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Mammogram Interpretation

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1. Mammogram Interpretation

Mammogram Interpretation Mammogram Interpretation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Mammogram Interpretation Mammogram (...) Interpretation Aka: Mammogram Interpretation , Mammography Interpretation II. Categories of Mammographic Abnormalities Category 1: Normal Category 2: Benign-appearing abnormality Category 3: Indeterminate, possible risk of malignancy Category 4: Suspicious for malignancy Category 5: Malignant until proven otherwise III. Benign Mammogram Findings Intramammary lymph node Smooth walled mass within the tissue Lucent center Usually repeated in 6 months Smooth walled mass Associated with cyst or fibroadenoma

2018 FP Notebook

2. Accuracy of staff who read mammograms doesn’t decline over time

. Interpreting mammograms is a difficult and visually repetitive task that can result in missed cancers and false positives. Findings from settings, such as airport baggage screening, have suggested that increased time spent performing a task may reduce ability to accurately detect abnormalities. In the UK National Health Service Breast Screening Programme two readers separately examine each woman’s mammograms for signs of cancer. Women have mammograms taken of both breasts. Both readers scrutinise batches (...) the Same vs Different Order for Second Readings of Screening Mammogramson Rates of Breast Cancer Detection. A Randomized Clinical Trial Published on 10 May 2016 S Taylor-Phillips, M Wallis, D Jenkinson, V Adekanmbi, H Parsons, J Dunn, N Stallard, A Szczepura, S Gates, O Kearins, A Duncan, S Hudson, A Clarke JAMA Volume 315 Issue 18 , 2016 IMPORTANCE Interpreting screening mammograms is a difficult repetitive task that can result in missed cancers and false-positive recalls. In the United Kingdom, 2

2019 NIHR Dissemination Centre

3. Accuracy of staff who read mammograms doesn’t decline over time

. Interpreting mammograms is a difficult and visually repetitive task that can result in missed cancers and false positives. Findings from settings, such as airport baggage screening, have suggested that increased time spent performing a task may reduce ability to accurately detect abnormalities. In the UK National Health Service Breast Screening Programme two readers separately examine each woman’s mammograms for signs of cancer. Women have mammograms taken of both breasts. Both readers scrutinise batches (...) the Same vs Different Order for Second Readings of Screening Mammogramson Rates of Breast Cancer Detection. A Randomized Clinical Trial Published on 10 May 2016 S Taylor-Phillips, M Wallis, D Jenkinson, V Adekanmbi, H Parsons, J Dunn, N Stallard, A Szczepura, S Gates, O Kearins, A Duncan, S Hudson, A Clarke JAMA Volume 315 Issue 18 , 2016 IMPORTANCE Interpreting screening mammograms is a difficult repetitive task that can result in missed cancers and false-positive recalls. In the United Kingdom, 2

2018 NIHR Dissemination Centre

4. Patients, doctors, journalists criticize “Free Preventive Mammograms” campaign

Patients, doctors, journalists criticize “Free Preventive Mammograms” campaign Patients, doctors, journalists criticize "Free Preventive Mammograms" campaign - HealthNewsReview.org Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve your (...) critical thinking about health care interventions. And those will be still be alive on the site for a couple of years. 6093 Posts Menu January 25, 2018 Patients, doctors, journalists criticize “Free Preventive Mammograms” campaign Posted By Categories , , Tags Gary Schwitzer is the founder and publisher of HealthNewsReview.org. He tweets as , or uses our project handle, . Journalist Cathy Shufro was riding a New York City subway train when she looked up at that rail of ads that we’ve all seen on mass

2018 HealthNewsReview

5. Marketing misfire on ‘spa-like’ 3D mammograms: Comfort appeal distracts from real concerns on screening, experts say

Marketing misfire on ‘spa-like’ 3D mammograms: Comfort appeal distracts from real concerns on screening, experts say 'Spa-like' 3D mammography distracts from legitimate screening concerns Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve (...) your critical thinking about health care interventions. And those will be still be alive on the site for a couple of years. 6093 Posts Menu March 27, 2018 Marketing misfire on ‘spa-like’ 3D mammograms: Comfort appeal distracts from real concerns on screening, experts say Posted By Categories , , Tags , Sue Rochman is an independent health care writer and editor based in San Francisco. For more than two decades, she has specialized in covering cancer care and treatments. Marketing of new 3D

2018 HealthNewsReview

6. 3-D mammograms for all: political gimmickry that may harm more women than it helps

June 28, 2017 at 10:22 pm I write to dispute the suggestion that 3-D mammography is a “dubious and costly medical intervention.” I was surprised to read that your author “rang up” H. Gilbert Welch, MD, to opine on this topic. Articles that address an issue as impactful as breast cancer detection require a careful review of an expert’s credentials and abilities. Dr. Welch is not trained to interpret mammograms. He is not even a radiologist. He is an internist at the Veterans Administration Hospital (...) Am Coll Radiol. 2017 Apr 27. Kevin Lomangino June 30, 2017 at 7:55 am Dr. Zuurbier, Thanks for your comment, but I am compelled to respond to several assertions that I believe are misleading: 1. One does not have to be a radiologist or be trained to interpret mammograms in order to analyze the evidence on mammography. That’s like saying only certified camera operators are qualified to judge the quality of Hollywood movies. Dr. Welch is an expert in epidemiology, biostatistics, and the evaluation

2017 HealthNewsReview

7. Stories lament ‘delay’ in getting a mammogram after a false-positive scan, but is that such a bad thing?

Stories lament ‘delay’ in getting a mammogram after a false-positive scan, but is that such a bad thing? Stories lament ‘delay’ in getting a mammogram after a false-positive scan, but is that such a bad thing? - HealthNewsReview.org Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have (...) published contain lessons to help you improve your critical thinking about health care interventions. And those will be still be alive on the site for a couple of years. 6093 Posts Menu February 14, 2017 Stories lament ‘delay’ in getting a mammogram after a false-positive scan, but is that such a bad thing? Posted By Categories , Tags Kevin Lomangino is the managing editor of HealthNewsReview.org. He tweets as . published last week suggests that false-positive mammogram results take a psychological toll

2017 HealthNewsReview

8. Effect of the Availability of Prior Full-Field Digital Mammography and Digital Breast Tomosynthesis Images on the Interpretation of Mammograms. (PubMed)

Effect of the Availability of Prior Full-Field Digital Mammography and Digital Breast Tomosynthesis Images on the Interpretation of Mammograms. To assess the effect of and interaction between the availability of prior images and digital breast tomosynthesis (DBT) images in decisions to recall women during mammogram interpretation.Verbal informed consent was obtained for this HIPAA-compliant institutional review board-approved protocol. Eight radiologists independently interpreted twice (...) deidentified mammograms obtained in 153 women (age range, 37-83 years; mean age, 53.7 years ± 9.3 [standard deviation]) in a mode by reader by case-balanced fully crossed study. Each study consisted of current and prior full-field digital mammography (FFDM) images and DBT images that were acquired in our facility between June 2009 and January 2013. For one reading, sequential ratings were provided by using (a) current FFDM images only, (b) current FFDM and DBT images, and (c) current FFDM, DBT, and prior

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2015 Radiology

9. Effect of Using the Same vs Different Order for Second Readings of Screening Mammograms on Rates of Breast Cancer Detection: A Randomized Clinical Trial. (PubMed)

Effect of Using the Same vs Different Order for Second Readings of Screening Mammograms on Rates of Breast Cancer Detection: A Randomized Clinical Trial. Interpreting screening mammograms is a difficult repetitive task that can result in missed cancers and false-positive recalls. In the United Kingdom, 2 film readers independently evaluate each mammogram to search for signs of cancer and examine digital mammograms in batches. However, a vigilance decrement (reduced detection rate with time (...) had screening mammograms (596,642 in the intervention group; 597,505 in the control group), the images were interpreted in 37,688 batches (median batch size, 35; interquartile range [IQR]; 16-46), with each reader interpreting a median of 176 batches (IQR, 96-278). After completion of all subsequent diagnostic tests, a total of 10,484 cases (0.88%) of breast cancer were detected. There was no significant difference in cancer detection rate with 5272 cancers (0.88%) detected in the intervention

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2016 JAMA

10. Finding cancer in mammograms: if you know it’s there, do you know where? (PubMed)

Finding cancer in mammograms: if you know it’s there, do you know where? Humans can extract considerable information from scenes, even when these are presented extremely quickly. The ability of an experienced radiologist to rapidly detect an abnormality on a mammogram may build upon this general capacity. Although radiologists have been shown to be able to detect an abnormality 'above chance' at short durations, the extent to which abnormalities can be localised at brief presentations is less (...) clear. Extending previous work, we presented radiologists with unilateral mammograms, 50% containing a mass, for 250 or 1000 ms. As the female breast varies with respect to the level of normal fibroglandular tissue, the images were categorised into high and low density (50% of each), resulting in difficult and easy searches, respectively. Participants were asked to decide whether there was an abnormality (detection) and then to locate the mass on a blank outline of the mammogram (localisation). We

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2018 Cognitive Research: Principles and Implications

11. Sheryl Crow hawks 3D mammograms with fear and false hope

Sheryl Crow hawks 3D mammograms with fear and false hope Sheryl Crow hawks 3-D mammograms with fear and false hope Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve your critical thinking about health care interventions. And those (...) will be still be alive on the site for a couple of years. 6093 Posts Menu July 19, 2016 Sheryl Crow hawks 3D mammograms with fear and false hope Posted By Categories , , , , , , Tags , , , , , Kevin Lomangino is the managing editor of HealthNewsReview.org. He tweets as . It may not be her , but it was a mistake nonetheless for the singer and breast cancer survivor Sheryl Crow to advocate in an aggressive, unbalanced way on behalf of a 3D mammography device. That’s the takeaway of a number of breast cancer

2016 HealthNewsReview

12. Macroscopic lymphovascular invasion visualized on mammogram and magnetic resonance imaging: Initially misidentified as ductal carcinoma in situ but properly diagnosed by immunohistochemistry (PubMed)

Macroscopic lymphovascular invasion visualized on mammogram and magnetic resonance imaging: Initially misidentified as ductal carcinoma in situ but properly diagnosed by immunohistochemistry Lymphovascular invasion (LVI) is a pathologic, microscopic finding associated with invasive cancer, and is a poor prognostic indicator, but has no reported imaging findings. This report presents the first documented case of LVI with seen by imaging. Linear branching microcalcifications were identified (...) on mammography and clumped enhancement was noted on MRI, both imaging findings that are highly predictive of ductal carcinoma in situ (DCIS).Ultrasound guided core biopsy of the dominant mass was performed, confirming invasive ductal malignancy. Stereotactic biopsy performed on the microcalcifications was initially interpreted by pathology as DCIS.Patient underwent mastectomy. Pathologic evaluation of the surgical specimen confirmed the invasive ductal malignancy. Microcalcifications were re-evaluated

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2017 SAGE Open Medical Case Reports

13. Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram (PubMed)

tomosynthesis images. This mass was larger than on the previous year's mammogram, at which time it had been interpreted as a benign calcified fibroadenoma. The subsequent workup demonstrated the mass to reflect primary breast osteosarcoma. The patient's workup and treatment are detailed in this case. Primary breast osteosarcoma, although rare, should be included as a diagnostic consideration for breast masses with a sunburst pattern of calcifications, particularly when the mammographic appearance has (...) Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram Primary breast osteosarcoma is a rare malignancy, with mostly case reports in the literature. The appearance of breast osteosarcoma on digital breast tomosynthesis imaging has not yet been described. A 69-year-old woman presents for routine screening mammography and is found to have a calcified mass in her right breast. Pattern of calcification appeared "sunburst" on digital breast

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2017 Radiology Case Reports

14. Mayor: 3-D mammogram saved my life. Our reviewers: wrong message.

Mayor: 3-D mammogram saved my life. Our reviewers: wrong message. Mayor: 3-D mammogram saved my life. Our reviewers: wrong message. - HealthNewsReview.org Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve your critical thinking about (...) health care interventions. And those will be still be alive on the site for a couple of years. 6093 Posts Menu August 10, 2016 Mayor: 3-D mammogram saved my life. Our reviewers: wrong message. Posted By Categories , , Tags , , A hospital wishing to promote its new 3-D mammography equipment couldn’t ask for much more than this: stories , by , by in Kalamazoo, Michigan, in the , the , the , . Fox-25 Oklahoma City It all happened because Mayor Gina Nobel of Stillwater, OK, announced in a news conference

2016 HealthNewsReview

15. Performance of radiographers in mammogram interpretation: a systematic review

Performance of radiographers in mammogram interpretation: a systematic review Performance of radiographers in mammogram interpretation: a systematic review Performance of radiographers in mammogram interpretation: a systematic review van den Biggelaar F J, Nelemans P J, Flobbe K CRD summary The review compared the performance of radiographers with that of radiologists, in mammogram interpretation. Reporting of the review process was limited and data were insufficient to support firm conclusions (...) . The authors' conclusion, that further research is needed, is appropriate. Authors' objectives To compare the performance of radiographers with that of radiologists in the interpretation of mammograms. To assess the effect of training on the performance of radiographers, and to assess any effects of involving radiographers in routine mammogram interpretation on the performance characteristics of this test. Searching PubMed, EMBASE, Scirus, PsycINFO and Oxford Journals were searched from inception

2008 DARE.

16. Cost-Effectiveness of Double Reading versus Single Reading of Mammograms in a Breast Cancer Screening Programme (PubMed)

Cost-Effectiveness of Double Reading versus Single Reading of Mammograms in a Breast Cancer Screening Programme The usual practice in breast cancer screening programmes for mammogram interpretation is to perform double reading. However, little is known about its cost-effectiveness in the context of digital mammography. Our purpose was to evaluate the cost-effectiveness of double reading versus single reading of digital mammograms in a population-based breast cancer screening programme.Data from

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2016 PloS one

17. Improving Screening Mammography Outcomes through Comparison with Multiple Prior Mammograms (PubMed)

Improving Screening Mammography Outcomes through Comparison with Multiple Prior Mammograms The objective of the present study is to evaluate the effect of comparison with multiple prior mammograms on the outcomes of screening mammography relative to comparison with a single prior mammogram.We retrospectively analyzed 46,288 consecutive screening mammograms performed at our institution for 22,792 women. We divided these examinations into three groups: those interpreted without comparison (...) with prior mammograms, those interpreted in comparison with one prior examination, and those interpreted in comparison with two or more prior examinations. For each group, we determined the rate of examination recall. We also calculated the positive predictive value of recall (i.e., positive predictive value level 1 [PPV1]) and the cancer detection rate (CDR) for both the group of examinations compared with a single prior mammogram and the group compared with multiple prior mammograms. Generalized

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2016 AJR. American journal of roentgenology

18. Contrast enhanced dual energy spectral mammogram, an emerging addendum in breast imaging (PubMed)

Contrast enhanced dual energy spectral mammogram, an emerging addendum in breast imaging To assess the role of contrast-enhanced dual-energy spectral mammogram (CEDM) as a problem-solving tool in equivocal cases.44 consenting females with equivocal findings on full-field digital mammogram underwent CEDM. All the images were interpreted by two radiologists independently. Confidence of presence was plotted on a three-point Likert scale and probability of cancer was assigned on Breast Imaging (...) significance for CEDM was p-value <0.05. Interobserver kappa value was 0.837.CEDM has a useful role in identifying occult lesions in dense breasts and in triaging lesions. In a mammographically visible lesion, CEDM characterizes the lesion, affirms the finding and better demonstrates response to treatment. Hence, we conclude that CEDM is a useful complementary tool to standard mammogram. Advances in knowledge: CEDM can detect and demonstrate lesions even in dense breasts with the advantage of feasibility

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2016 The British journal of radiology

19. Improved Screening Mammogram Workflow by Maximizing PACS Streamlining Capabilities in an Academic Breast Center (PubMed)

considered to cause significant delays to the start of interpreting screening mammograms. Four workflow changes were suggested (scanning of paperwork, worklist consolidation, use of chat functionality, and tracking of case distribution among trainees) and implemented in July 2015. Timestamp data was collected 2 months before (May-Jun) and after (Aug-Sep) the implemented changes. Generalized linear models were used to analyze the data. The results showed significant improvements for the interpretation (...) Improved Screening Mammogram Workflow by Maximizing PACS Streamlining Capabilities in an Academic Breast Center The aim of this study was to perform an operational improvement project targeted at the breast imaging reading workflow of mammography examinations at an academic medical center with its associated breast centers and satellite sites. Through careful analysis of the current workflow, two major issues were identified: stockpiling of paperwork and multiple worklists. Both issues were

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2016 Journal of Digital Imaging

20. Mammographic Interpretive Volume and Diagnostic Mammogram Interpretation Performance in Community Practice. (PubMed)

Mammographic Interpretive Volume and Diagnostic Mammogram Interpretation Performance in Community Practice. To investigate the association between radiologist interpretive volume and diagnostic mammography performance in community-based settings.This study received institutional review board approval and was HIPAA compliant. A total of 117,136 diagnostic mammograms that were interpreted by 107 radiologists between 2002 and 2006 in the Breast Cancer Surveillance Consortium were included (...) with no self-reported lump). Neither total volume nor screening volume was consistently associated with diagnostic performance.Interpretive volume and diagnostic performance have complex multifaceted relationships. Our results suggest that diagnostic interpretive volume is a key determinant in the development of thresholds for considering a diagnostic mammogram to be abnormal. Current volume regulations do not distinguish between screening and diagnostic mammography, and doing so would likely

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2011 Radiology

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