{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T18:41:04Z","timestamp":1793731264852,"version":"4.6.1"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T00:00:00Z","timestamp":1656460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001026","name":"National Breast Cancer Foundation","doi-asserted-by":"publisher","award":["EC\u201021\u2010001"],"award-info":[{"award-number":["EC\u201021\u2010001"]}],"id":[{"id":"10.13039\/501100001026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Australia's first population\u2010based pilot trial comparing digital breast tomosynthesis (DBT) and digital mammography (DM) screening reported detection measures in 2019. This study describes the trial's secondary outcomes pertaining to the assessment process in women screened with DBT or DM, including the type of recalled abnormalities and the procedures performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women with suspected abnormalities at screening were recalled for further investigation. Outcome measures were number of lesions assessed, types of imaging findings recalled to assessment, and data on testing and assessment outcomes; these were reported using descriptive analyses of lesion\u2010specific data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 274 lesions and 203 lesions were reported in the DBT\u2010screened and DM\u2010screened groups, respectively. There were a higher proportion of lesions depicted as calcifications (32.4% vs 21.3%), and a lower proportion of lesions depicted as asymmetrical densities (3.2% vs 15.7%) for DBT recalls than DM recalls. A lower proportion of DBT\u2010recalled lesions was assessed with additional mammography than DM\u2010recalled lesions (49.3% vs 93.1%). Higher proportions of DBT\u2010recalled lesions than DM\u2010recalled lesions were investigated with clinical breast examination (50.4% vs 39.9%), core needle biopsy (45.6% vs 28.6%) and open biopsy (4.0% vs 1.0%). Similar proportions of DBT\u2010 and DM\u2010recalled lesions were assessed using ultrasound (76.3% vs 71.4%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Assessment of screen\u2010recalled lesions showed that, compared with DM, DBT found more benign and more malignant lesions, and generally required more procedures except for less additional mammography workup. These findings show that a transition to DBT screening changes the assessment workload.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13452","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T04:42:28Z","timestamp":1656564148000},"page":"242-251","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment of screen\u2010recalled abnormalities for digital breast tomosynthesis versus digital mammography screening in the <scp>BreastScreen<\/scp> Maroondah trial"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4956-765X","authenticated-orcid":false,"given":"Tong","family":"Li","sequence":"first","affiliation":[{"name":"The Daffodil Centre, the University of Sydney, a Joint Venture with Cancer Council NSW  Sydney New South Wales Australia"},{"name":"Sydney School of Public Health, Faculty of Medicine and Health The University of Sydney  Sydney 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