The chest radiologist's role in invasive breast cancer detection

Publication date: July–August 2018
Source:Clinical Imaging, Volume 50
Author(s): Laurie R. Margolies, Mary Salvatore, Rowena Yip, Kathleen Tam, Alexandra Bertolini, Claudia Henschke, David Yankelevitz
PurposeTo assess the ability of chest CT to identify patients needing further evaluation of the breasts.MethodsIRB approval was obtained with a waiver of consent. Women with chest CT and mammogram within 12months formed the cohort. A breast assessment and recommendation CT score (BARCS) analogous to mammographic BI-RADS was created and compared to the mammogram BI-RADS.ResultsBARCS and mammographic BI-RADS management recommendations were concordant for 77.1%. 11 invasive cancers were detected; all by mammogram while CT missed 2.ConclusionBARCS score should be studied in prospective trials. Chest CT might be the earliest opportunity to detect breast cancer.



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