Comparison of Digital Mammography with Tomosynthesis and Ultrasound to Magnetic Resonance Imaging in Assessment of Post Operative Scarring and Locoregional Recurrence of Breast Cancer

Abstract

reast cancer is the most common type of cancer and the second leading cause of cancer related death among women. The estimated incidence in 2018 was 2.088 million of new cases in the world. Breast cancer is the most common cancer among women and the third leading cause of cancer related death in Egypt. Women who are surgically treated by mastectomy or conservative breast surgery, these patients at risk of recurrence. So these women continue following up with mammogram, ultrasound and MRI to differentiate post-operative scarring from signs of malignancy. DBT with complementary ultrasound are a powerful imaging modalities that can be used to detect any recurrence in patients who are surgically treated for breast cancer with higher sensitivity and higher NPV than MRI and both of them revealed comparable accuracy. The use of these modalities may enhance diagnosis of surgically treated breast cancer as well as increasing the rate of early detection of locoregional recurrence.