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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
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Self-reported Pain Associated With Screening With Digital Breast Tomosynthesis.
Nataliia Moshina1, Anders Skyrud Danielsen1, Åsne Sørlien Hølen1
1Cancer Registry of Norway, Oslo, Norway.
Journal of Breast Imaging
|March 1, 2024
Summary
Digital breast tomosynthesis (DBT) screening is associated with low self-reported pain, averaging 1.9 on a 10-point scale. Moderate to severe pain was reported by 19.3% of women, with specific compression parameters linked to milder discomfort.
Area of Science:
- Radiology
- Medical Imaging
- Breast Cancer Screening
Background:
- Breast cancer screening is crucial for early detection.
- Digital breast tomosynthesis (DBT) is an advanced imaging technique.
- Understanding patient experience, including pain, is vital for screening adherence.
Purpose of the Study:
- To investigate and quantify self-reported pain during screening mammography using digital breast tomosynthesis (DBT).
- To identify associations between pain levels and technical parameters of the DBT examination.
Main Methods:
- A prospective study involving women undergoing DBT screening.
- Pain was assessed using a numeric rating scale (NRS, 0-10) post-examination.
- Compression force (N), pressure (kPa), and compressed breast thickness (mm) were recorded.
- Statistical analysis, including stepwise regression, was used to correlate pain scores with technical parameters.
Main Results:
- The mean self-reported pain score was 1.9 (NRS).
- 19.3% of women reported moderate to severe pain.
- Lower pain scores were associated with higher compression forces (130 N vs. 60 N), lower pressure (6 kPa vs. 16 kPa), and thinner compressed breast thickness (20 mm vs. 90 mm).
Conclusions:
- Self-reported pain during DBT screening is generally low.
- Specific compression force, pressure, and breast thickness ranges are associated with minimal or mild pain.
- Optimizing these parameters may enhance patient comfort during DBT screening.
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