Electrical impedance scanning for the early detection of breast cancer in young women: Preliminary results of a multicenter prospective clinical trial

被引:69
|
作者
Stojadinovic, A
Nissan, A
Gallimidi, Z
Lenington, S
Logan, W
Zuley, M
Yeshaya, A
Shimonov, M
Melloul, M
Fields, S
Allweis, T
Ginor, R
Gur, D
Shriver, CD
机构
[1] Walter Reed Army Med Ctr, Dept Surg, Gen Surg Serv, Washington, DC 20237 USA
[2] Hadassah Univ Hosp, Dept Surg, IL-91120 Jerusalem, Israel
[3] Hadassah Univ Hosp, Dept Radiol, IL-91120 Jerusalem, Israel
[4] Rambam Med Ctr, Dept Radiol, Haifa, Israel
[5] Meir Hosp, Dept Nucl Med, Kefar Sava, Israel
[6] Mirabel Med Syst, Austin, TX USA
[7] Elizabeth Wende Breast Clin, Rochester, NY USA
[8] Univ Pittsburgh, Dept Radiol, Pittsburgh, PA 15260 USA
[9] Magee Womens Hosp, Pittsburgh, PA 15213 USA
关键词
D O I
10.1200/JCO.2005.06.155
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose To evaluate the feasibility and patient satisfaction with electrical impedance scanning (EIS) for early detection of breast cancer in young women. Methods Women undergoing screening clinical breast examination, imaging, or biopsy were eligible for EIS examination with T-Scan 2000ED (Mirabel Medical Systems, Austin, TX). Multiple logistic regression analysis evaluated the association between clinical Variables and EIS performance. Patients completed a screening EIS satisfaction questionnaire (1 = least satisfied to 5 = most satisfied). Results Twenty-nine cancers were identified among 1,103 women. Sixty-six percent (19 of 29) of cancers were nonpalpable and 55% (16 of 29) were in women age <= 50 years. EIS sensitivity and specificity in women younger than 40 years was 50% and 90%, respectively. Exogenous estrogen use (P < .001) and menopausal status (P = .007) correlated significantly with EIS performance. False-positive rates were increased in postmenopausal women and those taking exogonous hormones. No correlation was evident between EIS performance and prior breast cancer, breast density, or palpability. EIS-positive women younger family history, than age 40 were 4.5 times more likely to have breast carcinoma than were women randomly selected from the general population. Patients were highly satisfied with the comfort, speed, and reporting of EIS, screening (mean score, 4.8). Conclusion EIS seems promising for early detection of breast cancer, and identification of young women at increased risk for having the disease at time of screening. Positive EIS-associated breast cancer risk compares favorably with relative risks of conditions commonly used to justify early breast cancer screening., Patients are satisfied with a screening paradigm involving breast EIS.
引用
收藏
页码:2703 / 2715
页数:13
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