Digital Brösttomosyntes – ett diagnostiskt komplement till digital mammografi : En litteraturöversikt

Previous studies/research shows that mammography screening contributed to increasedsurvival in breast cancer thanks to early detection of disease. However, there was an area inwhich mammography had limited diagnostic capability. It was the glandular breast tissuewhere cancer could be hidden from view audited radiologists. The purpose of this literaturereview was to investigate whether digital brösttomosyntes can improve detection/sensitivityof breast cancer, especially in dense breasts, and thus help reduce the number of intervalcancers. The method was chosen to make an evidence-based literature review based onquantitative studies. Goodman's seven steps, and Flemming table was used as a template forfinding and reviewing scientific articles. The selected articles were checked on the basis ofscientific evidence using audit protocols. The results showed that only digital breasttomosynthesis or digital breast tomosynthesis in combination with digital mammography hada higher sensitivity of breasts with very glandular tissue, image quality was equal or higher,and pathology of the glandular rich breast demonstrated better when tomosyntes used alone orin combination with digital mammography. It is a possibility that women will have great useof digital breast tomosynthesis as their chances of getting breast cancer, early diagnosisincreases. As a future radiology nurses we have gained new knowledge about thetechnological developments in mammography and we hope to arouse interest in digital breasttomosynthesis also among our readers, prospective and practicing radiology nurses, that theyreceive more understanding for the new technology and why it should be used for routineexaminations in mammography screening.Validerat; 20120130 (anonymous