018-4973-x","article-title":"Rate of radial scars by core biopsy and upgrading to malignancy or high-risk lesions before and after introduction of digital breast tomosynthesis","volume":"173","author":"Phantana-Angkool","year":"2019","journal-title":"Breast Cancer Res Treat"},{"issue":"3","key":"10.1016\/j.acra.2025.06.014_bib16","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.acra.2019.05.012","article-title":"Imaging follow-up versus surgical excision for radial scars identified on tomosynthesis-guided core needle biopsy","volume":"27","author":"Martaindale","year":"2020","journal-title":"Acad Radiol"},{"key":"10.1016\/j.acra.2025.06.014_bib17","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.clinimag.2019.01.004","article-title":"Architectural distortion in the era of digital breast tomosynthesis: outcomes and implications for management","volume":"54","author":"Pujara","year":"2019","journal-title":"Clin Imaging"},{"issue":"1","key":"10.1016\/j.acra.2025.06.014_bib18","doi-asserted-by":"crossref","first-page":"50","DOI":"10.2214\/AJR.22.27625","article-title":"Pathologic outcomes in single versus multiple areas of architectural distortion on digital breast tomosynthesis","volume":"220","author":"Wang","year":"2023","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"10.1016\/j.acra.2025.06.014_bib19","doi-asserted-by":"crossref","DOI":"10.1148\/rycan.2021210036","article-title":"Malignancy upgrade rates of radial sclerosing lesions at breast cancer screening","volume":"3","author":"Yan","year":"2021","journal-title":"Radiol Imaging Cancer"},{"issue":"1","key":"10.1016\/j.acra.2025.06.014_bib20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1148\/radiol.2019180760","article-title":"Digital breast tomosynthesis: concepts and clinical practice","volume":"292","author":"Chong","year":"2019","journal-title":"Radiology"},{"issue":"1","key":"10.1016\/j.acra.2025.06.014_bib21","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1148\/radiol.2018171159","article-title":"Outcome of architectural distortion detected only at breast tomosynthesis versus 2D mammography","volume":"288","author":"Alshafeiy","year":"2018","journal-title":"Radiology"},{"issue":"6","key":"10.1016\/j.acra.2025.06.014_bib22","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.2214\/AJR.15.14628","article-title":"Architectural distortion on mammography: correlation with pathologic outcomes and predictors of malignancy","volume":"205","author":"Bahl","year":"2015","journal-title":"AJR Am J Roentgenol"},{"issue":"5","key":"10.1016\/j.acra.2025.06.014_bib23","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.2214\/AJR.17.18156","article-title":"Radial scars of the breast encountered at core biopsy: review of histologic, imaging, and management considerations","volume":"209","author":"Cohen","year":"2017","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"10.1016\/j.acra.2025.06.014_bib24","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1097\/PAS.0000000000000393","article-title":"Radial scar at image-guided needle biopsy: is excision necessary?","volume":"39","author":"Conlon","year":"2015","journal-title":"Am J Surg Pathol"},{"issue":"4","key":"10.1016\/j.acra.2025.06.014_bib25","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1007\/s11547-014-0456-2","article-title":"Breast cancer risk associated with the diagnosis of a microhistological radial scar (RS): retrospective analysis in 10 years of experience","volume":"120","author":"Dominguez","year":"2015","journal-title":"Radiol Med"},{"issue":"5","key":"10.1016\/j.acra.2025.06.014_bib26","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1067\/j.cpradiol.2018.06.004","article-title":"Variability in the management recommendations given for high-risk breast lesions detected on image-guided core needle biopsy at U.S. academic institutions","volume":"48","author":"Falomo","year":"2019","journal-title":"Curr Probl Diagn Radiol"},{"issue":"6","key":"10.1016\/j.acra.2025.06.014_bib27","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1056\/NEJM199902113400604","article-title":"Radial scars in benign breast-biopsy specimens and the risk of breast cancer","volume":"340","author":"Jacobs","year":"1999","journal-title":"N Engl J Med"},{"issue":"2","key":"10.1016\/j.acra.2025.06.014_bib28","doi-asserted-by":"crossref","first-page":"W141","DOI":"10.2214\/AJR.11.7712","article-title":"Risk of malignancy when microscopic radial scars and microscopic papillomas are found at percutaneous biopsy","volume":"198","author":"Lee","year":"2012","journal-title":"AJR Am J Roentgenol"},{"issue":"2","key":"10.1016\/j.acra.2025.06.014_bib29","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s10549-014-2958-y","article-title":"Surgical excision of radial scars diagnosed by core biopsy may help predict future risk of breast cancer","volume":"145","author":"Miller","year":"2014","journal-title":"Breast Cancer Res Treat"},{"issue":"1","key":"10.1016\/j.acra.2025.06.014_bib30","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s10549-018-5040-3","article-title":"Meta-analysis of upgrade rates in 3163 radial scars excised after needle core biopsy diagnosis","volume":"174","author":"Farshid","year":"2019","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.acra.2025.06.014_bib31","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1186\/s40064-016-1993-z","article-title":"Isolated radial scar diagnosis by core-needle biopsy: Is surgical excision necessary?","volume":"5","author":"Kim","year":"2016","journal-title":"Springerplus"},{"issue":"7","key":"10.1016\/j.acra.2025.06.014_bib32","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1016\/j.ejso.2017.01.238","article-title":"Radial scar of the breast: is it possible to avoid surgery?","volume":"43","author":"Ferreira","year":"2017","journal-title":"Eur J Surg Oncol"}],"container-title":["Academic Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633225005628?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633225005628?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T19:09:41Z","timestamp":1756235381000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1076633225005628"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":32,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S1076633225005628"],"URL":"https:\/\/doi.org\/10.1016\/j.acra.2025.06.014","relation":{},"ISSN":["1076-6332"],"issn-type":[{"value":"1076-6332","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Malignancy Rates of Pure Radial Scars Detected on Digital Breast Tomosynthesis: A Meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Academic Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acra.2025.06.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Association of Academic Radiology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}