Disparities in the uptake of digital breast tomosynthesis for breast cancer screening: A retrospective cohort study

Breast J. 2021 Dec;27(12):872-876. doi: 10.1111/tbj.14292. Epub 2021 Oct 19.

Abstract

We present a retrospective cohort study evaluating the utilization and effectiveness of digital breast tomosynthesis (DBT) for breast cancer screening with a focus on racial differences. 46,236 females underwent screening mammography between 4/1/2013 and 3/30/2020, during which there was an increase in DBT utilization from 18.8% in year 1 to 89.6% in year 7. Black and Asian women were significantly less likely to have a screening study with DBT compared to White women. Overall, the DBT group had a lower recall rate (9.1% versus 11.2%, p < 0.001) and higher cancer detection rate (6.0 vs 4.1, p < 0.001) compared to the FFDM group.

Keywords: breast cancer; digital breast tomosynthesis; disparities; screening mammography.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breast Neoplasms* / diagnostic imaging
  • Early Detection of Cancer
  • Female
  • Humans
  • Mammography*
  • Mass Screening
  • Retrospective Studies