The chest radiologist's role in invasive breast cancer detection

Laurie R Margolies; Mary Salvatore; Rowena Yip; Kathleen Tam; Alexandra Bertolini; Claudia Henschke; David Yankelevitz

doi:10.1016/j.clinimag.2017.12.002

The chest radiologist's role in invasive breast cancer detection

Clin Imaging. 2018 Jul-Aug:50:13-19. doi: 10.1016/j.clinimag.2017.12.002. Epub 2017 Dec 7.

Authors

Laurie R Margolies¹, Mary Salvatore², Rowena Yip², Kathleen Tam², Alexandra Bertolini², Claudia Henschke², David Yankelevitz²

Affiliations

¹ Department of Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, United States. Electronic address: laurie.margolies@mountsinai.org.
² Department of Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, United States.

PMID: 29245142
DOI: 10.1016/j.clinimag.2017.12.002

Abstract

Purpose: To assess the ability of chest CT to identify patients needing further evaluation of the breasts.

Methods: IRB 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.

Results: BARCS and mammographic BI-RADS management recommendations were concordant for 77.1%. 11 invasive cancers were detected; all by mammogram while CT missed 2.

Conclusion: BARCS score should be studied in prospective trials. Chest CT might be the earliest opportunity to detect breast cancer.

Keywords: Breast cancer; Breast mass; Breast screening; Chest CT; Mammography.

MeSH terms

Adult
Aged
Aged, 80 and over
Breast / diagnostic imaging*
Breast Neoplasms / diagnostic imaging*
Early Detection of Cancer*
Female
Humans
Mammography*
Mass Screening
Middle Aged
Prospective Studies
Radiography, Thoracic / methods*
Radiologists
Tomography, X-Ray Computed