The evolving role of new imaging methods in breast screening.

Abstract:

:The potential to avert breast cancer deaths through screening means that efforts continue to identify methods which may enhance early detection. While the role of most new imaging technologies remains in adjunct screening or in the work-up of mammography-detected abnormalities, some of the new breast imaging tests (such as MRI) have roles in screening groups of women defined by increased cancer risk. This paper highlights the evidence and the current role of new breast imaging technologies in screening, focusing on those that have broader application in population screening, including digital mammography, breast ultrasound in women with dense breasts, and computer-aided detection. It highlights that evidence on new imaging in screening comes mostly from non-randomised studies that have quantified test detection capability as adjunct to mammography, or have compared measures of screening performance for new technologies with that of conventional mammography. Two RCTs have provided high-quality evidence on the equivalence of digital and conventional mammography and on outcomes of screen-reading complemented by CAD. Many of these imaging technologies enhance cancer detection but also increase recall and false positives in screening.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Houssami N,Ciatto S

doi

10.1016/j.ypmed.2011.05.003

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

123-6

issue

3

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(11)00174-5

journal_volume

53

pub_type

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