Use of DBT lags in Medicare system -- or does it?
Just under 20% of women in the Medicare population received digital breast...Read more on AuntMinnie.comRelated Reading: SABCS: Is DBT worth the higher cost? DBT finds smaller cancers than 2D mammography does 2D synthesized DBT screening is ready for prime time Radiologists can trust DBT density measurements Patients with co-pays less likely to choose DBT
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]
Follow-up imaging for women with nonmetastatic breast cancer varies widely...Read more on AuntMinnie.comRelated Reading: Early breast cancer screening = less-extensive treatment Would risk-based breast screening be more cost-effective? Breast cancer studies overlook socioeconomic factors Breast cancer survivors don't get regular mammograms Should early-stage breast cancer patients receive CT?
This study was HIPAA compliant and IRB approved. We performed an electronic medical record review for a cohort of women with American Joint Committee on Cancer (AJCC) Stage I or II invasive breast cancer treated with breast conservation therapy who developed subsequent in-breast treatment recurrence (IBTR) or contralateral breast cancer (CBC). Poor surveillance outcome was defined as second breast cancer not detected by surveillance mammography, including interval cancers (diagnosed within 365 days of surveillance mammogram with negative results) and clinically detected cancers (diagnosed without a surveillance mammo...
(University of California - San Francisco) Follow-up imaging for women with non-metastatic breast cancer varies widely across the country, according to a new study led by researchers at UC San Francisco. Some patients go without the annual mammograms that experts recommend, while others with the same cancer diagnosis receive full-body scans that expose them to significant amounts of radiation and are not recommended by experts.
Regular breast cancer screening with mammography for younger women translates...Read more on AuntMinnie.comRelated Reading: Mammography screening should consider radiation risk Would risk-based breast screening be more cost-effective? Breast MRI underutilized in high-risk women Critic calls JAMA study on mammo screening 'inadequate' Mammography compliance leads to other screening tests
ConclusionsThere was variability in the magnitude of effect from integrating 3D-mammography (relative to screen-reading with acquired or synthesised 2D-mammography alone) on individual radiologist’s TP and FP detection, although there was an overall pattern of increasing cancer detection and also increasing FP recall for most readers.
A woman's risk of radiation-induced cancer from regular screening mammography...Read more on AuntMinnie.comRelated Reading: Would risk-based breast screening be more cost-effective? Dense breast tissue translates into higher cancer odds AAPM: Mammo radiation dose 30% lower than thought ARRS: Patients overestimate mammography radiation danger Radiation dose in women's imaging: Are we scared yet?
ConclusionAdding digital breast tomosynthesis to digital mammography improves the diagnostic accuracy in breast cancer screening.