Keywords:
Image verification, Cancer, Surgery, Observer performance, Biopsy, Ultrasound, MR, Mammography, Breast
Authors:
V. Flory1, G. Levy1, J. Viotti1, C. Chapellier2, L. Elkind1, A. Pellegrin1, C. Ghez1, A. Occelli1, E. Barranger1; 1Nice/FR, 2NICE cedex 2/FR
DOI:
10.1594/ecr2018/C-1784
Aims and objectives
In France,
breast cancer mass screening is based on a reviewing process: any BIRADS 1 or 2 mammogram is reviewed by a breast specialist radiologist to assess the absence of suspicious lesion,
with additional cancer detection rate of 7%. In our center,
this principle is also applied for breast cancer lesion management.
All patients addressed to our institution for breast cancer surgery or chemotherapy whose imaging was performed out of the hospital,
have a review consultation with a specialist radiologist.
If necessary they undergo complementary imaging and/or biopsy.
The primary objective of this study was to evaluate the percentage of breast or axillary surgery procedure modifications after review consultations.
The secondary objectives were to assess 1/the number of additional biopsies and ultrasound guided fine needle aspirations (US-FNA) and to compare the radiological-histological correlations of samples 2/to assess differences in preoperative wire localization 3/to evaluate the delay between the date of surgery initially planned and the final one and 4/ to finally assess the percentage of repeat surgeries (breast or axillary) needed despite the reviewing.