Wide Variation Exists In Technical Execution Of Scans And Compression Forces Used During Mammography

Friday, March 6, 2015
HealthImaging (3/6, Godt) reports that “breast compression, while uncomfortable for some women, is a necessary component of mammography.” Research published in the European Journal of Radiology “has shown that, because of a lack of consistent guidelines, a wide variation exists in the technical execution of scans and the compression forces used.” The investigators “suggested standardization that measures pressure rather than force could improve patient care.” 

Forbes Contributor Looks Into Controversy Surrounding Mandatory Reporting Of Breast Density

Monday, February 2, 2015
Forbes (1/30) contributor Elaine Schattner, MD, wrote that so far, 21 states have “enact legislation on mandatory reporting of breast density found in breast cancer screening.” She wrote that last year, “Senators Dianne Feinstein (D-Calif.) and Kelly Ayotte (R-N.H.) introduced the Breast Density and Mammography Reporting Act.” Schattner wrote that “there does seem to be a consensus among radiologists that ultrasound aids breast cancer detection in women with dense breasts.” However, some physicians are not in favor of laws requiring breast density reporting, with some arguing, among other things, that patients told that they have dense breasts may not know what to do with that information. 

Daniel Kopans, MD, FSBI, Writes a Critique on the CNBS Study

Tuesday, January 20, 2015

An article and associated commentaries related to the Canadian National Breast Screening Study published in the journal Current Oncology continue to advocate against screening mammography despite the major flaws inherent in the trial. SBI Fellow, Daniel Kopans, MD, addresses the study. 

Adding DBT To Mammography May Yield Millions In US Healthcare Cost Savings

Thursday, January 15, 2015
Aunt Minnie (1/15, Yee) reports that a study conducted by Truven Health Analytics and published online Jan. 12 in the journal ClinicoEconomics and Outcomes Research suggests that “by reducing recalls and catching breast cancer earlier, digital breast tomosynthesis (DBT) could yield hundreds of millions of dollars in US healthcare cost savings if it were added to mammography for annual breast cancer screening.” After estimating “the financial impact of using DBT along with digital mammography for annual screening in a hypothetical US managed care plan with one million members,” researchers found that use of DBT “would result in overall savings of $2.4 million per year for the plan.” Extrapolating the results further, the study authors concluded that “DBT could lead to as much as half a billion dollars in annual savings if it were used for the approximately 19 million screening mammograms performed annually in the US.”