Table 3.

Performance of Screening US in Triple Modality (DM, US, MRI) Screening Studies Among Women With Elevated Risk Including FH

Author, country, yearDesignTotal patients, no.Patients with FH and no known gene mutation, no.Screening rounds, no.US SE (%)US SP (%)US PPV (%)Cancers detected by US/total cancers detected, no.Cancers detected by US only, no.
Warner, Canada, 2001 (41)Prospective1961001966093193/6a0
(1/6 had negative DM)
Kuhl, Germany, 2005 (27)Prospective529486
(risk 20%–40%)
154240
38b
91
91b
11
10b
17/430
(2/17 had negative DM)
Lehman, U.S., 2007 (64)Prospective1711101711798251/60
Kuhl, Germany, 2010 (35)Prospective687436
(risk ≥20%)
167937
43b
9836
35b
10/270
Trop, Canada, 2010 (36)Prospective18441
(risk ≥30%)
3874294296/120
(1/6 had negative DM, 1/6 had negative MRI)
Sardanelli, Italy, 2011 (33)Prospective501159159252986226/500
(1/26 had negative MRI)
Riedl, Austria, 2015 (34)Prospective559297
(risk ≥20%)
136538972715/400
Author, country, yearDesignTotal patients, no.Patients with FH and no known gene mutation, no.Screening rounds, no.US SE (%)US SP (%)US PPV (%)Cancers detected by US/total cancers detected, no.Cancers detected by US only, no.
Warner, Canada, 2001 (41)Prospective1961001966093193/6a0
(1/6 had negative DM)
Kuhl, Germany, 2005 (27)Prospective529486
(risk 20%–40%)
154240
38b
91
91b
11
10b
17/430
(2/17 had negative DM)
Lehman, U.S., 2007 (64)Prospective1711101711798251/60
Kuhl, Germany, 2010 (35)Prospective687436
(risk ≥20%)
167937
43b
9836
35b
10/270
Trop, Canada, 2010 (36)Prospective18441
(risk ≥30%)
3874294296/120
(1/6 had negative DM, 1/6 had negative MRI)
Sardanelli, Italy, 2011 (33)Prospective501159159252986226/500
(1/26 had negative MRI)
Riedl, Austria, 2015 (34)Prospective559297
(risk ≥20%)
136538972715/400

Abbreviations: CDR, cancer detection rate; DM, digital mammography; FH, family history; PPV, positive predictive value; SE, sensitivity; SP, specificity.

aOne patient diagnosed with cancer did not have US.

bData presented are for subgroup of women with FH and no gene mutation.

Table 3.

Performance of Screening US in Triple Modality (DM, US, MRI) Screening Studies Among Women With Elevated Risk Including FH

Author, country, yearDesignTotal patients, no.Patients with FH and no known gene mutation, no.Screening rounds, no.US SE (%)US SP (%)US PPV (%)Cancers detected by US/total cancers detected, no.Cancers detected by US only, no.
Warner, Canada, 2001 (41)Prospective1961001966093193/6a0
(1/6 had negative DM)
Kuhl, Germany, 2005 (27)Prospective529486
(risk 20%–40%)
154240
38b
91
91b
11
10b
17/430
(2/17 had negative DM)
Lehman, U.S., 2007 (64)Prospective1711101711798251/60
Kuhl, Germany, 2010 (35)Prospective687436
(risk ≥20%)
167937
43b
9836
35b
10/270
Trop, Canada, 2010 (36)Prospective18441
(risk ≥30%)
3874294296/120
(1/6 had negative DM, 1/6 had negative MRI)
Sardanelli, Italy, 2011 (33)Prospective501159159252986226/500
(1/26 had negative MRI)
Riedl, Austria, 2015 (34)Prospective559297
(risk ≥20%)
136538972715/400
Author, country, yearDesignTotal patients, no.Patients with FH and no known gene mutation, no.Screening rounds, no.US SE (%)US SP (%)US PPV (%)Cancers detected by US/total cancers detected, no.Cancers detected by US only, no.
Warner, Canada, 2001 (41)Prospective1961001966093193/6a0
(1/6 had negative DM)
Kuhl, Germany, 2005 (27)Prospective529486
(risk 20%–40%)
154240
38b
91
91b
11
10b
17/430
(2/17 had negative DM)
Lehman, U.S., 2007 (64)Prospective1711101711798251/60
Kuhl, Germany, 2010 (35)Prospective687436
(risk ≥20%)
167937
43b
9836
35b
10/270
Trop, Canada, 2010 (36)Prospective18441
(risk ≥30%)
3874294296/120
(1/6 had negative DM, 1/6 had negative MRI)
Sardanelli, Italy, 2011 (33)Prospective501159159252986226/500
(1/26 had negative MRI)
Riedl, Austria, 2015 (34)Prospective559297
(risk ≥20%)
136538972715/400

Abbreviations: CDR, cancer detection rate; DM, digital mammography; FH, family history; PPV, positive predictive value; SE, sensitivity; SP, specificity.

aOne patient diagnosed with cancer did not have US.

bData presented are for subgroup of women with FH and no gene mutation.

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