Are Out-of-Pocket Expenses Deterring Women from Breast Cancer Screenings?

Patients who are diagnosed with a 2 percent chance of developing breast cancer are less likely to return for the recommended 6-month scan if they have high out-of-pocket expenses, says a new  studypublished in theJournal of the American College of Radiology. Researchers from Johns Hopkins ’s Department of Radiology studied records of more than 190 women who were given the BI-RADS category 3 assessment between February 1, 2011 and June 30, 2017. They found that 57 percent went to their scheduled follow-up MRI within 10 months, 18 percent received the examination slightly after 10 mo nths, and 24 percent (or 45 patients) didn’t return for their second scan. The reasons for not going to those recommended appointments were typically high out-of-pocket fees and lack of family breast cancer history. The researchers found no correlation between race, marital status, or living situation and not attending the follow-up. Those who didn ’t follow-up were typically billed around $352 whereas those who made the follow-up appointments paid around $83. “Our data suggest that there may be subsets of patients who would benefit from additional support and resources to help increase their likelihood to follow through with recommended short-interval follow-up,” wrotethe researchers. They suggest new methods of encouraging patients to attend their follow-up scan, including automated reminders or more directed communication post-appointment.
Source: radRounds - Category: Radiology Authors: Source Type: blogs

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ConclusionAlthough limited by a small sample size, early signs of cardiac injury detected by NH3 myocardial perfusion PET was at least not frequent in our cohort of patients treated with a modern RT technique for left-sided breast cancer, even 7 years after treatment. The findings however, may not rule out subsequent development of myocardial injury.
Source: Journal of Nuclear Cardiology - Category: Nuclear Medicine Source Type: research
Abstract PURPOSE: Identifying imaging phenotypes and understanding their relationship with prognostic markers and patient outcomes can allow for a non-invasive assessment of cancer. The purpose of this study was to identify and validate intrinsic imaging phenotypes of breast cancer heterogeneity in pre-operative breast Dynamic Contrast Enhanced Magnetic Resonance Imaging (DCE-MRI) scans and evaluate their prognostic performance in predicting 10-year recurrence. EXPERIMENTAL DESIGN: Pre-treatment DCE-MRI scans of 95 women with primary invasive breast cancer with at least 10-years of follow-up from a clinical t...
Source: Clinical Cancer Research - Category: Cancer & Oncology Authors: Tags: Clin Cancer Res Source Type: research
This study tried to prepare AgNPs from AgNO3 solution as Ag precursor and Fumaria parviflora (Fp) extract as stabilizing and reducing agents. The anticancer activity of the final product has been studied using human breast cancer cells. Characterization of final products were carried out using UV–visible spectrum, dynamic light scattering (DLS), zeta potential, Fourier transform infrared Spectroscopy (FTIR), X-Ray diffraction (XRD), field emission scanning electron microscopy (FESEM) and transmission electron microscopy (TEM) techniques. As a result, well-dispersed spherical AgNPs (with the size of lower than ~40 n...
Source: Materials Chemistry and Physics - Category: Materials Science Source Type: research
A 50-year-old woman presented with stomach discomfort. The patient had undergone a lobular breast cancer (LBC) surgery 17 years previously. On physical examination, mild upper abdominal tenderness was detected. Laboratory tests did not show any notable findings. Abdominal computed tomography scan revealed a gastric wall thickening (Fig. 1A, arrow). Esophagogastroduodenoscopy showed diffuse hypertrophic gastric folds (Fig. 1B). Biopsy specimens from the folds showed a poorly differentiated adenocarcinoma (Fig.
Source: Digestive and Liver Disease - Category: Gastroenterology Authors: Tags: Image of the Month Source Type: research
AbstractPancytopenia is a rare complication among patients with breast cancer. Here, we report a case of pancytopenia due to massive bone marrow carcinomatosis (BMC) developed after local radiotherapy following to mastectomy. A 48-year-old woman with locally advanced breast cancer underwent mastectomy and axillary lymph node dissection. During adjuvant chemotherapy, rapidly growing supraclavicular lymph node metastasis was noted, so chemotherapy was discontinued and local radiotherapy was performed. There was no myelosuppression or systemic metastases prior to radiotherapy, but 2 weeks after the completion of radiotherapy,...
Source: International Cancer Conference Journal - Category: Cancer & Oncology Source Type: research
AbstractPurposeThe purpose of this study is to develop a radiomics model for predicting the Ki-67 proliferation index in patients with invasive ductal breast cancer through magnetic resonance imaging (MRI) preoperatively.Materials and methodsA total of 128 patients who were clinicopathologically diagnosed with invasive ductal breast cancer were recruited. This cohort included 32 negative Ki67 expression (Ki67 proliferation index  
Source: La Radiologia Medica - Category: Radiology Source Type: research
Authors: Rohini B, Akther T, Waseem M, Khan J, Kashif M, Hemalatha S Abstract In our current study, we synthesized silver nanoparticles (AgNPs) from an aqueous seed extract of Nigella sativa. The seed extract contains phytochemical compounds including phenols, terpenoids, and flavonoids that may act as reducing agents and are able to convert metal ions to metal nanoparticles. The formation of synthesized AgNPs was characterized using UV-visible spectroscopy, Fourier transform infra-red spectroscopy (FT-IR), scanning electron microscopy (SEM) and energy dispersive analysis of X-rays (EDX). The efficacy of N-AgNPs ag...
Source: Journal of Environmental Pathology, Toxicology and Oncology - Category: Environmental Health Tags: J Environ Pathol Toxicol Oncol Source Type: research
ConclusionsWe identified alterations in white matter microstructures in older women with breast cancer undergoing chemotherapy. These findings may potentially serve as neuroimaging biomarkers for identifying cognitive impairment in older adults with cancer.
Source: Journal of Geriatric Oncology - Category: Cancer & Oncology Source Type: research
CONCLUSION: Imaging tools used to evaluate breast cancer can help determine whether distant metastasis has occurred and in rare cases can help discover other primary cancers. The patient in this case study was 1 of the few patients with an incidental finding of a second nonmetastatic primary malignancy in the lung detected using PET-CT. The risks associated with advanced imaging include exposing patients to additional tests and potentially invasive procedures based on the results. However, in some instances, imaging results can alter the treatment plan and increase survival rates. Further empirical research and case studie...
Source: Radiologic Technology - Category: Radiology Authors: Tags: Radiol Technol Source Type: research
CONCLUSIONS: Questioning PET/CT findings in light of the cancer subtype enabled us to rectify the diagnosis and allow this patient to be treated with curative intent. PMID: 31645205 [PubMed - as supplied by publisher]
Source: Tumori - Category: Cancer & Oncology Tags: Tumori Source Type: research
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