Navigation Links
Computer-Aided Mammography Doesn't Improve Breast Cancer Detection: Study
Date:7/27/2011

By Kathleen Doheny
HealthDay Reporter

WEDNESDAY, July 27 (HealthDay News) -- The widely used mammography software known as computer-aided detection (CAD) doesn't improve detection of invasive breast cancer, new research suggests.

But CAD does increase the chances that a woman will be called back for further testing, according to the study, published July 27 in the Journal of the National Cancer Institute.

''All in all, we found very little impact of CAD on the outcomes of mammography," said study author Dr. Joshua J. Fenton, an assistant professor of family and community medicine at the University of California, Davis.

With colleagues, Fenton analyzed 1.6 million screening mammograms from seven states and the records of the nearly 685,000 women who got them from 1998 to 2006. Three out of four mammograms done in the United States include CAD, the authors said.

To determine if CAD aided breast cancer detection, they examined the detection rate when the software was used, and the stage and size of the cancer when diagnosed. They also looked at how many women were called back for further testing who didn't have breast cancer.

"We found that CAD has a slightly increased chance [that] a woman would be recalled unnecessarily for further testing, but it did not increase the chance that the breast cancer would be detected at an earlier stage," Fenton said.

"For every 200 women who are screened with CAD who have a second mammogram, one additional woman is called back unnecessarily for further testing," he said.

When Fenton's team looked only at early-stage cancer known as DCIS (ductal carcinoma in situ), they found a trend to increased detection with CAD, but it was not statistically significant.

Overall, the detection rates with and without CAD were similar, the study said.

Use of CAD, which identifies areas of potential abnormalities so the radiologist can take a closer look, has boomed in recent years, even though previous research has not demonstrated a clear benefit, Fenton said.

Congress mandated that Medicare reimburse for CAD in 2001, and most private insurers followed suit, he said, explaining the growing popularity.

Based on previous research, Fenton reported in the New England Journal of Medicine in 2007 that CAD was linked with reduced accuracy of mammogram interpretations but did not affect the detection rate of invasive breast cancer.

In the current study, Fenton's team said the costs of CAD -- about an additional $12 per mammogram -- may outweigh the potential benefits. Annually, direct costs to Medicare top $30 million, a study published last year in the Journal of the American College of Radiology found.

Dr. Carol Lee, a New York radiologist and spokesperson for the Breast Imaging Commission of the American College of Radiology, said the new study looks at CAD in real-life settings. "What this is saying is, in actual practice, when you look in the community, it doesn't seem to be living up to what earlier studies with different designs promised," she said.

But, "I don't think based on this study we should abandon the use of CAD," she added.

For one thing, it's not clear whether the radiologists were trained to use CAD correctly, she said. The authors also point this out as a possible limitation.

The trend to CAD picking up more early-stage cancers is worthwhile, she said.

Lee also said a woman is unlikely to know whether her mammogram included CAD unless she asks the doctor.

In its practice guidelines on mammography, the American College of Radiology says that CAD ''may slightly increase the sensitivity of mammographic interpretations." It also notes that CAD may be linked with increased recall of patients, some unnecessary. Under the guidelines, CAD is not considered standard of care.

More information

To learn more about mammograms and CAD, visit the American College of Radiology.

SOURCES: Joshua J. Fenton, M.D., M.P.H., assistant professor, family and community medicine, University of California Davis, Sacramento; Carol Lee, M.D., spokesperson and former chair, American College of Radiology, Breast Imaging Commission, and New York radiologist; July 27, 2011, Journal of the National Cancer Institute, online


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Computer-aided detection is increasingly being used in screening and diagnostic mammography
2. Computer-Aided MRI Might Help Predict Alzheimers
3. ACR, SBI: Avon Survey Reveals Potentially Deadly Effects of USPSTF Mammography Recommendations
4. Combined mammography and breast MRI useful for some high-risk women
5. Breast cancer screening: No added value through mammography
6. Palpable breast cancers are more common in women not undergoing annual mammography
7. Detection of breast cancer in screening mammography has improved over time
8. Use of unproven mammography tool soars with Medicare coverage
9. Implementing comparative effectiveness research: Lessons from the mammography screening controversy
10. Counseling increased mammography use among low-income women with health insurance
11. Interventions to promote repeat breast cancer screening with mammography
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Computer-Aided Mammography Doesn't Improve Breast Cancer Detection:  Study
(Date:5/24/2016)... ... May 24, 2016 , ... ... Cifolelli has joined the company as Vice President of Sales. Cifolelli’s primary ... and international sales in the rapidly expanding field of organizational social engineering. ...
(Date:5/24/2016)... ... May 24, 2016 , ... i2i, ... identity and website at its “Transforming Outcomes” User Conference in Las Vegas on ... i2i’s ongoing success to set the market standard for meaningful population health management. ...
(Date:5/24/2016)... ... May 24, 2016 , ... Educational opportunities, ... housing, with more advantaged communities providing richer opportunities. Recognizing the key role of ... school improvement policies; (b) school choice policies; (c) school desegregation policies; (d) wealth-focused ...
(Date:5/24/2016)... Georgia (PRWEB) , ... May 24, 2016 , ... Mental ... 1969 by the Church of Scientology and renowned professor of psychiatry Thomas Szasz, is ... of its “Psychiatry: An Industry of Death” exhibit in Atlanta, Georgia. The opening of ...
(Date:5/24/2016)... NY (PRWEB) , ... May 24, 2016 , ... ... treatment for physical disease or injury that focuses on repairing the musculoskeletal and ... , With an emphasis on functional restoration, NYDNRehab began providing treatments for physical ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... LAWRENCE, Mass. , May 24, 2016  NxStage ... medical technology company focused on advancing renal care, today ... Officer, plans to participate in the following schedule of ... will be made available at http://ir.nxstage.com/ . ... Jefferies Healthcare Conference NY, NY           Friday, ...
(Date:5/24/2016)... May 24, 2016  Joe Marziani has joined VMS BioMarketing as senior vice president ... today. In his new role, Marziani will lead the company,s business development and sales ... improve outcomes. Photo - http://photos.prnewswire.com/prnh/20160523/371089 ... ... ...
(Date:5/24/2016)... , May 24, 2016 ... doble terapia del mundo, introduce catéteres para la ... OrbusNeich, una compañía global especializada en el ... ha expandido su cartera incluyendo productos para tratar ... y Scoreflex™ PTA son los dispositivos de primera ...
Breaking Medicine Technology: