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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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A ROC (Receiver Operating Characteristic) plot is a graphical tool used to assess the performance of a binary classification model by illustrating the trade-off between sensitivity (true positive rate) and specificity (false positive rate). By plotting sensitivity against 1 - specificity across various threshold settings, the ROC curve shows how well the model distinguishes between classes, with a curve closer to the top-left corner indicating a more accurate model. The area under the ROC curve...
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Related Experiment Video

Updated: Mar 12, 2026

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
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ACR Appropriateness Criteria Breast Cancer Screening.

Martha B Mainiero1, Ana Lourenco1, Mary C Mahoney2

  • 1Rhode Island Hospital, Providence, Rhode Island.

Journal of the American College of Radiology : JACR
|November 6, 2016
PubMed
Summary
This summary is machine-generated.

Supplemental screening with MRI or ultrasound improves breast cancer detection in high-risk women. Mammography alone is insufficient for these individuals, necessitating advanced imaging techniques for better outcomes.

Keywords:
Appropriateness criteriabreast MRIbreast cancerbreast ultrasoundmammographyscreening

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Mammography is standard for general breast cancer screening.
  • Mammography alone is less effective for high-risk women.
  • Supplemental screening enhances detection in specific populations.

Purpose of the Study:

  • To review evidence for supplemental breast cancer screening in high-risk women.
  • To evaluate the role of MRI and ultrasound beyond mammography.
  • To inform evidence-based guidelines for breast cancer imaging.

Main Methods:

  • Analysis of current medical literature from peer-reviewed journals.
  • Application of a modified Delphi consensus methodology.
  • Review by a multidisciplinary expert panel.

Main Results:

  • Screening breast MRI is recommended for women with high genetic or family history risk.
  • Ultrasound is an alternative for high-risk women unable to undergo MRI.
  • Breast MRI is supported for intermediate-risk women; ultrasound for those with dense breasts.

Conclusions:

  • Supplemental screening with MRI or ultrasound is crucial for high-risk and selected intermediate-risk women.
  • Mammography alone is inadequate for certain patient groups.
  • Further evidence is needed for other advanced imaging modalities.