{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:38:46Z","timestamp":1740181126536,"version":"3.37.3"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100006775","name":"GE Healthcare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006775","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The objective was to evaluate outcomes of mammographic architectural distortion (AD) with and without MRI and US correlates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective review of unexplained mammographic AD with subsequent MRI from January 1, 2007 to September 30, 2017 was performed using a reader-based study design. Mammographic, MRI, and US features and outcomes were documented. Truth was based on biopsy results or minimum two-year imaging follow-up. Measures of diagnostic accuracy were calculated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Fifty-six cases of AD were included: 29 (51.8%) detected on 2D mammogram and 27 (48.2%) detected on digital breast tomosynthesis. Of 35.7% (20\/56) with MRI correlate, 40.0% (8\/20) were enhancing masses, 55.0% (11\/20) were non-mass enhancement (NME), and 5.0% (1\/20) were nonenhancing AD. Of eight enhancing masses, 75.0% (6\/8) were invasive cancers, and 25.0% (2\/8) were high-risk lesions. Of 11 NME, 18.2% (2\/11) were ductal carcinoma in situ, 36.4% (4\/11) were high-risk lesions, and 45.4% (5\/11) were benign. Of 64.3% (36\/56) without MRI correlate, 94.4% (34\/36) were benign by pathology or follow-up, one (2.8%, 1\/36) was a 4-mm focus of invasive cancer with US correlate, and one (1\/36, 2.8%) was a high-risk lesion. Of cases without MRI and US correlates, one (3.0%, 1\/33) was a high-risk lesion and 97.0% (32\/33) were benign. The negative predictive value of mammographic AD without MRI correlate was 97.2% (35\/36) and without both MRI and US correlates was 100.0% (33\/33).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Mammographic AD without MRI or US correlate was not cancer in our small cohort and follow-up could be considered, reducing interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jbi\/wbad032","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T20:18:48Z","timestamp":1683922728000},"page":"425-435","source":"Crossref","is-referenced-by-count":1,"title":["Management of Mammographic Architectural Distortion Based on Contrast-enhanced MRI and US 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