{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:16:34Z","timestamp":1791314194626,"version":"4.3.1"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejradiology.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Radiology"],"published-print":{"date-parts":[[2021,8]]},"DOI":"10.1016\/j.ejrad.2021.109826","type":"journal-article","created":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T17:53:03Z","timestamp":1623952383000},"page":"109826","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"C","title":["Clinical management of atypical ductal hyperplasia on vacuum-assisted biopsy of microcalcifications: External validation study of a decision tree selecting patients eligible for surveillance"],"prefix":"10.1016","volume":"141","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4920-1156","authenticated-orcid":false,"given":"Imane","family":"El Sanharawi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2013-1668","authenticated-orcid":false,"given":"Guillaume","family":"Bataillon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7692-5734","authenticated-orcid":false,"given":"Gabrielle","family":"Journo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fereshteh","family":"Farkhondeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphine","family":"Sebbag-Sfez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Malhaire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Tardivon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Mosseri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabienne E.","family":"Thibault","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejrad.2021.109826_bib0005","series-title":"WHO, Classification of Tumours Editorial Board","author":"Lokuhetty","year":"2019"},{"key":"10.1016\/j.ejrad.2021.109826_bib0010","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1056\/NEJMsr1407164","article-title":"Atypical hyperplasia of the breast \u2014 risk assessment and management options","volume":"372","author":"Hartmann","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.ejrad.2021.109826_bib0015","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1056\/NEJM198501173120303","article-title":"Risk factors for breast cancer in women with proliferative breast disease","volume":"312","author":"Dupont","year":"1985","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.ejrad.2021.109826_bib0020","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1093\/annonc\/mdm481","article-title":"European guidelines for quality assurance in breast cancer screening and diagnosis. Fourth edition--summary document","volume":"19","author":"Perry","year":"2008","journal-title":"Ann. Oncol. Off. J. Eur. Soc. Med. Oncol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0025","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s10549-016-3935-4","article-title":"First International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions)","volume":"159","author":"Rageth","year":"2016","journal-title":"Breast Cancer Res. Treat."},{"key":"10.1016\/j.ejrad.2021.109826_bib0030","article-title":"Pathology and current management of borderline breast epithelial lesions","volume":"13","author":"Walia","year":"2017","journal-title":"Am. J. Hematol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0035","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1001\/jama.2015.1405","article-title":"Diagnostic concordance among pathologists interpreting breast biopsy specimens","volume":"313","author":"Elmore","year":"2015","journal-title":"JAMA"},{"key":"10.1016\/j.ejrad.2021.109826_bib0040","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/s10549-018-05071-1","article-title":"Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions)","volume":"174","author":"Rageth","year":"2019","journal-title":"Breast Cancer Res. Treat."},{"key":"10.1016\/j.ejrad.2021.109826_bib0045","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1148\/radiol.2019190748","article-title":"Upgrade rate of percutaneously diagnosed pure atypical ductal hyperplasia: systematic review and meta-analysis of 6458 lesions","volume":"294","author":"Schiaffino","year":"2020","journal-title":"Radiology"},{"key":"10.1016\/j.ejrad.2021.109826_bib0050","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.soc.2017.07.011","article-title":"When does atypical ductal hyperplasia require surgical excision?","volume":"27","author":"Racz","year":"2018","journal-title":"Surg. Oncol. Clin. N. Am."},{"key":"10.1016\/j.ejrad.2021.109826_bib0055","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.amjsurg.2007.07.038","article-title":"Is surgical biopsy mandatory in case of atypical ductal hyperplasia on 11-gauge core needle biopsy? A retrospective study of 300 patients","volume":"196","author":"Forgeard","year":"2008","journal-title":"Am. J. Surg."},{"key":"10.1016\/j.ejrad.2021.109826_bib0060","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.amjsurg.2013.10.029","article-title":"Management of patients diagnosed with atypical ductal hyperplasia by vacuum-assisted core biopsy: a prospective assessment of the guidelines used at our institution","volume":"208","author":"Caplain","year":"2014","journal-title":"Am. J. Surg."},{"key":"10.1016\/j.ejrad.2021.109826_bib0065","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.ejca.2011.08.011","article-title":"Scoring to predict the possibility of upgrades to malignancy in atypical ductal hyperplasia diagnosed by an 11-gauge vacuum-assisted biopsy device: an external validation study","volume":"48","author":"Bendifallah","year":"2012","journal-title":"Eur. J. Cancer"},{"key":"10.1016\/j.ejrad.2021.109826_bib0070","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1111\/tbj.12389","article-title":"Predictors of underestimation of malignancy after image-guided core needle biopsy diagnosis of flat epithelial atypia or atypical ductal hyperplasia","volume":"21","author":"Yu","year":"2015","journal-title":"Breast J."},{"key":"10.1016\/j.ejrad.2021.109826_bib0075","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1007\/s10549-017-4253-1","article-title":"Multivariate model to identify women at low risk of cancer upgrade after a core needle biopsy diagnosis of atypical ductal hyperplasia","volume":"164","author":"Pe\u00f1a","year":"2017","journal-title":"Breast Cancer Res. Treat."},{"issue":"2013","key":"10.1016\/j.ejrad.2021.109826_bib0080","first-page":"1","article-title":"ACR BI-RADS follow-up and outcome monitoring 2013, BI-RADS atlas breast imaging report","author":"Sickles","year":"2013","journal-title":"Data Syst."},{"key":"10.1016\/j.ejrad.2021.109826_bib0085","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1038\/modpathol.2010.56","article-title":"Intraductal proliferative lesions of the breast: morphology, associated risk and molecular biology","volume":"23","author":"Ellis","year":"2010","journal-title":"Mod. Pathol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0090","first-page":"36","article-title":"Update on atypical epithelial hyperplasia and ductal carcinoma in situ","volume":"41","author":"Simpson","year":"2009","journal-title":"Pathology (Phila.)"},{"key":"10.1016\/j.ejrad.2021.109826_bib0095","doi-asserted-by":"crossref","first-page":"3264","DOI":"10.1245\/s10434-012-2575-0","article-title":"Atypical ductal hyperplasia on core biopsy: an automatic trigger for excisional biopsy?","volume":"19","author":"McGhan","year":"2012","journal-title":"Ann. Surg. Oncol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0100","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s10549-007-9824-0","article-title":"Scoring system for predicting malignancy in patients diagnosed with atypical ductal hyperplasia at ultrasound-guided core needle biopsy","volume":"112","author":"Ko","year":"2008","journal-title":"Breast Cancer Res. Treat."},{"key":"10.1016\/j.ejrad.2021.109826_bib0105","doi-asserted-by":"crossref","first-page":"407","DOI":"10.4048\/jbc.2012.15.4.407","article-title":"Validation of a scoring system for predicting malignancy in patients diagnosed with atypical ductal hyperplasia using an ultrasound-guided core needle biopsy","volume":"15","author":"Kim","year":"2012","journal-title":"J. Breast Cancer"},{"key":"10.1016\/j.ejrad.2021.109826_bib0110","doi-asserted-by":"crossref","DOI":"10.1148\/radiology.208.1.9646821","article-title":"Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy","author":"Liberman","year":"1998","journal-title":"Radiology"},{"key":"10.1016\/j.ejrad.2021.109826_bib0115","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.2214\/ajr.175.4.1751047","article-title":"Underestimation of breast cancer with II-gauge vacuum suction biopsy","volume":"175","author":"Philpotts","year":"2000","journal-title":"AJR Am. J. Roentgenol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0120","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1148\/radiol.2242011528","article-title":"Atypical ductal hyperplasia: can some lesions be defined as probably benign after stereotactic 11-gauge vacuum-assisted biopsy, eliminating the recommendation for surgical excision?","volume":"224","author":"Jackman","year":"2002","journal-title":"Radiology"},{"key":"10.1016\/j.ejrad.2021.109826_bib0125","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.breast.2008.02.007","article-title":"Underestimation of malignancy of atypical ductal hyperplasia diagnosed on 11-gauge stereotactically guided Mammotome breast biopsy: an Asian breast screen experience","volume":"17","author":"Teng-Swan Ho","year":"2008","journal-title":"Breast Edinb. Scotl."},{"key":"10.1016\/j.ejrad.2021.109826_bib0130","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1007\/s12282-018-00943-2","article-title":"Atypical ductal hyperplasia and the risk of underestimation: tissue sampling method, multifocality, and associated calcification significantly influence the diagnostic upgrade rate based on subsequent surgical specimens","volume":"26","author":"Rageth","year":"2019","journal-title":"Breast Cancer Tokyo Jpn."},{"key":"10.1016\/j.ejrad.2021.109826_bib0135","series-title":"Consensus Guideline on Concordance Assessment of Image-Guided Breast Biopsies and Management of Borderline or High-Risk Lesions","year":"2017"},{"key":"10.1016\/j.ejrad.2021.109826_bib0140","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/j.crad.2018.04.004","article-title":"NHS Breast screening multidisciplinary working group guidelines for the diagnosis and management of breast lesions of uncertain malignant potential on core biopsy (B3 lesions)","volume":"73","author":"Pinder","year":"2018","journal-title":"Clin. Radiol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0145","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1148\/radiol.09091406","article-title":"Risk of upgrade of atypical ductal hyperplasia after stereotactic breast biopsy: effects of number of foci and complete removal of calcifications","volume":"255","author":"Kohr","year":"2010","journal-title":"Radiology"},{"key":"10.1016\/j.ejrad.2021.109826_bib0150","article-title":"Prospective multicenter study validate a prediction model for surgery uptake among women with atypical breast lesions","author":"Uzan","year":"2020","journal-title":"Ann. Surg. Oncol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0155","doi-asserted-by":"crossref","first-page":"2850","DOI":"10.1245\/s10434-013-2989-3","article-title":"A model to predict the risk of upgrade to malignancy at surgery in atypical breast lesions discovered on percutaneous biopsy specimens","volume":"20","author":"Uzan","year":"2013","journal-title":"Ann. Surg. Oncol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0160","doi-asserted-by":"crossref","first-page":"109194","DOI":"10.1016\/j.ejrad.2020.109194","article-title":"Lesions of uncertain malignant potential of the breast (B3) on vacuum-assisted biopsy for microcalcifications: predictors of malignancy","volume":"130","author":"Mariscotti","year":"2020","journal-title":"Eur. J. Radiol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0165","doi-asserted-by":"crossref","first-page":"109479","DOI":"10.1016\/j.ejrad.2020.109479","article-title":"A risk stratification algorithm for lesions of uncertain malignant potential diagnosed by vacuum-assisted breast biopsy (VABB) of mammographic microcalcifications","volume":"135","author":"Clauser","year":"2021","journal-title":"Eur. J. Radiol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0170","article-title":"Current controversies surrounding MRI screening for breast Cancer","volume":"11","author":"McLaughlin","year":"2015","journal-title":"Am. J. Hematol."},{"key":"10.1016\/j.ejrad.2021.109826_bib0175","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.jss.2014.08.059","article-title":"Screening breast magnetic resonance imaging in women with atypia or lobular carcinoma in situ","volume":"193","author":"Schwartz","year":"2015","journal-title":"J. Surg. Res."},{"key":"10.1016\/j.ejrad.2021.109826_bib0180","doi-asserted-by":"crossref","DOI":"10.1186\/s13058-018-0967-1","article-title":"Atypical ductal hyperplasia: update on diagnosis, management, and molecular landscape","volume":"20","author":"Kader","year":"2018","journal-title":"Breast Cancer Res. BCR."}],"container-title":["European Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0720048X21003077?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0720048X21003077?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T07:26:45Z","timestamp":1759994805000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0720048X21003077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":36,"alternative-id":["S0720048X21003077"],"URL":"https:\/\/doi.org\/10.1016\/j.ejrad.2021.109826","relation":{},"ISSN":["0720-048X"],"issn-type":[{"value":"0720-048X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical management of atypical ductal hyperplasia on vacuum-assisted biopsy of microcalcifications: External validation study of a decision tree selecting patients eligible for surveillance","name":"articletitle","label":"Article Title"},{"value":"European Journal of Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejrad.2021.109826","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"109826"}}