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Comparison of Cancer Yields and Diagnostic Performance of Screening Mammography vs. Supplemental Screening Ultrasound in 4394 Women with Average Risk for Breast Cancer

DC FieldValueLanguage
dc.contributor.author김민정-
dc.contributor.author김은경-
dc.contributor.author문희정-
dc.contributor.author박숙진-
dc.contributor.author육지현-
dc.contributor.author정인경-
dc.date.accessioned2016-02-04T11:25:57Z-
dc.date.available2016-02-04T11:25:57Z-
dc.date.issued2015-
dc.identifier.issn0172-4614-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140410-
dc.description.abstractPURPOSE: The effectiveness of supplemental screening ultrasound (US) was investigated in women ≥ 40 years at average risk for breast cancer regardless of breast parenchymal density. A total of 4394 women at average risk and having previously undergone screening mammography were classified as the mammography group.  MATERIALS AND METHODS: Of 4394 women, 2005 underwent screening US after a final assessment of category 1 or 2 on screening mammography, and were categorized as the US group. Category 0, 4, and 5 on mammography and 3, 4, and 5 on US were defined as positive. The cancer yields per 1000 women and diagnostic performance of two groups were compared. RESULTS: The total cancer and invasive cancer yields for the mammography group were 3.0 (95 % confidence interval 1.6, 5.1) and 2.0 (95 % CI, 0.9, 3.9) per 1000 women, higher than the US values of 2.0 (0.5, 5.1) and 1.0 (0.1, 3.6), not statistically significant. The specificity, accuracy, and positive predictive value (PPV) for mammography were 88.90 % (87.93, 89.81), 88.85 % (87.88, 89.76), and 2.61 % (1.39, 4.41), significantly higher than the US values of 69.07 % (66.99, 71.09), 69.13 % (67.05, 71.15), and 0.64 % (0.18, 1.64). The short-term follow-up rate of mammography was 5.51 % (4.85, 6.22), significantly lower than the rate of 26.58 (24.66, 28.58) for US.  CONCLUSION: Supplemental screening US in mammographically negative breasts can find additional carcinomas in women at average risk but is not as effective as screening mammography because of the lower cancer yield, invasive cancer yield, specificity, accuracy, PPV and a high short-term follow-up rate.-
dc.description.statementOfResponsibilityopen-
dc.format.extent255~263-
dc.relation.isPartOfULTRASCHALL IN DER MEDIZIN-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHBreast Neoplasms/diagnosis*-
dc.subject.MESHEarly Detection of Cancer*-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHMammography*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRisk Factors-
dc.subject.MESHSensitivity and Specificity-
dc.subject.MESHUltrasonography, Mammary*-
dc.titleComparison of Cancer Yields and Diagnostic Performance of Screening Mammography vs. Supplemental Screening Ultrasound in 4394 Women with Average Risk for Breast Cancer-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Biostatistics (의학통계학)-
dc.contributor.googleauthorH. J. Moon-
dc.contributor.googleauthorI. Jung-
dc.contributor.googleauthorS. J. Park-
dc.contributor.googleauthorM. J. Kim-
dc.contributor.googleauthorJ. H. Youk-
dc.contributor.googleauthorE. K. Kim-
dc.identifier.doi10.1055/s-0034-1366288-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00801-
dc.contributor.localIdA01397-
dc.contributor.localIdA01544-
dc.contributor.localIdA02537-
dc.contributor.localIdA03693-
dc.contributor.localIdA00473-
dc.relation.journalcodeJ02766-
dc.identifier.eissn1438-8782-
dc.identifier.pmid24764212-
dc.identifier.urlhttps://www.thieme-connect.com/DOI/DOI?10.1055/s-0034-1366288-
dc.subject.keywordbreast-
dc.subject.keywordmammography-
dc.subject.keywordultrasound-
dc.subject.keywordscreening-
dc.contributor.alternativeNameKim, Min Jung-
dc.contributor.alternativeNameKim, Eun Kyung-
dc.contributor.alternativeNameMoon, Heui Jeong-
dc.contributor.alternativeNamePark, Suk Jin-
dc.contributor.alternativeNameYouk, Ji Hyun-
dc.contributor.alternativeNameJung, In Kyung-
dc.contributor.affiliatedAuthorKim, Eun-Kyung-
dc.contributor.affiliatedAuthorMoon, Heui Jeong-
dc.contributor.affiliatedAuthorPark, Suk Jin-
dc.contributor.affiliatedAuthorYouk, Ji Hyun-
dc.contributor.affiliatedAuthorJung, In Kyung-
dc.contributor.affiliatedAuthorKim, Min Jung-
dc.rights.accessRightsnot free-
dc.citation.volume36-
dc.citation.number3-
dc.citation.startPage255-
dc.citation.endPage263-
dc.identifier.bibliographicCitationULTRASCHALL IN DER MEDIZIN, Vol.36(3) : 255-263, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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