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Bonafede, M. M., Kalra, V. B., Miller, J. D., & Fajardo, L. L. (2015, January 12). Value analysis of digital breast tomosynthesis for breast cancer screening in a commercially-insured US population. ClinicoEconomics and Outcomes Research: CEOR, 7, 53–63. http://doi.org/10.2147/CEOR.S76167

Cleveland Clinic (2012, October 30). Top Ten Medical Innovations: #9 - Breast Tomosynthesis, Retrieved from youtube.com: https://www.youtube.com/watch?v=zBhAtGzaFb

Helvie, M. A. (2010, September 1). Digital Mammography Imaging: Breast Tomosynthesis and Advanced Applications. Radiologic Clinics of North America, 48(5), 917–929. http://doi.org/10.1016/j.rcl.2010.06.009

HIMSS. (2011, June 17). Position Statement on Transforming Nursing Practice through Technology & Informatics. Retrieved from http://www.nursingcenter.com/journalarticle?Article_ID=1236309

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As I read many of the many new innovations, it became almost impossible to grasp that just how much in the nursing field we know of today will be completely changed in just a few years. I am intrigued by how many new innovations will just fade out versus which ones are here to stay. In regards to the digital breast tomosynthesis, I feel as though this may be one of those that stand the test of time. Breast cancer creates the second largest mortality percentage of cancers for women and just about everyone has heard or even watched a loved one go through such a devastating battle. Many reason that individuals do not complete the traditional mammography is sometimes the pain of the process. With the promises of less to no pain and better chances of detection, I hope that this is one technology that hits the mainstream and creates a positive change in the health world.

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Dosing levels – The FDA currently caps the dose for radiation at 300 millirads per exposure (Helvie, 2011). The DBT is said it possibly have a slightly higher dose of radiation than mammograms which is averaged between 150 and 250 millirads (Helvie, 2011).
Effectiveness over MRI’s – Currently all extremely high-risk breast cancer screenings are done using an MRI. There is no study conducted showing the efficacy of the DBT versus the MRI in the use of screening high-risk patients.

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Images – Besides the three dimensional views that breast tomosythesis provides, it can also take images in more than the traditional top to bottom and side to side fashion that mammograms function. The breast tomosynthesis slices images as small as 0.5 millimeters thin, allowing for masses that may have been otherwise undetectable, visual (Helvie, 2011).

Pain – In mammograms, the breast is pressed down in what many women would consider at moderate discomfort if not painful. In breast tomosynthesis, the breast is held with minimal pressure, enough to allow the breast to remain in a fixed position.

Cost – In a hypothetical analysis, insured patients who are screened using breast tomosynthesis are suggested to save money. This study suggests the decline will be in parts to the better image quality and views which will reduce the need of follow up exams that would have been necessary with a traditional mammogram (Bonafede et al., 2015).

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In regards to this new innovation and nursing informatics, nurses specializing in informatics will resume in the “selection, implementation, and evaluation of health IT that supports safe, high quality, patient centered care.” (HIMSS, 2011). In regards to this technology in particular, this field will likely be responsible in training supportive personnel, ensuring technical malfunctions are minimal, reported, and resolved, and FDA standards are upheld. Just as nurses at the bedside are usually the primary nurses to witness an issue in our patients, informatics nurses specialize in observing for issues related to the health IT that can negatively impact patients and I hope that many can publish articles about evidence based practices in regards to using new equipment as some may not be as useful as advertised.

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Digital breast tomosynthesis (DBT) is changing the future of breast cancer detection. Originally, there was only one routine imaging tool used to detect breast cancer. Mammograms create a two dimensional image to capture the breast tissue. In breast tomosynthesis, the images taken of the breast are three dimensional.

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The Future of Breast Cancer Detection

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Top Ten Medical Innovations: #9 - Breast Tomosynthesis

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Learn about Breast Tomosysnthesis, the 9th top medical innovation from the Cleveland Clinic. The DBT system employs a digital X-ray that records a series of low-dose, high-resolution images of the breast while traversing a small (15°) arc around the compressed breast.