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Mammography

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839:(2013) concluded after ten years that trials with adequate randomization did not find an effect of mammography screening on total cancer mortality, including breast cancer. The authors of this Cochrane review write: "If we assume that screening reduces breast cancer mortality by 15% and that overdiagnosis and over-treatment is at 30%, it means that for every 2,000 women invited for screening throughout 10 years, one will avoid dying of breast cancer and 10 healthy women, who would not have been diagnosed if there had not been screening, will be treated unnecessarily. Furthermore, more than 200 women will experience important psychological distress including anxiety and uncertainty for years because of false positive findings." The authors conclude that the time has come to re-assess whether universal mammography screening should be recommended for any age group. They state that universal screening may not be reasonable. The Nordic Cochrane Collection updated research in 2012 and stated that advances in diagnosis and treatment make mammography screening less effective today, rendering it "no longer effective". They conclude that "it therefore no longer seems reasonable to attend" for breast cancer screening at any age, and warn of misleading information on the internet. 501:(NCCN) advocates screening for women who possess a BRCA1 or BRCA2 mutation or have a first-degree relative with such a mutation, even in the absence of the patient being tested for BRCA1/2 mutations. For women at high risk, NCCN recommends undergoing an annual mammogram and breast MRI between the ages of 25 and 40, considering the specific gene mutation type or the youngest age of breast cancer occurrence in the family. Additionally, NCCN suggests that high-risk women undergo clinical breast exams every 6 to 12 months starting at age 25. These individuals should also engage in discussions with healthcare providers to assess the advantages and disadvantages of 3D mammography and acquire knowledge on detecting changes in their breasts. 977:
3,184 women had mammograms that were formally classified as "probably benign". This classification is for patients who are not clearly normal but have some area of minor concern. This results not in the patient being biopsied, but rather in having early follow up mammography every six months for three years to determine whether there has been any change in status. Of these 3,184 women, 17 (0.5%) did have cancers. Most importantly, when the diagnosis was finally made, they were all still stage 0 or 1, the earliest stages. Five years after treatment, none of these 17 women had evidence of re-occurrence. Thus, small early cancers, even though not acted on immediately, were still reliably curable.
203:(MRI) are adjuncts to mammography. Ultrasound is typically used for further evaluation of masses found on mammography or palpable masses that may or may not be seen on mammograms. Ductograms are still used in some institutions for evaluation of bloody nipple discharge when the mammogram is non-diagnostic. MRI can be useful for the screening of high-risk patients, for further evaluation of questionable findings or symptoms, as well as for pre-surgical evaluation of patients with known breast cancer, in order to detect additional lesions that might change the surgical approach (for example, from breast-conserving 574:
Diagnostic mammograms are reserved for patients with breast symptoms (such as palpable lumps, breast pain, skin changes, nipple changes, or nipple discharge), as follow-up for probably benign findings (coded BI-RADS 3), or for further evaluation of abnormal findings seen on their screening mammograms. Diagnostic mammograms may also performed on patients with personal or family histories of breast cancer. Patients with breast implants and other stable benign surgical histories generally do not require diagnostic mammograms.
701:-guided core biopsy. After a screening mammogram, some women may have areas of concern which cannot be resolved with only the information available from the screening mammogram. They would then be called back for a "diagnostic mammogram". This phrase essentially means a problem-solving mammogram. During this session, the radiologist will be monitoring each of the additional films as they are taken by a radiographer. Depending on the nature of the finding, ultrasound may often be used as well. 219:(2012) and the European Cancer Observatory (2011) recommend mammography every 2 to 3 years between ages 50 and 69. These task force reports point out that in addition to unnecessary surgery and anxiety, the risks of more frequent mammograms include a small but significant increase in breast cancer induced by radiation. Additionally, mammograms should not be performed with increased frequency in patients undergoing breast surgery, including breast enlargement, mastopexy, and breast reduction. 986:
cancer screening using mammography has been unclear. A recent systematic review of three studies held in Spain, Denmark, and the United States from 2000-2019 found that digital mammography is not cost-beneficial for the healthcare system when compared to other screening methods. Therefore, increasing its frequency may cause higher costs on the healthcare system. While there may be a lack of evidence, it is suggested that digital mammography be performed every two years for ages over 50.
48: 533: 541: 6230: 353: 973:, Dr. Samuel S. Epstein claims that in women ages 40 to 49, one in four cancers are missed at each mammography. Researchers have found that breast tissue is denser among younger women, making it difficult to detect tumors. For this reason, false negatives are twice as likely to occur in pre-menopausal mammograms (Prate). This is why the screening program in the UK does not start calling women for screening mammograms until age 50. 1081:(MQSA). The act requires annual inspections and accreditation every three years through an FDA-approved body. Facilities found deficient during the inspection or accreditation process can be barred from performing mammograms until corrective action has been verified or, in extreme cases, can be required to notify past patients that their exams were sub-standard and should not be relied upon. 778:
parameters. He played a pioneering role in elevating imaging quality while placing particular emphasis on distinguishing between benign and malignant calcifications. In the early 1950s, Uruguayan radiologist Raul Leborgne developed the breast compression technique to produce better quality images, and described the differences between benign and malign microcalcifications.
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intended to have sufficient sensitivity to detect a useful proportion of cancers. The cost of higher sensitivity is a larger number of results that would be regarded as suspicious in patients without disease. This is true of mammography. The patients without disease who are called back for further testing from a screening session (about 7%) are sometimes referred to as "
797:. The "Egan technique", as it became known, enabled physicians to detect calcification in breast tissue; of the 245 breast cancers that were confirmed by biopsy among 1,000 patients, Egan and his colleagues at M.D. Anderson were able to identify 238 cases by using his method, 19 of which were in patients whose physical examinations had revealed no breast pathology. 1006:, mortality from breast cancer has been steadily decreasing in the United States from 2018 to 2021. There have also been no new randomized trials of screening mammography for women in their 40s since the previous USPSTF recommendation was made. In addition, the 8 most recent randomized trials for this age group revealed no significant effect. Instead, the 515:
concluded that for women 40 years of age and older, the risk of radiation-induced breast cancer was minuscule, particularly compared with the potential benefit of mammographic screening, with a benefit-to-risk ratio of 48.5 lives saved for each life lost due to radiation exposure. This also correlates to a decrease in breast cancer mortality rates by 24%.
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by half. They used a 15% mortality reduction to calculate how many women needed to be invited to be screened to save a life. With the now re-confirmed 29% (or up) figure, the number to be screened using the USPSTF formula is half of their estimate and well within what they considered acceptable by their formula.
557:). In screening mammography, both head-to-foot (craniocaudal, CC) view and angled side-view (mediolateral oblique, MLO) images of the breast are taken. Diagnostic mammography may include these and other views, including geometrically magnified and spot-compressed views of the particular area of concern. 955:
concluded that 1 in 5 cases of breast cancer diagnosed among women who have undergone breast cancer screening are over-diagnosed. This means an over-diagnosis rate of 129 women per 10,000 invited to screening. A recent systematic review of 30 studies found that screening mammography for breast cancer
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Research shows that false-positive mammograms may affect women's well-being and behavior. Some women who receive false-positive results may be more likely to return for routine screening or perform breast self-examinations more frequently. However, some women who receive false-positive results become
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at the age groups of 39–49 and 70–74. The same review found that mammography significantly decreased the risk of advanced cancer among women aged 50 and older by 38%, but among those aged 39 to 49 the risk reduction was a non-significant 2%. The USPSTF made their review based on data from randomized
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Of every 1,000 U.S. women who are screened, about 7% will be called back for a diagnostic session (although some studies estimate the number to be closer to 10% to 15%). About 10% of those who are called back will be referred for a biopsy. Of the 10% referred for biopsy, about 3.5% will have cancer
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The largest (Hellquist et al) and longest running (Tabar et al) breast cancer screening studies in history re-confirmed that regular mammography screening cut breast cancer deaths by roughly a third in all women ages 40 and over (including women ages 40–49). This renders the USPSTF calculations off
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Breast cancer imposes a significant economic strain on communities, with the expense of treating stages three and four in the United States in 2017 amounting to approximately $ 127,000. While early diagnosis and screening methods are important in reducing the death rates, the cost-benefit of breast
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cannot be performed on every woman who has had a mammogram to determine the false negative rate. Estimates of the false negative rate depend on close follow-up of a large number of patients for many years. This is difficult in practice because many women do not return for regular mammography making
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False positives also mean greater expense, both for the individual and for the screening program. Since follow-up screening is typically much more expensive than initial screening, more false positives (that must receive follow-up) means that fewer women may be screened for a given amount of money.
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The Cochrane analysis of screening indicates that it is "not clear whether screening does more good than harm". According to their analysis, 1 in 2,000 women will have her life prolonged by 10 years of screening, while 10 healthy women will undergo unnecessary breast cancer treatment. Additionally,
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giving women information about the mammography procedure prior to it taking place may reduce the pain and discomfort experienced. Furthermore, research has found that standardised compression levels can help to reduce patients' pain while still allowing for optimal diagnostic images to be produced.
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The mammography procedure can be painful. Reported pain rates range from 6–76%, with 23–95% experiencing pain or discomfort. Experiencing pain is a significant predictor in women not re-attending screening. There are few proven interventions to reduce pain in mammography, but evidence suggests that
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While radiologists had hoped for more marked improvement, the effectiveness of digital mammography was found comparable to traditional X-ray methods in 2004, though there may be reduced radiation with the technique and it may lead to fewer retests. Specifically, it performs no better than film for
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issued a draft recommendation statement that all women should receive a screening mammography every two years from age 40 to 74. The American College of Radiology and American Cancer Society recommend yearly screening mammography starting at age 40. The Canadian Task Force on Preventive Health Care
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found that artificial intelligence had a comparable or better accuracy (AUC = 0.72) of predicting breast cancer than clinical risk factors alone (AUC = 0.61), suggesting a transition from clinical risk factor-based to AI image-based risk models may lead to more accurate and personalized risk-based
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The importance of these missed cancers is not clear, particularly if the woman is getting yearly mammograms. Research on a closely related situation has shown that small cancers that are not acted upon immediately, but are observed over periods of several years, will have good outcomes. A group of
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Tomosynthesis, otherwise known as 3D mammography, was first introduced in clinical trials in 2008 and has been Medicare-approved in the United States since 2015. As of 2023, 3D mammography has become widely available in the US and has been shown to have improved sensitivity and specificity over 2D
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The radiation exposure associated with mammography is a potential risk of screening, which appears to be greater in younger women. In scans where women receive 0.25–20 Gray (Gy) of radiation, they have more of an elevated risk of developing breast cancer. A study of radiation risk from mammography
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used statistical models to estimate what would happen if the starting age were lowered, assuming that screening mammography reduces breast cancer mortality by 25%. This found that screening 1,000 women from 40–74 years of age, instead of 50-74, would cause 1-2 fewer breast cancer deaths per 1,000
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Newman posits that screening mammography does not reduce death overall, but causes significant harm by inflicting cancer scare and unnecessary surgical interventions. The Nordic Cochrane Collection notes that advances in diagnosis and treatment of breast cancer may make breast cancer screening no
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and colleagues documented findings from mammographic screening involving 134,867 women aged 40 to 79. Using a single mediolateral oblique image, they reported a 31% reduction in mortality. Dr. Tabár has since written many publications promoting mammography in the areas of epidemiology, screening,
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In 2014, the Surveillance, Epidemiology, and End Results Program of the National Institutes of Health reported the occurrence rates of breast cancer based on 1000 women in different age groups. In the 40–44 age group, the incidence was 1.5 and in the 45–49 age group, the incidence was 2.3. In the
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data, since mammography screening became widespread in the mid-1980s, the U.S. breast cancer death rate, unchanged for the previous 50 years, has dropped well over 30 percent. In European countries like Denmark and Sweden, where mammography screening programs are more organized, the breast cancer
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Lee CH, Dershaw DD, Kopans D, Evans P, Monsees B, Monticciolo D, et al. (January 2010). "Breast cancer screening with imaging: recommendations from the Society of Breast Imaging and the ACR on the use of mammography, breast MRI, breast ultrasound, and other technologies for the detection of
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Only 3% to 13% of breast cancers detected by screening mammography will fall into this last category. Clinical trial data suggests that 1 woman per 1,000 healthy women screened over 10 years falls into this category. Screening mammography produces no benefit to any of the remaining 87% to 97% of
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developed a form a mammography for a diagnostic of breast cancer at earlier stages to improve survival rates. In 1949, Raul Leborgne sparked renewed enthusiasm for mammography by emphasizing the importance of technical proficiency in patient positioning and the adoption of specific radiological
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The goal of any screening procedure is to examine a large population of patients and find the small number most likely to have a serious condition. These patients are then referred for further, usually more invasive, testing. Thus a screening exam is not intended to be definitive; rather it is
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Women whose breast cancer was detected by screening mammography before the appearance of a lump or other symptoms commonly assume that the mammogram "saved their lives". In practice, the vast majority of these women received no practical benefit from the mammogram. There are four categories of
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The Canadian Task Force found that for women ages 50 to 69, screening 720 women once every 2 to 3 years for 11 years would prevent one death from breast cancer. For women ages 40 to 49, 2,100 women would need to be screened at the same frequency and period to prevent a single death from breast
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in 1993 in order to provide referring clinicians and patients a clear, meaningful and standardized report. The findings of a mammogram are divided into five main categories: mass, asymmetry, architectural distortion, calcifications, and associated features. Each has additional subcategories to
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recommendations are so influential, changing mammography screenings from 50 to 40 years of age has significant implications to public health. The major concerns regarding this update is whether breast cancer mortality has truly been increasing and if there is new evidence that the benefits of
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Mammography may also produce false negatives. Estimates of the numbers of cancers missed by mammography are usually around 20%. Reasons for not seeing the cancer include observer error, but more frequently it is because the cancer is hidden by other dense tissue in the breast, and even after
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spots, so women are discouraged from applying them on the day of their exam. There are two types of mammogram studies: screening mammograms and diagnostic mammograms. Screening mammograms, consisting of four standard X-ray images, are performed yearly on patients who present with no symptoms.
310:, and 3D breast imaging, is a mammogram technology that creates a 3D image of the breast using X-rays. When used in addition to usual mammography, it results in more positive tests. Cost effectiveness is unclear as of 2016. Another concern is that it more than doubles the radiation exposure. 1014:
Approximately 75 percent of women diagnosed with breast cancer have no family history of breast cancer or other factors that put them at high risk for developing the disease (so screening only high-risk women misses majority of cancers). An analysis by Hendrick and Helvie, published in the
430:(USPSTF) revised the recommendation that women and transgender men undergo biennial mammograms starting at the age of 40, rather than the previously suggested age of 50. This adjustment is prompted by the increasing incidence of breast cancer in the 40 to 49 age group over the past decade. 377:
showed that more than 70 percent of the women who died from breast cancer in their 40s at major Harvard teaching hospitals were among the 20 percent of women who were not being screened. Some scientific studies have shown that the most lives are saved by screening beginning at age 40.
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Photon-counting mammography was introduced commercially in 2003 and was shown to reduce the X-ray dose to the patient by approximately 40% compared to conventional methods while maintaining image quality at an equal or higher level. The technology was subsequently developed to enable
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Hellquist BN, Duffy SW, Abdsaleh S, Björneld L, Bordás P, Tabár L, et al. (February 2011). "Effectiveness of population-based service screening with mammography for women ages 40 to 49 years: evaluation of the Swedish Mammography Screening in Young Women (SCRY) cohort".
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Lord SJ, Lei W, Craft P, Cawson JN, Morris I, Walleser S, et al. (September 2007). "A systematic review of the effectiveness of magnetic resonance imaging (MRI) as an addition to mammography and ultrasound in screening young women at high risk of breast cancer".
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A galactography (or breast ductography) is a now infrequently used type of mammography used to visualize the milk ducts. Prior to the mammography itself, a radiopaque substance is injected into the duct system. This test is indicated when nipple discharge exists.
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For patients who do not want to undergo mammography, MRI and also breast computed tomography (also called breast CT) offer a painless alternative. Whether the respective method is suitable depends on the clinical picture; it is decided by the physician.
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and Karsten Juhl Jørgensen reviewed the literature and found that 1 in 3 cases of breast cancer detected in a population offered mammographic screening is over-diagnosed. In contrast, a 2012 panel convened by the national cancer director for England and
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to increase image quality by reducing the thickness of tissue that X-rays must penetrate, decreasing the amount of scattered radiation (scatter degrades image quality), reducing the required radiation dose, and holding the breast still (preventing
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In the UK mammograms are scored on a scale from 1–5 (1 = normal, 2 = benign, 3 = indeterminate, 4 = suspicious of malignancy, 5 = malignant). Evidence suggests that accounting for genetic risk, factors improve breast cancer risk prediction.
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recommends these individuals to get annual mammography starting at the age of 30. Those with a history of chest radiation therapy before age 30 should start annually at age 25 of 8 years after their latest therapy (whichever is latest). The
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The benefits of mammography screening at decreasing breast cancer mortality in randomized trials are not found in observational studies performed long after implementation of breast cancer screening programs (for instance, Bleyer et al.)
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retrospective review of the mammogram the cancer cannot be seen. Furthermore, one form of breast cancer, lobular cancer, has a growth pattern that produces shadows on the mammogram that are indistinguishable from normal breast tissue.
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post-menopausal women, who represent more than three-quarters of women with breast cancer. The U.S. Preventive Services Task Force concluded that there was insufficient evidence to recommend for or against digital mammography.
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are the most widely used. In the United States, GE's digital imaging units typically cost US$ 300,000 to $ 500,000, far more than film-based imaging systems. Costs may decline as GE begins to compete with the less expensive
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to create images. These images are then analyzed for abnormal findings. It is usual to employ lower-energy X-rays, typically Mo (K-shell X-ray energies of 17.5 and 19.6 keV) and Rh (20.2 and 22.7 keV) than those used for
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Keen and Keen indicated that repeated mammography starting at age fifty saves about 1.8 lives over 15 years for every 1,000 women screened. This result has to be seen against the adverse effects of errors in diagnosis,
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Concern by the FDA that digital mammography equipment demonstrate that it is at least as good as screen-film mammography at detecting breast cancers without increasing dose or the number of women recalled for further
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Weigel S, Berkemeyer S, Girnus R, Sommer A, Lenzen H, Heindel W (May 2014). "Digital mammography screening with photon-counting technique: can a high diagnostic performance be realized at low mean glandular dose?".
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or Full Field Digital Mammography (FFDM). The first FFDM system was approved by the FDA in the U.S. in 2000. This progress is occurring some years later than in general radiology. This is due to several factors:
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Schopf CM, Ramwala OA, Lowry KP, Hofvind S, Marinovich ML, Houssami N, et al. (November 2023). "Artificial Intelligence-Driven Mammography-Based Future Breast Cancer Risk Prediction: A Systematic Review".
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Daly MB, Pilarski R, Yurgelun MB, Berry MP, Buys SS, Dickson P, et al. (April 2020). "NCCN Guidelines Insights: Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic, Version 1.2020".
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Webb ML, Cady B, Michaelson JS, Bush DM, Calvillo KZ, Kopans DB, Smith BL (September 2014). "A failure analysis of invasive breast cancer: most deaths from disease occur in women not regularly screened".
716:. The majority are now done with needles in conjunction with either ultrasound or mammographic guidance to be sure that the area of concern is the area that is biopsied. These core biopsies require only 2311: 1242: 1151: 2386:
Qaseem A, Snow V, Sherif K, Aronson M, Weiss KB, Owens DK (April 2007). "Screening mammography for women 40 to 49 years of age: a clinical practice guideline from the American College of Physicians".
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Fredenberg E, Willsher P, Moa E, Dance DR, Young KC, Wallis MG (November 2018). "Measurement of breast-tissue x-ray attenuation by spectral imaging: fresh and fixed normal and malignant tissue".
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US Preventive Services Task Force, Nicholson WK, Silverstein M, Wong JB, Barry MJ, Chelmow D, Coker TR, Davis EM, Jaén CR, Krousel-Wood M, Lee S, Li L, Mangione CM, Rao G, Ruiz JM (2024-04-30).
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programs have been developed to utilize features from screening mammography images to predict breast cancer risk. A systematic review of 16 retrospective study designs comparing median maximum
616:, or breast clinicians (non-radiologist physicians specializing in breast disease). Double reading, which is standard practice in the UK, but less common in the US, significantly improves the 4768: 1046:
are the least likely to attend breast cancer screening. Research is still needed to identify specific barriers for the different South Asian communities. For example, a study showed that
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Armstrong K, Moye E, Williams S, Berlin JA, Reynolds EE (April 2007). "Screening mammography in women 40 to 49 years of age: a systematic review for the American College of Physicians".
708:. If the cause cannot be determined to be benign with sufficient certainty, a biopsy may be recommended. The biopsy procedure will be used to obtain actual tissue from the site for the 5187:
Liu J, Lei J, Ou Y, Zhao Y, Tuo X, Zhang B, Shen M (October 2023). "Mammography diagnosis of breast cancer screening through machine learning: a systematic review and meta-analysis".
1389: 4938:"Disparities in cancer screening in people with mental illness across the world versus the general population: prevalence and comparative meta-analysis including 4 717 839 people" 1370:"Is mammography indicated for women with defective BRCA genes? Implications of recent scientific advances for the diagnosis, treatment, and prevention of hereditary breast cancer" 3285: 403:
While screening between ages 40 and 50 is somewhat controversial, the preponderance of the evidence indicates that there is a benefit in terms of early detection. Currently, the
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Monticciolo DL, Newell MS, Moy L, Niell B, Monsees B, Sickles EA (March 2018). "Breast Cancer Screening in Women at Higher-Than-Average Risk: Recommendations From the ACR".
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As of March 1, 2010, 62% of facilities in the United States and its territories have at least one FFDM unit. (The FDA includes computed radiography units in this figure.)
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Cancers that would have receded on their own or are so slow-growing that the woman would die of other causes before the cancer produced symptoms (mammography results in
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longer effective in decreasing death from breast cancer, and therefore no longer recommend routine screening for healthy women as the risks might outweigh the benefits.
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Taylor CG, Champness J, Reddy M, Taylor P, Potts HW, Given-Wilson R (September 2003). "Reproducibility of prompts in computer-aided detection (CAD) of breast cancer".
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Whelehan P, Evans A, Wells M, Macgillivray S (August 2013). "The effect of mammography pain on repeat participation in breast cancer screening: a systematic review".
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image between cancerous and non-cancerous tumors in the breast. Salomon's mammographs provided substantial information about the spread of tumors and their borders.
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states that the best quality evidence does not demonstrate a reduction in mortality or a reduction in mortality from all types of cancer from screening mammography.
628:(or digitized images from analogue mammography), but studies suggest these approaches do not significantly improve performance or provide only a small improvement. 1109: 1021:, showed that if USPSTF breast cancer screening guidelines were followed, approximately 6,500 additional women each year in the U.S. would die from breast cancer. 1517: 820:
The use of mammography as a screening tool for the detection of early breast cancer in otherwise healthy women without symptoms is seen by some as controversial.
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Have a 1st-degree relative (parent, brother, sister, or child), 2nd-degree relative (aunts, uncles, nieces, or grandparents), or 3rd-degree relative with a known
2913:"Computer aids and human second reading as interventions in screening mammography: two systematic reviews to compare effects on cancer detection and recall rate" 712:
to examine microscopically to determine the precise cause of the abnormality. In the past, biopsies were most frequently done in surgery, under local or general
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Until some years ago, mammography was typically performed with screen-film cassettes. Today, mammography is undergoing transition to digital detectors, known as
437:, a large internal medicine group, has recently encouraged individualized screening plans as opposed to wholesale biannual screening of women aged 40 to 49. The 6189: 964:
Mammograms also have a rate of missed tumors, or "false negatives". Accurate data regarding the number of false negatives are very difficult to obtain because
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Nassif H, Page D, Ayvaci M, Shavlik J, Burnside ES (2010). "Uncovering age-specific invasive and DCIS breast cancer rules using inductive logic programming".
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Dahlstrom JE, Jain S, Sutton T, Sutton S (May 1996). "Diagnostic accuracy of stereotactic core biopsy in a mammographic breast cancer screening programme".
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also recommends women at high risk should get a mammogram and breast MRI every year beginning at age 30 or an age recommended by their healthcare provider.
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are also less likely to attend cancer screening appointments. In Northern Ireland women with mental health problems were shown to be less likely to attend
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Herdman R, Norton L, et al. (Institute of Medicine (US) Committee on New Approaches to Early Detection and Diagnosis of Breast Cancer) (4 May 2018).
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Use of mammography as a screening technique spread clinically after a 1966 study demonstrating the impact of mammograms on mortality and treatment led by
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recommendations for women at average risk for breast cancer is a yearly mammogram from age 45 to 54 with an optional yearly mammogram from age 40 to 44.
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As of September 10, 2024, the MQSA requires that all patients be notified of their breast density ("dense" or "not dense") in their mammogram reports.
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Gardner, Kirsten E. Early Detection: Women, Cancer, and Awareness Campaigns in the Twentieth-Century United States. U of North Carolina P, 2006. p.179
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Cancers that are so easily treated that a later detection would have produced the same rate of cure (women would have lived even without mammography).
4118:"Effectiveness of Breast Cancer Screening: Systematic Review and Meta-analysis to Update the 2009 U.S. Preventive Services Task Force Recommendation" 3626:
Shapiro S, Strax P, Venet L (February 1966). "Evaluation of periodic breast cancer screening with mammography. Methodology and early observations".
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Welch HG, Frankel BA (December 12, 2011). "Likelihood that a woman with screen-detected breast cancer has had her "life saved" by that screening".
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Tonelli M, Connor Gorber S, Joffres M, Dickinson J, Singh H, Lewin G, et al. (Canadian Task Force on Preventive Health Care) (November 2011).
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A small number of breast cancers that are detected by screening mammography and whose treatment outcome improves as a result of earlier detection.
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found that mammography was associated with an 8%-33% decrease in breast cancer mortality in different age groups, but that this decrease was not
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During the procedure, the breast is compressed using a dedicated mammography unit. Parallel-plate compression evens out the thickness of breast
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Hendrick RE, Helvie MA (February 2011). "United States Preventive Services Task Force screening mammography recommendations: science ignored".
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Have or has a 1st-degree relative with a genetic syndrome including Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley-Ruvalcaba syndrome
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Mammography can detect cancer early when it’s most treatable and can be treated less invasively (thereby helping to preserve quality of life).
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Nass SJ, Henderson IC, et al. (Institute of Medicine (U.S.). Committee on Technologies for the Early Detection of Breast Cancer) (2001).
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Independent UK Panel on Breast Cancer Screening (November 2012). "The benefits and harms of breast cancer screening: an independent review".
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Ray KM, Joe BN, Freimanis RI, Sickles EA, Hendrick RE (February 2018). "Screening Mammography in Women 40-49 Years Old: Current Evidence".
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further describe findings. After providing a description of the findings, the radiologist provides a final assessment ranging from 0 to 6.
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to devise a method of screening mammography. He published these results in 1959 in a paper, subsequently vulgarized in a 1964 book called
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Mammograms are either looked at by one (single reading) or two (double reading) trained professionals: these film readers are generally
6058: 3289: 1761:"Supplemental Screening for Breast Cancer in Women With Dense Breasts: A Systematic Review for the U.S. Preventive Services Task Force" 942:: the detection of abnormalities that meet the pathologic definition of cancer but will never progress to cause symptoms or death. Dr. 3853: 5330: 3560: 329:
with the possibility to further improve image quality, to distinguish between different tissue types, and to measure breast density.
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Cancers so aggressive that even early detection is too late to benefit the patient (women who die despite detection by mammography).
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Woloshin S, Jørgensen KJ, Hwang S, Welch HG (September 2023). "The New USPSTF Mammography Recommendations - A Dissenting View".
1487: 1128:) found promising results in the ability to assist clinicians in large-scale population-based breast cancer screening programs. 449:
Women who are at high risk for early-onset breast cancer have separate recommendations for screening. These include those who:
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As a medical procedure that induces ionizing radiation, the origin of mammography can be traced to the discovery of X-rays by
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and 6.5% will not. Of the 3.5% who have cancer, about 2 will have an early stage cancer that will be cured after treatment.
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Thus as sensitivity increases, a screening program will cost more or be confined to screening a smaller number of women.
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anxious, worried, and distressed about the possibility of having breast cancer, feelings that can last for many years.
4804:"Engagement barriers and service inequities in the NHS Breast Screening Programme: Views from British-Pakistani women" 6550: 6459: 5552: 3320: 1078: 1017: 4654:"Breast Cancer Screening With Mammography: An Updated Decision Analysis for the U.S. Preventive Services Task Force" 4157:
Brewer NT, Salz T, Lillie SE (April 2007). "Systematic review: the long-term effects of false-positive mammograms".
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shows that early detection of breast cancer – as with mammography – significantly improves breast cancer survival.
6259: 5617: 5600: 5260: 804:. This study, based in New York, was the first large-scale randomized controlled trial of mammography screening. 5978: 5825: 5725: 5708: 3531: 2340: 782: 434: 326: 66: 5921: 1077:
Mammography facilities in the United States and its territories (including military bases) are subject to the
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Digital mammography is a specialized form of mammography that uses digital receptors and computers instead of
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Mammography screening cuts the risk of dying from breast cancer nearly in half. A recent study published in
286:. As of 2007, about 8% of American screening centers used digital mammography. Around the globe, systems by 6215: 6149: 6081: 6071: 6049: 5820: 5788: 5419: 2845: 1117: 1105: 770:. In 119 women who subsequently underwent surgery, he correctly found breast cancer in 54 out of 58 cases. 4750: 244:. The electrical signals can be read on computer screens, permitting more manipulation of images to allow 5879: 5847: 5830: 2555:
Feig SA, Hendrick RE (1997–2001). "Radiation risk from screening mammography of women aged 40-49 years".
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In the past several years, the "work-up" process has become highly formalized. It generally consists of
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Another study of 32 published papers involving 23,804 mammograms and various machine learning methods (
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Many factors affect how many people attend breast cancer screenings. For example, people from minority
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women. The probability of a woman falling into any of the above four categories varies with age.
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older age groups, the incidence was 2.7 in the 50–54 age group and 3.2 in the 55–59 age group.
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Gold RH, Bassett LW, Widoff BE (November 1990). "Highlights from the history of mammography".
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Johansson H, von Tiedemann M, Erhard K, Heese H, Ding H, Molloi S, Fredenberg E (July 2017).
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At this time, MQSA applies only to traditional mammography and not to related scans, such as
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200 women will experience significant psychological stress due to false positive results.
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A BI-RADS 3, 4, 5, and 6 would require further investigation with a diagnostic mammogram.
27:
Process of using low-energy X-rays to examine the human breast for diagnosis and screening
8: 6331: 6307: 6302: 6156: 6034: 5857: 5593: 1201:"Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement" 1198: 781:
In 1956, Gershon-Cohen conducted clinical trails on over 1,000 asymptomatic women at the
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Mammography and beyond: developing technologies for the early detection of breast cancer
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to view the results more clearly . Digital mammography may be "spot view", for breast
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combined a technique of low kVp with high mA and single emulsion films developed by
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and were not aware that breast screening takes place in a female-only environment.
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controlled trials (RCT) studying breast cancer in women between the ages of 40-49.
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Have a lifetime risk of breast cancer >20% according to risk assessment tools
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encourages mammograms every one to two years for women ages 40 to 49. In 2023,
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BI-RADS 1 & 2 indicate a negative and benign screen mammogram respectively.
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Assessment Category, often called a "BI-RADS score". This was developed by the
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for diagnosis and screening. The goal of mammography is the early detection of
5236:
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Radiological Society of North America (RSNA) and American College of Radiology
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published "A Roentgenologic Study of the Breast", a study where he produced
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BI-RADS 0 indicates an incomplete assessment which needs additional imaging.
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are also less likely to attend cancer screening. In the UK, women of
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History of radiation therapy to chest between 10 and 30 years of age
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it impossible to know if they ever developed a cancer. In his book
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on his screening technique, and the same year, Robert Egan at the
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X-rays images to track changes in breast tissue as a result of
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death rate has been cut almost in half over the last 20 years.
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Generally, the cause of the unusual appearance is found to be
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The central harm of mammographic breast cancer screening is
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Normal (left) versus cancerous (right) mammography image
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Mammogram results are often expressed in terms of the
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The higher spatial resolution demands of mammography
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Archived from 1964:Ding H, Molloi S (August 2012). 1392:from the original on 2001-11-21. 1349:from the original on 13 May 2017 1011:women screened over a lifetime. 1004:National Vital Statistics System 933: 332: 5731:Cholangiopancreatography (MRCP) 4795: 4761: 4743: 4699: 4664: 4645: 4596: 4553: 4504: 4455: 4441:10.1148/radiology.179.2.2014293 4420: 4395: 4344: 4291: 4242: 4193: 4109: 4058: 4017: 4006:from the original on 2011-10-27 3992: • Lay summary: 3929: 3917:from the original on 4 May 2018 3902: 3877: 3764: 3729: 3696: 3654: 3619: 3570: 3537: 3516: 3481: 3384: 3329: 3202: 3166: 3125: 3092: 3057: 3022: 2981: 2946: 2865: 2849:. March 1, 2010. Archived from 2840:"Mammography Quality Scorecard" 2832: 2796: 2745: 2696: 2661: 2618: 2583: 2509: 2474: 2449: 2379: 2355: 2325: 2314:from the original on 2013-09-04 2296: 2252: 2241:from the original on 2011-06-13 2227: 2087: 2043: 2032: 2014: 1970:Physics in Medicine and Biology 1957: 1898: 1846:Physics in Medicine and Biology 1837: 1801: 1748: 1709: 1668: 1657:from the original on 2010-11-25 1633: 1532: 1502: 1472: 1235:"Breast Cancer Early Detection" 1132:Alternative examination methods 347: 183:. Mammography may be 2D or 3D ( 5979:Radioactive iodine uptake test 4621:10.1002/14651858.CD001877.pub5 3979:10.1001/archinternmed.2011.476 3817:10.1002/14651858.CD001877.pub5 2721:10.1002/14651858.cd002942.pub2 1396: 1309: 1227: 1192: 1168: 871:cancers found by mammography: 783:Albert Einstein Medical Center 689:, diagnostic mammography, and 435:American College of Physicians 13: 1: 6428:Positron emission mammography 5959:Radionuclide ventriculography 5433:Lower gastrointestinal series 5425:Upper gastrointestinal series 4954:10.1016/S2215-0366(19)30414-6 4312:10.1016/S0140-6736(12)61611-0 3967:Archives of Internal Medicine 3703:Kolata G (11 February 2014). 3449:10.1590/0100-3984.2014.47.4e2 2967:10.1016/S0009-9260(03)00231-9 2878:American College of Radiology 1162: 1072: 1033: 647:American College of Radiology 487:American College of Radiology 413:American College of Radiology 304:Three-dimensional mammography 252:, or "full field" (FFDM) for 197:positron emission mammography 6150:Optical coherence tomography 6072:Myocardial perfusion imaging 5660:Dental panoramic radiography 4808:Journal of Medical Screening 3260:. National Academies Press. 2846:Food and Drug Administration 2682:10.1016/j.breast.2013.03.003 2604:10.1093/jncimono/1997.22.119 2569:10.1093/jncimono/1997.22.119 1990:10.1088/0031-9155/57/15/4719 1694:10.1016/j.breast.2016.01.002 1106:artificial intelligence (AI) 999:mammography are increasing. 854: 569:may show up on the X-ray as 527: 509: 7: 4159:Annals of Internal Medicine 4122:Annals of Internal Medicine 3771:Mulcahy N (April 2, 2009). 2627:Annals of Internal Medicine 2388:Annals of Internal Medicine 1765:Annals of Internal Medicine 1368:Friedenson B (March 2000). 1321:European Cancer Observatory 1140: 1094: 1063:screening for breast cancer 618:sensitivity and specificity 536:Illustration of a mammogram 320:Photon-counting mammography 10: 6567: 5954:Ventilation/perfusion scan 5429:Small-bowel follow-through 5201:10.1007/s10238-022-00895-0 5158:10.1016/j.jacr.2023.10.018 4870:10.1186/s12885-020-06959-2 3188:10.1016/j.ejca.2007.06.007 3176:European Journal of Cancer 2932:10.1016/j.ejca.2008.02.016 2920:European Journal of Cancer 2495:10.1016/j.jacr.2017.11.034 2339:. May 2006. Archived from 2274:10.1016/j.jacr.2009.09.022 1734:10.1016/j.crad.2015.11.008 1317:"Cancer screening: Breast" 828:, and radiation exposure. 723: 636: 336: 317: 269:magnetic resonance imaging 227: 201:magnetic resonance imaging 29: 6480: 6413: 6293:Breast-conserving surgery 6283: 6224: 6203: 6195:Dynamic angiothermography 6175: 6131: 6080: 6057: 6047: 6012: 5939: 5929: 5920: 5863:Abdominal ultrasonography 5771: 5687: 5647: 5566: 5525: 5516: 5369: 5360: 5346: 5294:National Cancer Institute 5275:Resources in your library 4480:10.1007/s10549-017-4249-x 4351:Flemban AF (March 2023). 4000:The New York Times (blog) 3941:National Cancer Institute 3431:Kalaf JM (Jul–Aug 2014). 2337:National Cancer Institute 1480:"Mammography (Mammogram)" 1069:were taken into account. 1050:women faced cultural and 906:statistically significant 632:Interpretation of results 424:National Cancer Institute 417:Society of Breast Imaging 365:National Cancer Institute 278:Digital mammography is a 127: 113: 101: 87: 75: 65: 57: 45: 40: 6551:Projectional radiography 6185:Non-contact thermography 5964:Radionuclide angiography 5816:Doppler echocardiography 4820:10.1177/0969141319887405 4084:10.1186/1471-2407-14-584 3888:. Scibner. p. 193. 1876:10.1088/1361-6560/aaea83 1514:www.theradiologyblog.com 1152:Molecular breast imaging 735:In 1913, German surgeon 695:stereotactic core biopsy 222: 6505:Breast self-examination 6500:Breast cancer screening 5969:Radioisotope renography 5099:American Cancer Society 4034:10.1145/1882992.1883005 3544:Skloot R (April 2001). 2531:10.6004/jnccn.2020.0017 1823:10.1148/radiol.13131181 1415:: an initiative of the 518: 492:American Cancer Society 439:American Cancer Society 405:American Cancer Society 395:When to start screening 384:British Medical Journal 155:) to examine the human 32:Breast cancer screening 6493:Fine-needle aspiration 6004:Gastric emptying study 4942:The Lancet. Psychiatry 4404:The politics of cancer 3750:10.1001/jama.2014.1398 3524:Medical Health Physics 2813:(IAEA). Archived from 1213:10.1001/jama.2024.5534 1113:screening approaches. 971:The Politics of Cancer 900:A 2016 review for the 861:Cochrane Collaboration 837:Cochrane Collaboration 545: 537: 381:A recent study in the 357: 284:Hubble Space Telescope 6515:Breast duct endoscopy 6403:Central duct excision 6381:Interventions on the 6375:Breast reconstruction 5665:X-ray motion analysis 5548:X-ray microtomography 5467:Hysterosalpingography 5374:Pneumoencephalography 5046:10.1093/eurpub/ckz220 4218:10.1093/epirev/mxr009 4206:Epidemiologic Reviews 3596:10.3138/cbmh.20.2.299 3522:Medich DC, Martel C. 3437:Radiologia Brasileira 3078:10.1148/rg.2016150178 3007:10.1056/nejmoa0803545 687:screening mammography 543: 535: 355: 236:film to help examine 6546:Diagnostic radiology 6190:Contact thermography 5900:Emergency ultrasound 5838:Transcranial Doppler 5589:Abdominal and pelvis 4574:10.1056/NEJMp2307229 4529:10.47176/mjiri.37.89 3682:10.1056/NEJMp1401875 3292:on February 15, 2020 2804:"Clinical Artefacts" 2213:10.2214/AJR.17.18707 1044:South Asian heritage 288:Fujifilm Corporation 6332:Breast augmentation 6308:Wide local excision 6303:Segmental resection 6157:Confocal microscopy 6035:Indium-111 WBC scan 5858:Echoencephalography 5594:Virtual colonoscopy 5234:Reynolds H (2012). 5006:10.3310/alert_46400 4915:10.3310/alert_40317 4781:10.3310/alert_41135 4685:10.2214/AJR.10.5609 4402:Epstein SS (1979). 4370:10.3390/jpm13030523 4306:(9855): 1778–1786. 3886:Hippocrates' Shadow 3043:10.2214/AJR.06.5090 2489:(3 Pt A): 408–414. 1982:2012PMB....57.4719D 1923:2017MedPh..44.3579J 1868:2018PMB....63w5003F 1285:10.1503/cmaj.110334 1029:Society and culture 775:Jacob Gershon-Cohen 745:microcalcifications 626:digital mammography 579:digital mammography 261:stereotactic biopsy 165:microcalcifications 151:(usually around 30 6325:Radical mastectomy 6145:Optical tomography 5994:Dacryoscintigraphy 5989:Immunoscintigraphy 5628:Whole body imaging 5379:Dental radiography 5128:. December 1, 2023 4721:10.1002/cncr.25650 4028:. pp. 76–82. 3884:Newman DH (2008). 3710:The New York Times 3577:Lerner BH (2003). 2955:Clinical Radiology 2065:10.1002/cncr.28199 1722:Clinical Radiology 1067:social deprivation 1040:ethnic communities 981:Cost-effectiveness 953:Cancer Research UK 773:As early as 1937, 756:Stafford L. Warren 620:of the procedure. 608:, but may also be 546: 538: 358: 172:ionizing radiation 6523: 6522: 6467:Scintimammography 6455:Breast ultrasound 6383:Lactiferous ducts 6242: 6241: 6204:Target conditions 6127: 6126: 6123: 6122: 6043: 6042: 5984:Bone scintigraphy 5949:Scintimammography 5944:Cholescintigraphy 5789:contrast-enhanced 5683: 5682: 5643: 5642: 5633:Full-body CT scan 5533:General operation 5512: 5511: 5482:Angiocardiography 5261:Library resources 5245:978-0-8014-5093-8 4568:(12): 1061–1064. 4413:978-0-385-15167-2 4267:10.1136/bmj.b2587 4043:978-1-4503-0030-8 3973:(22): 2043–2046. 3911:"Wrap-Up Session" 3895:978-1-4165-5153-9 3744:(13): 1327–1335. 3676:(21): 1965–1967. 3439:(in Portuguese). 3369:978-0-7216-9563-1 3311:Thomas A (2005). 3267:978-0-309-07283-0 3182:(13): 1905–1917. 3000:(16): 1675–1684. 2820:on 29 August 2017 2162:10.1002/ijc.29925 2112:10.1136/bmj.h4901 2059:(18): 2839–2846. 1976:(15): 4719–4738. 1593:978-0-19-974045-1 1406:(24 April 2014), 1279:(17): 1991–2001. 1086:breast ultrasound 1052:language barriers 1048:British-Pakistani 948:Peter C. Gotzsche 681:"Work-up" process 624:may be used with 433:In contrast, the 138: 137: 103:OPS-301 code 16:(Redirected from 6558: 6541:Cancer screening 6356:Breast reduction 6269: 6262: 6255: 6246: 6245: 6232: 6231: 6055: 6054: 5937: 5936: 5927: 5926: 5811:Echocardiography 5670:Hounsfield scale 5523: 5522: 5442:Cholecystography 5367: 5366: 5358: 5357: 5333: 5326: 5319: 5310: 5309: 5249: 5221: 5220: 5195:(6): 2341–2356. 5184: 5178: 5177: 5144: 5138: 5137: 5135: 5133: 5118: 5112: 5111: 5109: 5107: 5090: 5084: 5083: 5081: 5080: 5065: 5059: 5058: 5048: 5024: 5018: 5017: 4990: 4984: 4983: 4965: 4933: 4927: 4926: 4899: 4893: 4892: 4882: 4872: 4848: 4842: 4841: 4831: 4799: 4793: 4792: 4765: 4759: 4758: 4747: 4741: 4740: 4703: 4697: 4696: 4679:(2): W112–W116. 4668: 4662: 4661: 4660:(23-05303-EF-2). 4658:AHRQ Publication 4649: 4643: 4642: 4632: 4600: 4594: 4593: 4557: 4551: 4550: 4540: 4508: 4502: 4501: 4491: 4459: 4453: 4452: 4424: 4418: 4417: 4399: 4393: 4392: 4382: 4372: 4348: 4342: 4341: 4323: 4295: 4289: 4288: 4278: 4246: 4240: 4239: 4229: 4197: 4191: 4190: 4154: 4148: 4147: 4137: 4135:10.7326/M15-0969 4113: 4107: 4106: 4096: 4086: 4062: 4056: 4055: 4021: 4015: 4014: 4012: 4011: 3990: 3962: 3949: 3948: 3943:. 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Gilbert Welch 718:local anesthesia 327:spectral imaging 131:edit on Wikidata 123: 97: 50: 38: 37: 21: 6566: 6565: 6561: 6560: 6559: 6557: 6556: 6555: 6526: 6525: 6524: 6519: 6476: 6440:Xeromammography 6409: 6398:Microdochectomy 6279: 6273: 6243: 6238: 6220: 6199: 6171: 6119: 6105:PET mammography 6076: 6039: 6025:Gallium-67 scan 6020:Octreotide scan 6008: 5916: 5767: 5679: 5639: 5562: 5543:High-resolution 5508: 5472:Skeletal survey 5438:Cholangiography 5351: 5342: 5340:Medical imaging 5337: 5281: 5280: 5279: 5269: 5268: 5264: 5257: 5252: 5246: 5229: 5227:Further reading 5224: 5185: 5181: 5145: 5141: 5131: 5129: 5120: 5119: 5115: 5105: 5103: 5102:. 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6287: 6285:Breast surgery 6281: 6280: 6272: 6271: 6264: 6257: 6249: 6240: 6239: 6237: 6236: 6225: 6222: 6221: 6219: 6218: 6213: 6207: 6205: 6201: 6200: 6198: 6197: 6192: 6187: 6181: 6179: 6173: 6172: 6170: 6169: 6164: 6162:Endomicroscopy 6159: 6154: 6153: 6152: 6141: 6139: 6129: 6128: 6125: 6124: 6121: 6120: 6118: 6117: 6112: 6107: 6102: 6097: 6091: 6089: 6078: 6077: 6075: 6074: 6068: 6066: 6052: 6045: 6044: 6041: 6040: 6038: 6037: 6032: 6027: 6022: 6016: 6014: 6010: 6009: 6007: 6006: 6001: 5996: 5991: 5986: 5981: 5976: 5971: 5966: 5961: 5956: 5951: 5946: 5940: 5934: 5924: 5918: 5917: 5915: 5914: 5913: 5912: 5907: 5897: 5892: 5887: 5882: 5877: 5876: 5875: 5870: 5860: 5855: 5850: 5845: 5840: 5835: 5834: 5833: 5828: 5823: 5818: 5808: 5807: 5806: 5801: 5796: 5791: 5786: 5777: 5775: 5769: 5768: 5766: 5765: 5760: 5759: 5758: 5753: 5748: 5738: 5733: 5728: 5723: 5722: 5721: 5711: 5706: 5705: 5704: 5693: 5691: 5685: 5684: 5681: 5680: 5678: 5677: 5672: 5667: 5662: 5657: 5651: 5649: 5645: 5644: 5641: 5640: 5638: 5637: 5636: 5635: 5625: 5620: 5615: 5614: 5613: 5608: 5598: 5597: 5596: 5586: 5585: 5584: 5579: 5570: 5568: 5564: 5563: 5561: 5560: 5555: 5550: 5545: 5540: 5535: 5529: 5527: 5520: 5514: 5513: 5510: 5509: 5507: 5506: 5501: 5496: 5491: 5490: 5489: 5484: 5474: 5469: 5464: 5459: 5454: 5449: 5444: 5435: 5422: 5413: 5408: 5403: 5402: 5401: 5391: 5386: 5381: 5376: 5370: 5364: 5355: 5344: 5343: 5336: 5335: 5328: 5321: 5313: 5307: 5306: 5301: 5296: 5287: 5278: 5277: 5271: 5270: 5259: 5258: 5256: 5255:External links 5253: 5251: 5250: 5244: 5230: 5228: 5225: 5223: 5222: 5179: 5139: 5113: 5085: 5060: 5039:(3): 396–401. 5019: 4985: 4928: 4894: 4843: 4814:(3): 130–137. 4794: 4760: 4742: 4715:(4): 714–722. 4698: 4663: 4644: 4595: 4552: 4503: 4474:(2): 429–436. 4454: 4435:(2): 463–468. 4419: 4412: 4394: 4343: 4290: 4241: 4212:(1): 111–121. 4192: 4165:(7): 502–510. 4149: 4128:(4): 244–255. 4108: 4057: 4042: 4016: 3950: 3947:on 2014-12-17. 3928: 3901: 3894: 3876: 3840: 3786: 3763: 3728: 3695: 3653: 3634:(9): 731–738. 3618: 3589:(2): 299–321. 3569: 3536: 3515: 3480: 3420: 3408: 3383: 3368: 3347: 3328: 3321: 3303: 3273: 3266: 3244: 3217:(5): 421–427. 3211:Histopathology 3201: 3165: 3124: 3091: 3072:(3): 623–639. 3056: 3021: 2980: 2961:(9): 733–738. 2945: 2926:(6): 798–807. 2896: 2864: 2831: 2795: 2764:(3): 233–242. 2744: 2695: 2676:(4): 389–394. 2660: 2633:(7): 516–526. 2617: 2582: 2544: 2525:(4): 380–391. 2508: 2473: 2448: 2437:www.cancer.org 2421: 2394:(7): 511–515. 2378: 2354: 2324: 2295: 2251: 2226: 2207:(2): 264–270. 2184: 2135: 2086: 2042: 2031: 2013: 1956: 1897: 1852:(23): 235003. 1836: 1817:(2): 345–355. 1800: 1771:(4): 268–278. 1757:Miglioretti DL 1747: 1728:(2): 141–150. 1708: 1667: 1632: 1607: 1592: 1561: 1531: 1501: 1471: 1434: 1395: 1360: 1330: 1327:on 2012-02-11. 1308: 1256: 1241:. 2013-09-17. 1226: 1191: 1166: 1164: 1161: 1160: 1159: 1154: 1149: 1142: 1139: 1133: 1130: 1101: 1098: 1096: 1093: 1074: 1071: 1035: 1032: 1030: 1027: 991: 988: 982: 979: 961: 958: 935: 932: 914: 911: 894: 893: 890: 887:over-treatment 883:over-diagnosis 879: 876: 856: 853: 826:over-treatment 817: 814: 737:Albert Salomon 725: 722: 682: 679: 671: 670: 667: 664: 661: 658: 655: 638: 635: 633: 630: 595: 594: 590: 587: 529: 526: 520: 517: 511: 508: 506: 503: 483: 482: 479: 476: 473: 472:gene mutation. 462: 461:gene mutation. 446: 443: 396: 393: 349: 346: 337:Main article: 334: 331: 318:Main article: 315: 312: 300: 299:3D mammography 297: 229: 226: 224: 221: 136: 135: 128: 125: 124: 117: 111: 110: 105: 99: 98: 91: 85: 84: 79: 73: 72: 69: 63: 62: 59: 55: 54: 51: 43: 42: 26: 9: 6: 4: 3: 2: 6563: 6552: 6549: 6547: 6544: 6542: 6539: 6537: 6534: 6533: 6531: 6516: 6513: 6511: 6510:Ductal lavage 6508: 6506: 6503: 6501: 6498: 6494: 6491: 6490: 6489: 6488:Breast biopsy 6486: 6485: 6483: 6479: 6473: 6470: 6468: 6465: 6461: 6458: 6457: 6456: 6453: 6451: 6448: 6446: 6445:Galactography 6443: 6441: 6438: 6436: 6435:Tomosynthesis 6433: 6429: 6426: 6425: 6424: 6421: 6420: 6418: 6416: 6412: 6404: 6401: 6399: 6396: 6394: 6391: 6389: 6388:Ductal lavage 6386: 6385: 6384: 6380: 6379: 6376: 6373: 6371: 6368: 6362: 6359: 6358: 6357: 6354: 6352: 6349: 6348: 6347: 6344: 6343: 6338: 6335: 6334: 6333: 6330: 6326: 6323: 6322: 6321: 6318: 6314: 6311: 6309: 6306: 6304: 6301: 6299: 6296: 6295: 6294: 6291: 6290: 6288: 6286: 6282: 6278: 6270: 6265: 6263: 6258: 6256: 6251: 6250: 6247: 6235: 6227: 6226: 6223: 6217: 6214: 6212: 6209: 6208: 6206: 6202: 6196: 6193: 6191: 6188: 6186: 6183: 6182: 6180: 6178: 6174: 6168: 6165: 6163: 6160: 6158: 6155: 6151: 6148: 6147: 6146: 6143: 6142: 6140: 6138: 6134: 6130: 6116: 6113: 6111: 6108: 6106: 6103: 6101: 6098: 6096: 6093: 6092: 6090: 6087: 6083: 6079: 6073: 6070: 6069: 6067: 6064: 6060: 6056: 6053: 6051: 6046: 6036: 6033: 6031: 6030:Ga-68-DOTATOC 6028: 6026: 6023: 6021: 6018: 6017: 6015: 6011: 6005: 6002: 6000: 5997: 5995: 5992: 5990: 5987: 5985: 5982: 5980: 5977: 5975: 5972: 5970: 5967: 5965: 5962: 5960: 5957: 5955: 5952: 5950: 5947: 5945: 5942: 5941: 5938: 5935: 5933: 5928: 5925: 5923: 5919: 5911: 5908: 5906: 5903: 5902: 5901: 5898: 5896: 5893: 5891: 5888: 5886: 5883: 5881: 5878: 5874: 5871: 5869: 5866: 5865: 5864: 5861: 5859: 5856: 5854: 5851: 5849: 5846: 5844: 5843:Intravascular 5841: 5839: 5836: 5832: 5829: 5827: 5824: 5822: 5819: 5817: 5814: 5813: 5812: 5809: 5805: 5802: 5800: 5797: 5795: 5792: 5790: 5787: 5785: 5782: 5781: 5779: 5778: 5776: 5774: 5770: 5764: 5763:Synthetic MRI 5761: 5757: 5754: 5752: 5749: 5747: 5744: 5743: 5742: 5739: 5737: 5734: 5732: 5729: 5727: 5724: 5720: 5717: 5716: 5715: 5712: 5710: 5707: 5703: 5700: 5699: 5698: 5695: 5694: 5692: 5690: 5686: 5676: 5673: 5671: 5668: 5666: 5663: 5661: 5658: 5656: 5653: 5652: 5650: 5646: 5634: 5631: 5630: 5629: 5626: 5624: 5621: 5619: 5616: 5612: 5609: 5607: 5604: 5603: 5602: 5599: 5595: 5592: 5591: 5590: 5587: 5583: 5580: 5578: 5575: 5574: 5572: 5571: 5569: 5565: 5559: 5556: 5554: 5553:Electron beam 5551: 5549: 5546: 5544: 5541: 5539: 5536: 5534: 5531: 5530: 5528: 5524: 5521: 5519: 5515: 5505: 5504:Orbital x-ray 5502: 5500: 5497: 5495: 5492: 5488: 5485: 5483: 5480: 5479: 5478: 5475: 5473: 5470: 5468: 5465: 5463: 5460: 5458: 5455: 5453: 5450: 5448: 5445: 5443: 5439: 5436: 5434: 5430: 5426: 5423: 5421: 5417: 5414: 5412: 5409: 5407: 5404: 5400: 5399:Bronchography 5397: 5396: 5395: 5392: 5390: 5387: 5385: 5382: 5380: 5377: 5375: 5372: 5371: 5368: 5365: 5363: 5359: 5356: 5354: 5349: 5345: 5341: 5334: 5329: 5327: 5322: 5320: 5315: 5314: 5311: 5305: 5302: 5300: 5297: 5295: 5291: 5288: 5286: 5283: 5282: 5276: 5273: 5272: 5267: 5262: 5247: 5241: 5237: 5232: 5231: 5218: 5214: 5210: 5206: 5202: 5198: 5194: 5190: 5183: 5175: 5171: 5167: 5163: 5159: 5155: 5151: 5143: 5127: 5123: 5117: 5101: 5100: 5095: 5089: 5075: 5071: 5064: 5056: 5052: 5047: 5042: 5038: 5034: 5030: 5023: 5015: 5011: 5007: 5003: 4999: 4998:NIHR Evidence 4995: 4989: 4981: 4977: 4973: 4969: 4964: 4963:11577/3383784 4959: 4955: 4951: 4947: 4943: 4939: 4932: 4924: 4920: 4916: 4912: 4908: 4907:NIHR Evidence 4904: 4898: 4890: 4886: 4881: 4876: 4871: 4866: 4862: 4858: 4854: 4847: 4839: 4835: 4830: 4825: 4821: 4817: 4813: 4809: 4805: 4798: 4790: 4786: 4782: 4778: 4774: 4773:NIHR Evidence 4770: 4764: 4756: 4752: 4751:"Tabar et al" 4746: 4738: 4734: 4730: 4726: 4722: 4718: 4714: 4710: 4702: 4694: 4690: 4686: 4682: 4678: 4674: 4667: 4659: 4655: 4648: 4640: 4636: 4631: 4626: 4622: 4618: 4614: 4610: 4606: 4599: 4591: 4587: 4583: 4579: 4575: 4571: 4567: 4563: 4556: 4548: 4544: 4539: 4534: 4530: 4526: 4522: 4518: 4514: 4507: 4499: 4495: 4490: 4485: 4481: 4477: 4473: 4469: 4465: 4458: 4450: 4446: 4442: 4438: 4434: 4430: 4423: 4415: 4409: 4405: 4398: 4390: 4386: 4381: 4376: 4371: 4366: 4362: 4358: 4354: 4347: 4339: 4335: 4331: 4327: 4322: 4317: 4313: 4309: 4305: 4301: 4294: 4286: 4282: 4277: 4272: 4268: 4264: 4260: 4256: 4252: 4245: 4237: 4233: 4228: 4223: 4219: 4215: 4211: 4207: 4203: 4196: 4188: 4184: 4180: 4176: 4172: 4168: 4164: 4160: 4153: 4145: 4141: 4136: 4131: 4127: 4123: 4119: 4112: 4104: 4100: 4095: 4090: 4085: 4080: 4076: 4072: 4068: 4061: 4053: 4049: 4045: 4039: 4035: 4031: 4027: 4020: 4005: 4001: 3997: 3988: 3984: 3980: 3976: 3972: 3968: 3961: 3959: 3957: 3955: 3946: 3942: 3938: 3932: 3916: 3912: 3905: 3897: 3891: 3887: 3880: 3866:on 2012-09-05 3862: 3855: 3849: 3847: 3845: 3836: 3832: 3827: 3822: 3818: 3814: 3810: 3806: 3802: 3795: 3793: 3791: 3782: 3778: 3774: 3767: 3759: 3755: 3751: 3747: 3743: 3739: 3732: 3716: 3712: 3711: 3706: 3699: 3691: 3687: 3683: 3679: 3675: 3671: 3664: 3657: 3649: 3645: 3641: 3637: 3633: 3629: 3622: 3614: 3610: 3606: 3602: 3597: 3592: 3588: 3584: 3580: 3573: 3562: 3558: 3554: 3547: 3546:"Taboo Organ" 3540: 3533: 3529: 3525: 3519: 3511: 3507: 3503: 3499: 3495: 3491: 3490:Radiographics 3484: 3476: 3472: 3467: 3462: 3458: 3454: 3450: 3446: 3442: 3438: 3434: 3427: 3425: 3415: 3413: 3397: 3393: 3387: 3379: 3375: 3371: 3365: 3361: 3354: 3352: 3343: 3339: 3332: 3324: 3322:3-540-21927-7 3318: 3314: 3307: 3291: 3287: 3280: 3278: 3269: 3263: 3258: 3257: 3248: 3240: 3236: 3232: 3228: 3224: 3220: 3216: 3212: 3205: 3197: 3193: 3189: 3185: 3181: 3177: 3169: 3161: 3157: 3152: 3147: 3143: 3139: 3135: 3128: 3114: 3110: 3106: 3102: 3095: 3087: 3083: 3079: 3075: 3071: 3067: 3066:Radiographics 3060: 3052: 3048: 3044: 3040: 3036: 3032: 3025: 3017: 3013: 3008: 3003: 2999: 2995: 2991: 2984: 2976: 2972: 2968: 2964: 2960: 2956: 2949: 2941: 2937: 2933: 2929: 2925: 2921: 2914: 2907: 2905: 2903: 2901: 2885:on 2007-09-28 2884: 2880: 2879: 2874: 2868: 2853:on 2007-04-03 2852: 2848: 2847: 2841: 2835: 2816: 2812: 2805: 2799: 2791: 2787: 2782: 2777: 2772: 2767: 2763: 2759: 2755: 2748: 2740: 2736: 2731: 2726: 2722: 2718: 2714: 2710: 2706: 2699: 2691: 2687: 2683: 2679: 2675: 2671: 2664: 2656: 2652: 2648: 2644: 2640: 2636: 2632: 2628: 2621: 2613: 2609: 2605: 2601: 2597: 2593: 2586: 2578: 2574: 2570: 2566: 2562: 2558: 2551: 2549: 2540: 2536: 2532: 2528: 2524: 2520: 2512: 2504: 2500: 2496: 2492: 2488: 2484: 2477: 2462: 2458: 2452: 2438: 2434: 2428: 2426: 2417: 2413: 2409: 2405: 2401: 2397: 2393: 2389: 2382: 2368: 2364: 2358: 2343:on 2007-04-15 2342: 2338: 2334: 2328: 2313: 2309: 2305: 2299: 2291: 2287: 2283: 2279: 2275: 2271: 2267: 2263: 2255: 2240: 2236: 2230: 2222: 2218: 2214: 2210: 2206: 2202: 2195: 2193: 2191: 2189: 2180: 2176: 2172: 2168: 2163: 2158: 2154: 2150: 2146: 2139: 2131: 2127: 2122: 2117: 2113: 2109: 2105: 2101: 2097: 2090: 2082: 2078: 2074: 2070: 2066: 2062: 2058: 2054: 2046: 2040: 2035: 2027: 2023: 2017: 2009: 2005: 2000: 1995: 1991: 1987: 1983: 1979: 1975: 1971: 1967: 1960: 1952: 1948: 1943: 1938: 1933: 1928: 1924: 1920: 1916: 1912: 1908: 1901: 1893: 1889: 1885: 1881: 1877: 1873: 1869: 1865: 1860: 1855: 1851: 1847: 1840: 1832: 1828: 1824: 1820: 1816: 1812: 1804: 1796: 1792: 1787: 1782: 1778: 1774: 1770: 1766: 1762: 1758: 1751: 1743: 1739: 1735: 1731: 1727: 1723: 1719: 1712: 1704: 1700: 1695: 1690: 1686: 1682: 1678: 1671: 1653: 1649: 1642: 1636: 1622:on 2013-01-02 1621: 1617: 1611: 1603: 1599: 1595: 1589: 1585: 1580: 1579: 1570: 1568: 1566: 1549: 1545: 1541: 1535: 1519: 1515: 1511: 1505: 1489: 1485: 1481: 1475: 1459: 1455: 1451: 1445: 1443: 1441: 1439: 1423: 1419: 1418: 1414: 1409: 1405: 1399: 1391: 1387: 1383: 1379: 1375: 1371: 1364: 1348: 1344: 1340: 1334: 1326: 1322: 1318: 1312: 1304: 1300: 1295: 1290: 1286: 1282: 1278: 1274: 1270: 1263: 1261: 1244: 1240: 1236: 1230: 1222: 1218: 1214: 1210: 1206: 1202: 1195: 1181: 1177: 1171: 1167: 1158: 1155: 1153: 1150: 1148: 1145: 1144: 1138: 1129: 1127: 1123: 1119: 1114: 1111: 1107: 1092: 1089: 1087: 1082: 1080: 1070: 1068: 1064: 1060: 1055: 1053: 1049: 1045: 1041: 1026: 1022: 1020: 1019: 1012: 1009: 1005: 1002:According to 1000: 997: 987: 978: 974: 972: 967: 957: 954: 949: 945: 941: 940:overdiagnosis 934:Overdiagnosis 931: 927: 923: 921: 910: 907: 903: 898: 891: 888: 884: 880: 877: 874: 873: 872: 868: 864: 862: 852: 848: 844: 840: 838: 833: 829: 827: 821: 813: 810: 805: 803: 798: 796: 792: 788: 784: 779: 776: 771: 769: 765: 761: 757: 752: 750: 746: 742: 738: 733: 731: 721: 719: 715: 711: 707: 702: 700: 696: 692: 688: 678: 674: 668: 665: 662: 659: 656: 653: 652: 651: 648: 644: 629: 627: 623: 619: 615: 611: 610:radiographers 607: 602: 601:mammography. 598: 591: 588: 585: 584: 583: 580: 575: 572: 568: 564: 563:talcum powder 560: 556: 551: 542: 534: 525: 516: 502: 500: 495: 493: 488: 480: 477: 474: 471: 467: 463: 460: 456: 453:Have a known 452: 451: 450: 442: 440: 436: 431: 429: 425: 420: 418: 414: 410: 406: 401: 392: 388: 386: 385: 379: 376: 375: 369: 366: 363:According to 361: 354: 345: 340: 339:Galactography 333:Galactography 330: 328: 321: 311: 309: 308:tomosynthesis 305: 296: 294: 289: 285: 281: 280:NASA spin-off 276: 272: 270: 266: 262: 257: 255: 251: 247: 243: 242:breast cancer 239: 235: 220: 217: 214:In 2023, the 212: 210: 206: 202: 198: 194: 190: 186: 185:tomosynthesis 182: 178: 173: 168: 166: 162: 161:breast cancer 158: 154: 150: 146: 143:(also called 142: 132: 126: 122: 118: 116: 112: 109: 106: 104: 100: 96: 92: 90: 86: 83: 80: 78: 74: 70: 68: 64: 60: 56: 49: 44: 39: 36: 33: 19: 6472:Elastography 6422: 6211:Acute stroke 6177:Thermography 5932:scintigraphy 5922:Radionuclide 5910:pre-hospital 5756:Tractography 5675:Radiodensity 5577:calcium scan 5538:Quantitative 5446: 5265: 5235: 5192: 5188: 5182: 5149: 5142: 5132:December 13, 5130:. Retrieved 5125: 5116: 5106:December 13, 5104:. Retrieved 5097: 5088: 5077:. Retrieved 5073: 5063: 5036: 5032: 5022: 4997: 4988: 4948:(1): 52–63. 4945: 4941: 4931: 4906: 4897: 4860: 4856: 4846: 4811: 4807: 4797: 4772: 4763: 4754: 4745: 4712: 4708: 4701: 4676: 4672: 4666: 4657: 4647: 4612: 4608: 4598: 4565: 4561: 4555: 4520: 4516: 4506: 4471: 4467: 4457: 4432: 4428: 4422: 4403: 4397: 4360: 4356: 4346: 4303: 4299: 4293: 4258: 4254: 4244: 4209: 4205: 4195: 4162: 4158: 4152: 4125: 4121: 4111: 4074: 4070: 4060: 4025: 4019: 4008:. Retrieved 3999: 3970: 3966: 3945:the original 3940: 3937:"Mammograms" 3931: 3919:. Retrieved 3904: 3885: 3879: 3868:. Retrieved 3861:the original 3808: 3804: 3776: 3766: 3741: 3737: 3731: 3719:. Retrieved 3708: 3698: 3673: 3669: 3656: 3631: 3627: 3621: 3586: 3582: 3572: 3556: 3552: 3539: 3523: 3518: 3493: 3489: 3483: 3440: 3436: 3399:. Retrieved 3386: 3359: 3341: 3337: 3331: 3312: 3306: 3294:. Retrieved 3290:the original 3255: 3247: 3214: 3210: 3204: 3179: 3175: 3168: 3141: 3137: 3127: 3116:. Retrieved 3104: 3094: 3069: 3065: 3059: 3034: 3030: 3024: 2997: 2993: 2983: 2958: 2954: 2948: 2923: 2919: 2887:. Retrieved 2883:the original 2876: 2867: 2855:. Retrieved 2851:the original 2843: 2834: 2822:. Retrieved 2815:the original 2798: 2761: 2757: 2747: 2712: 2708: 2698: 2673: 2669: 2663: 2630: 2626: 2620: 2595: 2591: 2585: 2560: 2556: 2522: 2518: 2511: 2486: 2482: 2476: 2465:. Retrieved 2463:. 2023-04-13 2460: 2451: 2440:. Retrieved 2436: 2391: 2387: 2381: 2370:. Retrieved 2366: 2357: 2345:. Retrieved 2341:the original 2327: 2316:. Retrieved 2307: 2298: 2268:(1): 18–27. 2265: 2261: 2254: 2243:. Retrieved 2229: 2204: 2200: 2152: 2149:Int J Cancer 2148: 2138: 2103: 2099: 2089: 2056: 2052: 2045: 2039:(Otto et al) 2034: 2025: 2016: 1973: 1969: 1959: 1914: 1910: 1900: 1849: 1845: 1839: 1814: 1810: 1803: 1768: 1764: 1750: 1725: 1721: 1711: 1684: 1680: 1670: 1659:. Retrieved 1647: 1635: 1624:. Retrieved 1620:the original 1610: 1577: 1552:. Retrieved 1543: 1534: 1522:. Retrieved 1513: 1504: 1492:. Retrieved 1483: 1474: 1462:. Retrieved 1453: 1426:, retrieved 1422:the original 1411: 1398: 1377: 1373: 1363: 1351:. Retrieved 1342: 1333: 1325:the original 1320: 1311: 1276: 1272: 1247:. Retrieved 1238: 1229: 1204: 1194: 1183:. Retrieved 1179: 1170: 1135: 1115: 1103: 1090: 1083: 1076: 1057:People with 1056: 1037: 1023: 1016: 1013: 1001: 993: 984: 975: 970: 966:mastectomies 963: 937: 928: 924: 916: 899: 895: 869: 865: 858: 849: 845: 841: 834: 830: 822: 819: 809:László Tabár 806: 802:Philip Strax 799: 794: 780: 772: 760:stereoscopic 753: 741:mastectomies 734: 727: 703: 684: 675: 672: 640: 606:radiologists 603: 599: 596: 576: 547: 522: 513: 496: 484: 469: 465: 458: 454: 448: 432: 421: 402: 398: 389: 383: 380: 373: 370: 362: 359: 348:Medical uses 342: 323: 302: 277: 273: 258: 246:radiologists 231: 213: 169: 144: 140: 139: 35: 6423:Mammography 6346:Mammaplasty 6100:Cardiac PET 5873:renal tract 5848:Gynecologic 5780:Techniques 5751:restriction 5726:Angiography 5709:Neurography 5655:Fluoroscopy 5601:Angiography 5582:angiography 5526:Techniques: 5487:Aortography 5477:Angiography 5457:Cystography 5447:Mammography 5389:Myelography 5384:Sialography 5353:radiography 5292:, from the 5266:Mammography 5074:www.fda.gov 3144:: 876–885. 2461:www.cdc.gov 795:Mammography 710:pathologist 593:evaluation. 555:motion blur 240:tissue for 199:(PEM), and 193:ductography 177:radiography 145:mastography 141:Mammography 115:MedlinePlus 61:Mastography 58:Other names 52:Mammography 41:Mammography 6530:Categories 6450:Breast MRI 6393:Ductoscopy 6320:Mastectomy 6298:Lumpectomy 6013:Full body: 5799:endoscopic 5773:Ultrasound 5702:functional 5499:Lymphogram 5494:Venography 5462:Arthrogram 5079:2019-04-18 4863:(1): 452. 4857:BMC Cancer 4363:(3): 523. 4077:(1): 584. 4071:BMC Cancer 4010:2011-10-28 3870:2012-06-24 3532:1930524315 3344:: 113–124. 3284:Ingram A. 3118:2024-01-24 3105:StatPearls 2467:2024-01-18 2442:2024-01-18 2372:2024-01-18 2318:2013-09-11 2245:2011-06-16 1859:2101.02755 1661:2010-12-20 1626:2010-09-13 1239:cancer.org 1185:2024-02-01 1163:References 1104:Recently, 1073:Regulation 1034:Attendance 714:anesthesia 699:ultrasound 415:, and the 265:ultrasound 209:mastectomy 205:lumpectomy 189:Ultrasound 67:ICD-10-PCS 30:See also: 18:Mammograms 6370:Mastopexy 6216:Pregnancy 6095:Brain PET 6063:gamma ray 5999:DMSA scan 5853:Obstetric 5746:diffusion 5741:Sequences 5719:perfusion 5611:Pulmonary 5558:Cone beam 5452:Pyelogram 5217:252904455 5174:265107884 5014:241919707 4980:208535709 4923:243581455 4789:241324844 4755:Radiology 4590:262035301 4523:(1): 89. 4429:Radiology 4261:: b2587. 3457:1678-7099 3401:March 12, 3378:488959603 3296:March 22, 2857:March 31, 2106:: h4901. 1811:Radiology 1687:: 52–61. 1602:535493589 1380:(1): E9. 1374:MedGenMed 1221:0098-7484 855:Mortality 807:In 1985, 764:pregnancy 732:in 1895. 559:Deodorant 528:Procedure 510:Radiation 295:systems. 254:screening 6234:Category 6086:positron 5606:Coronary 5209:36242643 5166:37949155 5055:31834366 4972:31787585 4889:32434564 4838:31791172 4737:42253031 4729:20882563 4693:21257850 4639:23737396 4582:37721382 4547:37750094 4538:10518066 4498:28432514 4389:36983705 4380:10051653 4330:23117178 4285:19589821 4236:21709144 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Index

Mammograms
Breast cancer screening
Woman undergoing mammogram on the right breast. A technologist performs breast compression.
ICD-10-PCS
ICD-9-CM
87.37
MeSH
D008327
OPS-301 code
3–10
MedlinePlus
003380
edit on Wikidata
X-rays
kVp
breast
breast cancer
microcalcifications
ionizing radiation
radiography
bones
tomosynthesis
Ultrasound
ductography
positron emission mammography
magnetic resonance imaging
lumpectomy
mastectomy
U.S. Preventive Services Task Force
X-ray

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