The impact of digital mammography on screening a young cohort of women for breast cancer in an urban specialist breast unit

Objective To compare the diagnostic performance of full-field digital mammography (FFDM) with screen-film mammography (SFM) in a corporate screening programme including younger women. Methods Data were available on 14,946 screening episodes, 5010 FFDM and 9936 SFM. Formal analysis was by logistic re...

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Bibliographic Details
Published in:European radiology 2011-04, Vol.21 (4), p.676-682
Main Authors: Perry, Nicholas M., Patani, N., Milner, S. E., Pinker, K., Mokbel, K., Allgood, P. C., Duffy, S. W.
Format: Article
Language:English
Subjects:
Adult
Aged
Algorithms
Breast
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - diagnostic imaging
Calcinosis - diagnostic imaging
Cluster Analysis
Cohort Studies
Diagnostic Radiology
Early Detection of Cancer - methods
Female
Health care
Humans
Imaging
Internal Medicine
Interventional Radiology
Mammography
Mammography - methods
Medical screening
Medicine
Medicine & Public Health
Middle Aged
Mortality
Neuroradiology
Predictive Value of Tests
Quality control
Radiographic Image Enhancement - methods
Radiology
Ultrasonography
Ultrasound
Urban Population
Womens health
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Summary:Objective To compare the diagnostic performance of full-field digital mammography (FFDM) with screen-film mammography (SFM) in a corporate screening programme including younger women. Methods Data were available on 14,946 screening episodes, 5010 FFDM and 9936 SFM. Formal analysis was by logistic regression, adjusting for age and calendar year. FFDM is compared with SFM with reference to cancer detection rates, cancers presenting as clustering microcalcifications, recall rates and PPV of recall. Results Overall detection rates were 6.4 cancers per thousand screens for FFDM and 2.8 per thousand for SFM ( p  
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-010-1968-3