Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Patients undergoing minimally invasive periacetabular osteotomy demonstrate improved outcomes: a systematic review.

Journal of hip preservation surgery·2026
Same author

Establishing the indications for temporising knee-spanning external fixation: A modified Delphi study of the International Knee Dislocation Study Group.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2026
Same author

Delayed Surgical Treatment of Pediatric and Adolescent Medial Meniscus Posterior Root Tears Is Associated With Increased Odds of Medial Tibiofemoral Compartment Cartilage Injury: A Multicenter Study.

The American journal of sports medicine·2026
Same author

Editorial Commentary: Arthroscopic Surgery Is Not Silent; Repetitive Peak Noise Exposure During Surgery May Represent an Underrecognized Occupational Hazard.

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association·2026
Same author

Concomitant Lateral Meniscal Tears in Pediatric and Adolescent Patients Undergoing Combined Medial Meniscal Ramp Lesion Repair and Anterior Cruciate Ligament Reconstruction Are Frequently Missed on MRI, Are Often Vertical or Root Tears, and Are Usually Repaired: A Multicenter Study.

Orthopaedic journal of sports medicine·2026
Same author

Heterotopic Ossification After Multiligament Knee Injury Is Associated With Knee-Spanning External Fixation and Central Nervous System Trauma.

Orthopaedic journal of sports medicine·2026
Same journal

Breast Cancer Risk and Screening in Active Duty Military Members and Veterans.

Journal of breast imaging·2026
Same journal

Correction to: Prevalence of Axillary Arch Variant Anatomy on Breast MRI and Impact on Axillary Lymph Node Assessment.

Journal of breast imaging·2026
Same journal

Breast Arterial Calcification on Mammography: Act Now Please.

Journal of breast imaging·2026
Same journal

Breast Arterial Calcification as a Predictor for Future Cardiovascular Events and Mortality: A Systematic Review and Meta-analysis.

Journal of breast imaging·2026
Same journal

Imaging Features and Risk Factors Associated with Locoregional Recurrence of Breast Cancer: Insights for Imaging and Clinical Practice.

Journal of breast imaging·2026
Same journal

A Framework for Aligning 5-Year and Lifetime Breast Cancer Risk in Women Without High-Penetrance Mutations.

Journal of breast imaging·2026
See all related articles

Related Experiment Video

Updated: Jul 2, 2025

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
08:30

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging

Published on: September 11, 2011

14.4K

Decreasing the Interval Wait Times for Screening Mammogram Results Using the "Reflex Testing" Algorithm.

Julio Alvarenga1, Jay Moran1, Anca Bulgaru1,2

  • 1Yale School of Medicine, New Haven, CT, USA.

Journal of Breast Imaging
|February 28, 2024
PubMed
Summary
This summary is machine-generated.

Reflex testing (RefT) significantly reduced interval wait times for abnormal screening mammograms needing further evaluation. This streamlined workflow improves patient care efficiency at breast centers.

Keywords:
BI-RADS 0breast cancerbreast centermammographynurse navigatorquality improvementreflex testing

More Related Videos

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
13:44

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns

Published on: August 30, 2013

42.9K
Management of Respiratory Motion Artefacts in 18F-fluorodeoxyglucose Positron Emission Tomography using an Amplitude-Based Optimal Respiratory Gating Algorithm
06:53

Management of Respiratory Motion Artefacts in 18F-fluorodeoxyglucose Positron Emission Tomography using an Amplitude-Based Optimal Respiratory Gating Algorithm

Published on: July 23, 2020

5.6K

Related Experiment Videos

Last Updated: Jul 2, 2025

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
08:30

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging

Published on: September 11, 2011

14.4K
Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
13:44

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns

Published on: August 30, 2013

42.9K
Management of Respiratory Motion Artefacts in 18F-fluorodeoxyglucose Positron Emission Tomography using an Amplitude-Based Optimal Respiratory Gating Algorithm
06:53

Management of Respiratory Motion Artefacts in 18F-fluorodeoxyglucose Positron Emission Tomography using an Amplitude-Based Optimal Respiratory Gating Algorithm

Published on: July 23, 2020

5.6K

Area of Science:

  • Radiology
  • Healthcare Management
  • Quality Improvement

Background:

  • Abnormal screening mammograms (abSM) with BI-RADS 0 classification require timely follow-up.
  • Barriers in scheduling, communication, and diagnostic order placement can delay the resolution of BI-RADS 0 cases.
  • Interval wait times (IWT) are a critical metric for patient care and operational efficiency in breast imaging.

Purpose of the Study:

  • To evaluate the impact of a novel "reflex testing" (RefT) intervention on reducing IWT for BI-RADS 0 screening mammograms.
  • To assess if RefT effectively addresses pre-existing logistical barriers in the diagnostic work-up pathway.
  • To quantify the change in IWT from initial BI-RADS 0 designation to final resolution or biopsy.

Main Methods:

  • A retrospective analysis of BI-RADS 0 cases was conducted over two six-month periods (pre- and post-RefT implementation).
  • Timelines were generated for each case, calculating elapsed days from BI-RADS 0 report to biopsy, additional diagnostic testing, or final resolution.
  • Statistical analysis using Pearson chi-square was performed to compare mean IWT between the pre-RefT and post-RefT cohorts.

Main Results:

  • The study included 1523 BI-RADS 0 cases. Reflex testing reduced the overall mean IWT from 23.5 to 8.2 days (P < 0.001).
  • For patients not requiring biopsy (78.1%), mean IWT decreased from 29.7 to 10.8 days (P < 0.010).
  • For patients undergoing biopsy (21.9%), RefT significantly decreased IWT from BI-RADS 0 to first diagnostic test (31.4 to 7.7 days; P < 0.001) and from first diagnostic test to biopsy (20.9 to 17.7 days; P < 0.013).

Conclusions:

  • The reflex testing intervention effectively streamlines workflow and significantly decreases interval wait times for resolving abnormal screening mammograms (BI-RADS 0).
  • RefT demonstrates a substantial improvement in the efficiency of the diagnostic work-up process for abnormal screening mammograms.
  • The RefT intervention is a valuable strategy that can be considered for implementation at other breast imaging centers to enhance operational efficiency and patient care.