Clinical Study

Digital Breast Tomosynthesis Changes Management in Patients Seen at a Tertiary Care Breast Center

Table 1

(a) Patient demographics. (b) Patient demographics by exam type.
(a)

Number of patients

Age
(i) Mean53.1
(ii) Range25–87
Breast density
(i) Fatty84/996 (8.4%)
(ii) Scattered387/996 (38.9%)
(iii) Heterogeneously dense454/996 (45.6%)
(iiii) Extremely dense71/996 (7.1%)
Risk factors
 Personal history of breast cancer207/996 (20.8%)
 (i) Unilateral breast cancer198/207 (95.7%)
 (ii) Bilateral breast cancer9/207 (4.3%)
 (iii) Breast conserving therapy142/207 (68.6%)
 (iiii)Mastectomy*68/207 (32.9%)
  *3/6 bilateral breast
  cancer patients had both
  BCT and mastectomy
 BRCA positivity11/996 (1.1%)
 ADH11/996 (1.1%)
 LCIS9/996 (0.9%)
 Nonspecified benign biopsy368/996 (36.9%)
 Family history of breast cancer324/996 (32.5%)
 (i) First degree183/324 (56.5%)
 (ii) Second degree191/324 (59.0%)
 (iii) Both49/324 (15.1%)
 (iiii) Not reported4/996 (1.2%)

3/9 bilateral breast cancer patients had a unilateral mastectomy and contralateral breast conserving therapy.
(b)

Number of patients

Screening exam = 711 (71.4%)
(i) Unremarkable breast history 330/711 (46.4%)
(ii) Personal h/o breast cancer 188/711 (26.4%)
(iii) High risk 185/711 (26.1%)
(iiii) Distant h/o breast intervention8/711 (1.1%)
Diagnostic exam = 285 (28.6%)
(i) Symptoms167/285 (58.6%)
(ii) Recalled for additional imaging97/285 (34.0%)
(iii) Short term followup 21/285 (7.4%)