Double reading in breast cancer screening: considerations for policy-making.

Double reading in breast cancer screening: considerations for policy-making. Br J Radiol. 2019 Oct 16;:20190610 Authors: Taylor-Phillips S, Stinton C Abstract In this article, we explore the evidence around the relative benefits and harms of breast cancer screening using a single radiologist to examine each female's mammograms for signs of cancer (single reading), or two radiologists (double reading). First, we briefly explore the historical evidence using film-screen mammography, before providing an in-depth description of evidence using digital mammography. We classify studies according to which exact version of double reading they use, because the evidence suggests that effectiveness of double reading is contingent on whether the two radiologists are blinded to one another's decisions, and how the decisions of the two radiologists are integrated. Finally, we explore the implications for future mammography, including using artificial intelligence as the second reader, and applications to more complex three-dimensional imaging techniques such as tomosynthesis. PMID: 31617741 [PubMed - as supplied by publisher]
Source: The British Journal of Radiology - Category: Radiology Authors: Tags: Br J Radiol Source Type: research

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Publication date: Available online 13 November 2019Source: American Journal of Preventive MedicineAuthor(s): Ethan O. Cohen, Olena O. Weaver, Hilda H. Tso, Karen E. Gerlach, Jessica W.T. Leung
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
In this study, we propose a novel attention-guided dense-upsampling network (AUNet) for accurate breast mass segmentation in whole mammograms directly. In AUNet, we employ an asymmetrical encoder-decoder structure and propose an effective upsampling block, attention-guided dense-upsampling block (AU block). Especially, the AU block is designed to have three merits. Firstly, it compensates the information loss of bilinear upsampling by dense upsampling. Secondly, it designs a more effective method to fuse high- and low-level features. Thirdly, it includes a channel-attention function to highlight rich-information channels. ...
Source: Physics in Medicine and Biology - Category: Physics Authors: Tags: Phys Med Biol Source Type: research
AbstractBreast cancer is the most commonly diagnosed cancer among women in the USA. Despite the availability of screening mammograms, significant disparities still exist in breast cancer outcomes of racial/ethnic and sexual/gender minorities. To address these disparities, the Mount Sinai Mobile Breast Health Program in New York City collaborated with local organizations to develop culturally and linguistically appropriate breast cancer education programs aimed at increasing screening mammogram utilization. Literature review of the barriers to mammography screening formed the basis to allow us to draft a narrative presentat...
Source: Journal of Cancer Education - Category: Cancer & Oncology Source Type: research
Publication date: Available online 9 November 2019Source: Reproductive ToxicologyAuthor(s): Barbara A. Cohn, Piera M. Cirillo, Nickilou Y. Krigbaum, Lauren M. Zimmermann, Julie D. Flom, Mary Beth TerryABSTRACTIntrauterine and early-life exposures, including intrauterine smoke exposures and infant growth are associated with mammographic breast density (MBD), a strong breast cancer risk factor. We investigated whether placental morphometry which is affected by intrauterine smoke exposure and also influences infant growth predicts %MBD at ages 37-47. In 247 daughters in the Child Health and Development Studies, we found that ...
Source: Reproductive Toxicology - Category: Toxicology Source Type: research
Publication date: Available online 8 November 2019Source: Reproductive ToxicologyAuthor(s): Nickilou Y. Krigbaum, Piera M. Cirillo, Julie D. Flom, Jasmine A. McDonald, Mary Beth Terry, Barbara A. CohnAbstractPrior studies in the Child Health and Development Studies (CHDS) found in utero exposure to the pesticide, dichlorodiphenyltrichloroethane (DDT), increased breast cancer risk by age 52. Mammographic density is considered a primary risk factor for breast cancer. We conducted a study of 309 daughters from the CHDS to examine in utero DDT exposure and mammographic density in midlife. Among daughters with high (>75th pe...
Source: Reproductive Toxicology - Category: Toxicology Source Type: research
After a Styles column about one woman ’s experience with an early diagnosis, readers shared poignant stories of fear and survival.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Breast Cancer Mastectomy Radiation Mammography Tamoxifen (Drug) New York Times Source Type: news
Condition:   Breast Cancer Intervention:   Other: mammography Sponsors:   Chinese University of Hong Kong;   IBM China/Hong Kong Limited Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Authors: Sin M, McGuinness JE, Trivedi MS, Vanegas A, Silverman TB, Crew KD, Kukafka R Abstract Genetic testing is a method to assess hereditary cancer risk. However, it is under-utilized and various methods of family history intake have been evaluated in previous studies. The six-point-scale (SPS) is a validated family history screener that is used to determine eligibility for BRCA genetic counseling. We automated the calculation of the SPS score using structured family history data along with free text from the electronic health record (EHR) to detect detailed family history information of breast cancer. We extra...
Source: AMIA Annual Symposium Proceedings - Category: Bioinformatics Tags: AMIA Annu Symp Proc Source Type: research
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