Abstract
As digital mammography has largely replaced analogue mammography for screening, we examine the impact of the change on clinical outcomes. Data were obtained for 62,599 women undergoing routine screening mammography between January 2010 and March 2012 during the transition from analogue to digital screening, and on a monthly basis for the two years following complete conversion to digital mammography. With digital mammography, the recall rate increased from 3.58% to 4.69% (p<0.001) and the biopsy/cytology referral rate increased from 1.49% to 1.88% (p=0.01) whilst the cancer detection rate did not change significantly. The recall rate showed a strong positive correlation with time (r=0.71, p<0.001) and biopsy rate showed a moderate positive correlation (r=0.52 p=0.011). The cancer detection rate showed a moderate negative correlation with time (r=-0.567 p=0.05). Whilst all the outcome measures reported meet the standards set by the national screening programme, these results indicate a need for regular monitoring following changes to screening technology.
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References
Marmot, M.G., Altman, D.G., Cameron, D.A., Dewar, J.A., Thompson, S.G., Wilcox, M.: The Independent UK Panel on Breast Cancer Screening. The benefits and harms of breast cancer screening: an independent review. A report jointly commissioned by Cancer Research UK and the Department of Health (England), October 2012. British Journal of Cancer 108, 2205–2240 (2013), doi:10.1038/bjc.2013.177
The National Health Service Breast Screening Programme Annual Review 2012 (2012), http://www.cancerscreening.nhs.uk/breastscreen/publications/nhsbsp-annualreview2012.pdf , ISBN: 978-1-84463-093-6
The National Health Service Breast Screening Programme Annual Review 2010 (2010), http://www.cancerscreening.nhs.uk/breastscreen/publications/nhsbsp-annualreview2010.pdf , ISBN: 978-1-84463-075-2
Hauge, I.H.R., Pedersen, K., Sanderud, A., et al.: Patient Doses From Screen Film and Full Field Digital Mammography in a Population Based Screening Programme. Radiation Protection Dosimetry 148(1), 65–73 (2012)
Hendrick, R.E.: Comparison of Acquisition Parameters and Breast Dose in Digital Mammography and Screen Film Mammography in the American College of Radiology Imaging Network Digital Mammographic Imaging Screening Trial. Am. J. Roentgenol. 194(2), 362–369 (2010)
Pisano, E.D., Yaffe, M.J., Hemminger, B.M., Edward Hendrick, R., Niklason, L.T., Maidment, A.D.A., Kimme-Smith, C.M., Feig, S.A., Sickles, E.A., Patricia Braeuning, M.: Current status of full-field digital mammography. Academic Radiology 7(4), 266–280 (2000)
Pisano, E.D., Gatsonis, C., Hendrick, E., Yaffe, M., Baum, J.K., Acharyya, S., Conant, E.F., Fajardo, L.L., Bassett, L., D’Orsi, C., Jong, R., Rebner, M.: Digital Mammographic Imaging Screening Trial (DMIST) Investigators Group 2005 Diagnostic Performance of Digital versus Film Mammography for Breast-Cancer Screening. N. Engl. J. Med. 353, 1773–1783 (2005), doi: 10.1056/NEJMoa052911
Skaane, P.: Studies comparing screen film mammography and full field digital mammography in breast cancer screening: updated review. Acta Radiol. 50(1), 3–14 (2009)
Del Turco, M.R., Mantellini, P., Ciatto, S., Bonardi, R., Martinelli, F., Lazzari, B., et al.: Full-field digital versus screen-film mammography: comparative accuracy in concurrent screening cohorts. Am. J. Roentgenol. 189, 860–866 (2007)
Vigeland, E., Klaasen, H., Klingen, T.A., Hofvind, S., Skaane, P.: Full field digital mammography compared with screen film mammography in the prevalent round of a population based screening program: the Vestfold County study. Eur. Radiol. 18, 183–191 (2008)
Vernacchia, F.S., Pena, Z.G.: Digital mammography: its impact on recall rates and cancer detection rates in a small community based radiology practice. AJR Am. J. Roentgenol. 193(2), 582–585 (2009)
Glynn, C., Farria, D., Monsees, B., et al.: Effect of transition to digital mammography on clinical outcomes. Radiology 260, 664–670 (2011)
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Fyall, T. et al. (2014). The Impact of Introducing Full Field Digital Mammography into a Screening Programme. In: Fujita, H., Hara, T., Muramatsu, C. (eds) Breast Imaging. IWDM 2014. Lecture Notes in Computer Science, vol 8539. Springer, Cham. https://doi.org/10.1007/978-3-319-07887-8_9
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DOI: https://doi.org/10.1007/978-3-319-07887-8_9
Publisher Name: Springer, Cham
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