scholarly journals Comparison of recall, biopsy, and cancer detection rates in the Southern Derbyshire screening programme between 2006 and 2009 using hard-copy mammography and in 2009 to 2012 following the full introduction of soft-copy reporting

2012 ◽  
Vol 14 (S1) ◽  
Author(s):  
AE Turnbull ◽  
S Puri ◽  
M Bagnall ◽  
J York ◽  
S Farmer ◽  
...  
Keyword(s):  
Cancer Detection ◽  
Screening Programme ◽  
Hard Copy ◽  
Detection Rates ◽  
Soft Copy

Digital mammography in a screening programme and its implications for pathology: a comparative study

2010 ◽  
Vol 64 (3) ◽  
pp. 215-219 ◽  
Author(s):  
Linda Feeley ◽  
Donal Kiernan ◽  
Therese Mooney ◽  
Fidelma Flanagan ◽  
Gormlaith Hargaden ◽  
...  
Keyword(s):  
Cancer Detection ◽  
Digital Mammography ◽  
Detection Rate ◽  
Screening Programme ◽  
Ductal Carcinoma ◽  
Recall Rate ◽  
Primary Objective ◽  
Cancer Detection Rate ◽  
Detection Rates ◽  
Predictive Values

AimsMost studies comparing full-field digital mammography (FFDM) with conventional screen-film mammography (SFM) have been radiology-based. The pathological implications of FFDM have received little attention in the literature, especially in the context of screening programmes. The primary objective of this retrospective study is to compare FFDM with SFM in a population-based screening programme with regard to a number of pathological parameters.MethodsDuring the study period, 107 818 women underwent screening mammograms with almost equal numbers obtained with each technique (49.9% with SFM vs 50.1% with FFDM). We compared SFM with FFDM using the following parameters: recall rate, diagnostic core biopsy rate, cancer detection rates, B3 rate, B4 rate, preoperative diagnostic rate for malignancy, positive predictive values and tumour characteristics.ResultsThe recall rate was significantly higher with FFDM (4.21% vs 3.52%, p<0.0001). The overall cancer detection rate of 7.2 per 1000 women screened with FFDM was also significantly higher than the rate of 6.2 per 1000 women screened with SFM (p=0.04). The B3 rate in the SFM group was 1.3 per 1000 women screened versus 2.5 per 1000 women screened in the FFDM group (p<0.001). The recall rate and cancer detection rates (overall, invasive and pure ductal carcinoma in situ) were all significantly higher with FFDM for lesions presenting as microcalcifications.ConclusionsThe higher cancer detection rate with FFDM in this study was due to improved detection of microcalcifications. However, this was achieved at the cost of a higher recall rate and a higher B3 rate, indicating that overtreatment may be problematic with digital mammography.

Evolution of the National Breast Screening Programme in Ireland: Two-year interval analysis (2004–2013) of BreastCheck

2017 ◽  
Vol 25 (4) ◽  
pp. 191-196 ◽  
Author(s):  
Patricia E Fitzpatrick ◽  
Gráinne Greehy ◽  
Marie T Mooney ◽  
Fidelma Flanagan ◽  
Aideen Larke ◽  
...  
Keyword(s):  
Cancer Detection ◽  
Digital Mammography ◽  
Carcinoma In Situ ◽  
Breast Screening ◽  
Screening Programme ◽  
Ductal Carcinoma ◽  
Detection Rates ◽  
Breast Screening Programme ◽  
National Breast

Objective Monitoring breast screening programmes is essential to ensure quality. BreastCheck, the national breast screening programme in the Republic of Ireland, commenced screening in 2000, with full national expansion in 2007, and digital mammography introduced in 2008. We aimed to review the performance of BreastCheck from 1 January 2004 to 31 December 2013. Methods Using the customised clinical and administrative database, performance indicator data were collected from BreastCheck and compared with programme and European guideline standards. Results Over the decade, 972,236 screening examinations were performed. Uptake initially rose following national expansion, but fell in the subsequent years to <70% in 2012–2013. Following the introduction of digital mammography, initial recall rates increased from 5.2% in 2004–2005 to 8.1% in 2012–2013. Subsequent recall rates remained within the target of <3%. On average, invasive cancer detection rates were 6.6/1000 for initial and 4.5/1000 for subsequent women. Small cancer detection rates were for <15 mm 43.4% (initial women) and 51.7% (subsequent) and for ≤10 mm 24.0% (initial) and 29.5% (subsequent). Ductal carcinoma in situ detection as a percentage of all cancers averaged 21.2% for initial and 20.0% for subsequent women. The majority were intermediate or high-grade ductal carcinoma in situ. The positive predictive value was 11.9% for initial and 21.8% for subsequent women. Standardized detection ratios remained above the programme target. Conclusion Revised indicators to reflect the digital mammography era are anticipated in revised European Guidelines on breast cancer screening.

scholarly journals Results from the NHS Breast Screening Programme 1990–1993

1995 ◽  
Vol 2 (4) ◽  
pp. 186-190 ◽  
Author(s):  
S M Moss ◽  
M Michel ◽  
J Patnick ◽  
L Johns ◽  
R Blanks ◽  
...  
Keyword(s):  
Cancer Detection ◽  
Breast Screening ◽  
Detection Rate ◽  
Screening Programme ◽  
Interval Cancer ◽  
Cancer Detection Rate ◽  
Quality Assurance Programme ◽  
Detection Rates ◽  
Breast Screening Programme ◽  
Single View

Objective –To present results from the NHS breast screening programme (NHSBSP) for the three year period 1990 to 1993, and to examine the extent to which interim targets are being met. Methods –Data have been collated from all screening programmes in the United Kingdom on standard “Korner” returns, supplemented for the year 1991/92 by data from the radiology quality assurance programme. Most of the data refer to the prevalent screening round, but some data on rescreening are also available. Results –The total cancer detection rate at prevalent screens was 6·0/1000, 18% being in situ cancers; the detection rate of invasive cancers ⩽ 10 mm in diameter was 1·3/1000, but data on size were missing for 12% of cancers. Referral rates were significantly lower for programmes using' two view mammography at the prevalent screen than for those using single view, and cancer detection rates were significantly higher. For prevalent screens over the three year period, 70% of programmes had a referral rate of ≤ 7%, 87% had a benign biopsy rate of ≤ 5/1000, and 79% had a cancer detection rate of ≥ 5/1000. By contrast, only 30% of programmes appeared to meet the target detection rate of > ⩽5/1000 for invasive cancers ≤ 10 mm in diameter. Conclusions – While the majority of interim targets are being met by the NHSBSP, the rate of detection of small invasive cancers requires careful monitoring. Collection of more accurate data on size of cancers and interval cancer rates will give a better indication of progress towards the target mortality reduction.

scholarly journals A Comparison of Two View and One View Mammography in the Detection of Small Invasive Cancers : Results from the National Health Service Breast Screening Programme

1996 ◽  
Vol 3 (4) ◽  
pp. 200-203 ◽  
Author(s):  
R G Blanks ◽  
S M Moss ◽  
M G Wallis
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Cancer Detection ◽  
National Health ◽  
Breast Screening ◽  
Screening Programme ◽  
Invasive Cancer ◽  
Detection Rates ◽  
Breast Screening Programme ◽  
National Health Service Breast

Objective— To examine the effect of using two view mammography in comparison with one view mammography in the detection of small (<15 mm) invasive cancers. Setting— Screening programme data from National Health Service breast screening programme (NHSBSP). Methods— Data were collated from all screening programmes in the United Kingdom on standard “Korner” returns (KC62 forms) for the screening year 1 April 1994 to 31 March 1995. The comparison of invasive cancer detection rates by programmes using one and two view mammography with indirectly age standardised invasive cancer detection rates. Results— Programmes using two views for women attending their prevalent screen (first screen) in the NHSBSP detected 3% more non-invasive/microinvasive cancers, 7% more large invasive cancers (⩽15 mm), and 42% more small invasive cancers (<15 mm) than programmes using one view mammography. Conclusions— The success of the screening programme depends largely on the ability of individual programmes to detect small invasive cancers. The results suggest that the benefit of using two view mammography is largely in the increased detection of these cancers.

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