Digital breast tomosynthesis spot compression clarifies ambiguous DBT findings

The all-French team's retrospective study included 102 women (mean age, 60 years) for whom a DBT spot compression was acquired to characterize an equivocal finding on DBT (via the performing radiologist's discretion) from December 14, 2018 to December 18, 2019. Conscious of the equivocal lesions' location, two fellowship-trained breast radiologists and one breast imaging fellow independently reviewed all examinations—assigning an initial BI-RADS category using standard DBT views, immediately followed by a category using DBT spot compression.

Based on kappa coefficients for DBT with and without spot compression views, intrareader agreement increased from 0.43 to 0.72, and interreader agreement increased from 0.21 to 0.45. Additionally, for all three readers, DBT spot compression views yielded significantly increased accuracy, as well as significantly increased specificity.

Adding that their study is the first to evaluate the impact of obtaining DBT spot compression for equivocal findings on DBT, "the results support the utility of spot compression views for aiding evaluation of subtle or ambiguous findings encountered on DBT in clinical practice," the authors of this AJR article concluded.

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