U.K. study shows digital mammography the way to go for women younger than 50
Full-field digital mammography significantly increases the cancer detection rate for women younger than 50 years, according to a study presented Monday afternoon at the RSNA meeting.
Full-field digital mammography significantly increases the cancer detection rate for women younger than 50 years, according to a study presented Monday afternoon at the RSNA meeting.
A U.K. corporate screening program offered two-view mammography every two years to female employees aged 40 to 70 years old between 2000 and 2007. Nearly 15,000 screening episodes were conducted, 5011 of which were allocated quasirandomly-whatever machine was available the women used-to full-field digital mammography (FFDM). Nearly half the study population (47%) was younger than 50.
After adjustment for age and calendar year, cancer detection rates were significantly higher using FFDM for the under-50 crowd: 4.3 per 1000 for digital mammography versus 1.4 per 1000 for screen-film. The recall rates were also higher for those in the under-50 group: 7.3% versus 5.3% for screen-film.
The positive predicative value of FFDM was significantly higher for the under-50 group (5.9% versus 2.6% for screen-film).
Routine breast screening of the population, including women younger than 50, should be carried out using digital mammography, said lead author of the study Dr. Nicholas Perry, clinical director for the London Breast Institute in London.
"We know very well digital performs significantly better for this group, and I think we cannot base current decisions on what has been shown to be outdated technology," he said.
AI-Initiated Recalls After Screening Mammography Demonstrate Higher PPV for Breast Cancer
March 18th 2025While recalls initiated by one of two reviewing radiologists after screening mammography were nearly 10 percent higher than recalls initiated by an AI software, the AI-initiated recalls had an 85 percent higher positive predictive value for breast cancer, according to a new study.
ECR Mammography Study: Pre-Op CEM Detects 34 Percent More Multifocal Masses than Mammography
February 28th 2025In addition to contrast-enhanced mammography (CEM) demonstrating over a 90 percent detection rate for multifocal masses, researchers found that no significant difference between histological measurements and CEM, according to study findings presented at the European Congress of Radiology.
Study: Mammography AI Leads to 29 Percent Increase in Breast Cancer Detection
February 5th 2025Use of the mammography AI software had a nearly equivalent false positive rate as unassisted radiologist interpretation and resulted in a 44 percent reduction in screen reading workload, according to findings from a randomized controlled trial involving over 105,000 women.
