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Radiology Discussions Breast cancer screening
Radiology Discussions Breast cancer screening
Breast cancer screening
Radiology
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Discussion started by Pete deTreville , on 08 December 09:54 am
All the uproard over the ages for breast cancer screening age recommedations has seemed to die..were there any recommednations coming out of RSNA?
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Ryan Furlough,
Tuesday, 29 December 2009 18:26
There is a great article summarizing RSNA's stance...
here are a couple of excerpts...
“Over the past 17 years, I have routinely diagnosed women in their 40s on a screening or diagnostic mammogram,” says Stamatia Destounis, MD, from the Elizabeth Wende Breast Care Center in Rochester, N.Y.
After reviewing the center’s data for the last five years, Destounis found a relatively equal number of breast cancers in patients in the age groups 40 to 49, 50 to 59, 60 to 69, and 70 and above. “We found about 25 percent in each category, a considerable number of those detected through screening mammography,” she says. “The recommendation to start screening at age 40 is not empirically derived. The reality is that in the last two decades, we have seen a decrease in mortality from breast cancer, when prior to 1990, the death rate had been flat for many years.”
The ACR has not sugar-coated its response. “We feel that the recommendations were cost-cutting measures made by people with no expertise in the subject matter that will cause countless women to die unnecessarily each year from breast cancer,” says Shawn Farley, spokesperson for the ACR. “The fact that insurance company staff were represented on the USPSTF, but not one cancer expert, just does not pass the smell test.”
Daniel B. Kopans, MD, director of breast imaging at Massachusetts General Hospital in Boston, says that the guidelines ignore most of the important scientific evidence and rely on unproven, computer modeling. “You might remember that there were very sophisticated financial computer models that said everything was rosy just before the economic crash,” Kopans says. He adds that the death rate from breast cancer has decreased by 30 percent since screening began, which translates into 15,000-plus saved lives each year. “These new recommendations will set women’s health back more than 20 years.”
“Screening mammography represents one of the great medical achievements of our time,” said Stephen A. Feig, MD, professor of radiology at the University of California Irvine School of Medicine and president-elect of the American Society of Breast Disease at an RSNA press conference. Annual screening has reduced mortality by 40 to 50 percent for women between the ages of 40 and 75, despite an increase in the disease, Feig noted
http://www.healthimaging.com/index.php?option=com_articles&view=article&id=19854:changes-to-mammography-screening-guidelines-draw-much-ire
here are a couple of excerpts...
“Over the past 17 years, I have routinely diagnosed women in their 40s on a screening or diagnostic mammogram,” says Stamatia Destounis, MD, from the Elizabeth Wende Breast Care Center in Rochester, N.Y.
After reviewing the center’s data for the last five years, Destounis found a relatively equal number of breast cancers in patients in the age groups 40 to 49, 50 to 59, 60 to 69, and 70 and above. “We found about 25 percent in each category, a considerable number of those detected through screening mammography,” she says. “The recommendation to start screening at age 40 is not empirically derived. The reality is that in the last two decades, we have seen a decrease in mortality from breast cancer, when prior to 1990, the death rate had been flat for many years.”
The ACR has not sugar-coated its response. “We feel that the recommendations were cost-cutting measures made by people with no expertise in the subject matter that will cause countless women to die unnecessarily each year from breast cancer,” says Shawn Farley, spokesperson for the ACR. “The fact that insurance company staff were represented on the USPSTF, but not one cancer expert, just does not pass the smell test.”
Daniel B. Kopans, MD, director of breast imaging at Massachusetts General Hospital in Boston, says that the guidelines ignore most of the important scientific evidence and rely on unproven, computer modeling. “You might remember that there were very sophisticated financial computer models that said everything was rosy just before the economic crash,” Kopans says. He adds that the death rate from breast cancer has decreased by 30 percent since screening began, which translates into 15,000-plus saved lives each year. “These new recommendations will set women’s health back more than 20 years.”
“Screening mammography represents one of the great medical achievements of our time,” said Stephen A. Feig, MD, professor of radiology at the University of California Irvine School of Medicine and president-elect of the American Society of Breast Disease at an RSNA press conference. Annual screening has reduced mortality by 40 to 50 percent for women between the ages of 40 and 75, despite an increase in the disease, Feig noted
http://www.healthimaging.com/index.php?option=com_articles&view=article&id=19854:changes-to-mammography-screening-guidelines-draw-much-ire
