The edition · Radiology
Automated breast ultrasound matched handheld cancer detection with fewer callbacks in dense breasts
A registry comparison of supplemental ultrasound techniques, a low-back-pain imaging pathway that rarely led to emergency CT or MRI, a seventh of the dose for quantitative ILD on photon-counting CT, and dose data on angio-CT for liver procedures.
The edition in brief
In 25,328 supplemental ultrasound examinations in women with dense breasts at 27 US facilities, automated breast ultrasound was associated with fewer abnormal interpretations (14.9% vs 19.2%) and far fewer short-interval follow-up recommendations (3.0% vs 14.6%) than handheld ultrasound, with no apparent difference in cancer detection. Across 23 urgent care centres, 0.82% of radiographs for low-acuity low back pain were followed by emergency CT or MRI within 30 days, and one was judged a true miss; guidelines still advise against routine imaging without red flags. In 48 patients with myositis-associated interstitial lung disease, a low-dose photon-counting CT protocol (CTDIvol 0.77 vs 5.40 mGy) gave deep-learning quantification within 1% of standard dose. And in 92 intra-arterial liver procedures, dual-phase angio-CT had a lower 3D dose than cone-beam CT, but the total-dose difference did not survive correction for conversion uncertainty.
Urgent care radiographs for low-acuity back pain were rarely followed by emergency CT or MRI
For low-acuity back pain, imaging is usually not needed; where it is done, an urgent care radiograph rarely leads to escalation.
Low-dose photon-counting CT kept ILD quantification within 1% of standard dose
Low-dose photon-counting CT is a promising option for quantitative ILD follow-up in myositis, pending longitudinal validation.
Dual-phase angio-CT did not add radiation dose to intra-arterial liver procedures
Angio-CT for intra-arterial liver procedures does not appear to raise patient radiation dose compared with cone-beam CT.
Imaging a breast lump in pregnancy: ultrasound first
Image a pregnant woman's breast lump promptly, starting with ultrasound.
Automated breast ultrasound: same detection as handheld, far fewer short-interval recalls
Consider automated breast ultrasound for supplemental screening of dense breasts; it was associated with far fewer short-interval recalls and similar detection.
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