Digital Mammography Better for Many Women, More Accurate 4 young

Discussion in 'Fibromyalgia Main Forum' started by BLUEROSE7, Sep 18, 2005.


    BLUEROSE7 New Member

    Digital Mammography Better for Many Women
    More accurate than film for younger women with dense breasts, large study finds.

    By Steven Reinberg

    Compared with standard mammograms, which are recorded on film, computer-based digital mammograms are more accurate for more than half the women who get the breast cancer screenings, a large, new study finds.

    Younger women with dense breast tissue, those under 50 and those who are premenopausal would benefit from having digital mammograms, the researchers said.

    The findings, which will appear in the Oct. 27 issue of the New England Journal of Medicine, were released early to coincide with a presentation Friday at the fall meeting of the American College of Radiology Imaging Network in Arlington, Va.

    "The kinds of cancer digital [mammography] found and film missed were important cancers -- the kind that kill women," said lead author Dr. Etta D. Pisano, a professor of radiology and biomedical engineering at the University of North Carolina School of Medicine. "We don't know for sure we saved their lives, but it was important to find those cancers."

    In their study, Pisano and her colleagues in the Digital Mammographic Imaging Screening Trial collected data on 49,528 asymptomatic women screened for breast cancer. The women underwent both digital and film mammography. The researchers were able to evaluate data for 42,760 women.

    "Overall, film and digital mammography were equally accurate," Pisano said. "But for women with dense breasts, women under age 50 and women who were pre- and perimenopausal, digital was significantly better."

    Pisano believes that, particularly for these women, digital mammograms are the way to go. "For the 65 percent of women who had improved accuracy, they should get that kind of mammography," she said. "But for other women, there is no benefit of digital over film, and it's more expensive."

    However, Pisano added that although digital mammography makes up only about 8 percent of the market today, it will eventually replace film mammography. "There is a trend toward digital, mainly for the other advantages that it offers," she added.

    These advantages include the ease of storing and retrieving digital images, and making them part of a patient's electronic medical record.

    "If you have dense breasts, if you are under 50, if you're pre- or perimenopausal, you should receive a digital mammogram," Pisano advised. "It is important that women get screened when they are supposed to be screened and not wait to get a digital -- if there is film available it's better than nothing."

    One expert sees digital mammography as the future of breast cancer screening.

    "Even without a clinical benefit, digital would replace film," said Dr. Rowan T. Chlebowski, a medical oncologist at Los Angeles BioMedical Research Institute. "With the current mandate for electronic medical records, you are going to have a hard time getting a film mammogram into an electronic medical record."

    "Just the way we handle information, it's the future anyway," Chlebowski said. "But this study makes it more reasonable to go for the investment now, because you get an immediate clinical payoff."

    Another expert stressed that women need to get screened for breast cancer, and not wait for digital screening if it is not available in their area.

    "The finding that digital mammography is more accurate than film mammography in women under age 50 and women with medium and high breast density, which are somewhat overlapping categories, is an important finding that should lead to improvements in screening programs, if digital mammography is targeted to women who are likely to benefit the most," said Robert A. Smith, director of cancer screening for the American Cancer Society.

    However, even though the availability of digital mammography is increasing, it is still limited, and it is unclear how soon or whether it will entirely replace film mammography, he added.

    "The important thing is that women receive mammograms on a regular basis, regardless which technology they use," Smith said. "Younger women and women with denser breasts should not forego their regular mammogram if digital mammography is not available. While this study showed an advantage with digital imaging in these groups, it should be remembered that traditional film mammography also is effective."
  2. Bruin63

    Bruin63 Member

    This is an interesting post.
    Also a good reminder to get thoes Mamm's done before the big , end of the year rush.
    Seems like it's hard to get appoints, in Nov, and Dec these day's.
    I had mine in August, and even tho I had a scare, I'm ok, just another Cyst, which I seem prone to these days.

    So Ladies, and Gentlemen too, don' put it off, now about thoes, Colonoscopy's, ugh! lol, lol,
    have a Great Day you ALL,
  3. Marjidoll

    Marjidoll New Member

    Works in digital imaging. They develop,install and maintain software for radiology departments.

    He agrees with what you are saying. In fact, he insists that I have my mamograms where this technology is used.
  4. rockyjs

    rockyjs Member

    My 32-year-old daughter is in surgery this morning having a mastectomy. Her original films showed one area of calcifications, but the ones taken a few weeks later (digital for biopsy) showed a total of five.

    We're so thankful it was caught at this appears to be DCIS, but we won't know for sure until the lymph node biopsies come back. It looks like the digital was much more accurate for her.


    BLUEROSE7 New Member

    Im so sorry your daughter is having to go through this, but thankful it was caught at a early stage. I will be sure to keep her in my thoughts and prayers.

    Seems the Digtal is much more accurate, epecially the younger you are. Even though I am only 31, I feel the need to go ahead and have a mammogram done, because breast cancer is in my family. They say you can wait till later in life...but I feel women should start having them at least by 30.

    Please keep us updated on how your daughter is doing!!

    Hugs & Prayer

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