DBT finds smaller cancers than 2D mammography does
Screening with digital breast tomosynthesis (DBT) identifies smaller breast...Read more on AuntMinnie.comRelated Reading: 2D synthesized DBT screening is ready for prime time Radiologists can trust DBT density measurements Patients with co-pays less likely to choose DBT DBT does not boost BI-RADS 3 category use Study finds DBT matches -- or surpasses -- FFDM
Publication date: Available online 20 July 2018Source: Journal of the American College of RadiologyAuthor(s): Catherine S. Giess, Aijia Wang, Ivan K. Ip, Ronilda Lacson, Sarvanez Pourjabbar, Ramin KhorasaniAbstractObjectiveThe aims of this study were to evaluate patient, radiologist, and examination characteristics affecting screening mammography recall rates in an academic breast imaging practice and to identify modifiable factors that could reduce recall variation.MethodsThis institutional review board–approved retrospective study included screening mammographic examinations in female patients interpreted by 13 bre...
ConclusionsUltrasound evaluation may be the first level exam in case of suspicious symptomatic breast implant rupture. Importantly, our results demonstrate that magnetic resonance imaging could be avoided in all those cases where an extracapsular rupture has been diagnosed using ultrasound.Level of Evidence: Level IV, diagnostic study.
DiscussionThe findings underscore the importance of the relationship between the patient and clinician and the necessity of spelling out each step in the SDM process. The clinician needs to be explicit in telling a woman that she has a choice about whether to get a mammogram and the benefits and harms of screening mammography. Finally, clinicians need to be aware of sociocultural factors that can influence their relationships and their patients ’ decision-making processes and attempt to identify and address these factors.
The U.S. Centers for Medicare and Medicaid Services has often denied payment...Read more on AuntMinnie.comRelated Reading: Second opinions change half of breast imaging results SIIM: Patients should have access to imaging studies Second opinions of outside mammograms find more cancer How useful are second opinion breast imaging reads? Image sharing presents challenges to the enterprise
For many women over 40, a yearly screening mammogram to check for breast cancer is a fact of life ? along with the anxiety of waiting for the results. But what if you could get a test that offered better cancer detection, fewer false positives and more peace of mind? Dr. Robert Maxwell, a Mayo [...]
A U.S. House of Representatives committee has voted to further extend the current...Read more on AuntMinnie.comRelated Reading: More women get breast screening after ACA bans copays Tax reform bill overturns ACA's individual mandate Study: ACA led to more early-stage cancer diagnoses New USPSTF mammography guidelines serve up more of the same ACR: Don't add USPSTF guidance to reform
Condition: Breast Cancer Interventions: Diagnostic Test: Tomosynthesis; Diagnostic Test: 2D mammography Sponsor: Cancer Prevention and Research Institute, Italy Not yet recruiting
Conclusions: Vacuum-assisted core needle biopsy is a minimally invasive technique used in diagnosing ADH. As the risk of breast malignancy underestimation is relatively high, open surgical biopsy remains the recommended procedure, especially in patients with lesions detected both in mammography and US examination. As we could not identify the factors that preclude cancer underestimation, all the women diagnosed with ADH should be informed about the risk of cancer underestimation. PMID: 30002750 [PubMed]
Publication date: August 2018Source: The Lancet Global Health, Volume 6, Issue 8Author(s): Jeanette K Birnbaum, Catherine Duggan, Benjamin O Anderson, Ruth EtzioniSummaryBackgroundPoor breast cancer survival in low-income and middle-income countries (LMICs) can be attributed to advanced-stage presentation and poor access to systemic therapy. We aimed to estimate the outcomes of different early detection strategies in combination with systemic chemotherapy and endocrine therapy in LMICs.MethodsWe adapted a microsimulation model to project outcomes of three early detection strategies alone or in combination with three system...
CONCLUSIONS: These findings provide information on motivation and barrier factors that may influence women's decision to participate in opportunistic breast cancer screening. Those factors have changed over time and the role of physicians has increased significantly. Further exploration of motivating and barrier factors and the extent of their association with actual women's behavior would be helpful for the development of interventions to improve organized and opportunistic screening participation. PMID: 30003740 [PubMed - in process]