{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:38:41Z","timestamp":1740181121812,"version":"3.37.3"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine cancer visualization utility and radiation dose for non-implant-displaced (ID) views using standard protocol with digital breast tomosynthesis (DBT) vs alternative protocol with 2D only when screening women with implant augmentation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This retrospective cohort study identified women with implants who underwent screening DBT examinations that had abnormal findings from July 28, 2014, to December 31, 2021. Three fellowship-trained breast radiologists independently reviewed examinations retrospectively to determine if the initially identified abnormalities could be visualized on standard protocol (DBT with synthesized 2D (S2D) for ID and non-ID views) and alternate protocol (DBT with S2D for ID and only the S2D images for non-ID views). Estimated exam average glandular dose (AGD) and associations between cancer visualization with patient and implant characteristics for both protocols were evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The study included 195 patients (mean age 55 years \u00b1 10) with 223 abnormal findings. Subsequent biopsy was performed for 86 abnormalities: 59 (69%) benign, 8 (9%) high risk, and 19 (22%) malignant. There was no significant difference in malignancy visualization rate between standard (19\/223, 8.5%) and alternate (18\/223, 8.1%) protocols (P =\u2009.92), but inclusion of the DBT for non-ID views found one additional malignancy. Total examination AGD using standard protocol (21.9 mGy \u00b1 5.0) was significantly higher than it would be for estimated alternate protocol (12.6 mGy \u00b1 5.0, P &amp;lt;.001). This remained true when stratified by breast thickness: 6.0-7.9 cm, 8.0-9.9 cm, &amp;gt;10.0 cm (all P &amp;lt;.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The inclusion of DBT for non-ID views did not significantly increase the cancer visualization rate but did significantly increase overall examination AGD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jbi\/wbae021","type":"journal-article","created":{"date-parts":[[2024,5,4]],"date-time":"2024-05-04T12:30:38Z","timestamp":1714825838000},"page":"261-270","source":"Crossref","is-referenced-by-count":2,"title":["Screening the Implant-Augmented Breast with Digital Breast Tomosynthesis: Is Tomosynthesis Necessary for Non-implant-Displaced Views?"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9991-5611","authenticated-orcid":false,"given":"Derek L","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Radiology, Duke University School of Medicine , Durham, NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3865-3352","authenticated-orcid":false,"given":"Lars J","family":"Grimm","sequence":"additional","affiliation":[{"name":"Department of Radiology, Duke University School of Medicine , Durham, NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey S","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Radiology, Duke University School of Medicine , Durham, NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen S","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Radiology, Duke University School of Medicine , Durham, NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sujata 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