Understanding the Mammography Controversy


Book Description

Writing to be understood by the layreader, Finkel shows us how breast cancer develops and explains the controversy surrounding mammography. How valid are the screenings? Who should be screened? How frequently? At what age? Should women be screened at all? This book dissects the issues to help present answers. Above all, says Finkel, women need to make informed decisions, and to do what they need to understand the potential benefits and potential harms accompanying mammography. Writing to be understood by the layreader, Finkel shows us how breast cancer develops and explains the controversy surrounding mammography. How valid are the screenings? Who should be screened? How frequently? At what age? Should women be screened at all? This book dissects the issues to help discern answers. Above all, says Finkel, women need to make informed decisions, and to do what they need to understand the potential benefits and potential harms accompanying mammography. This book includes a timeline showing changing public advice on mammography across the years. Listings explain how to see federal reports on mammography facilites and how to find and contact support groups. Finkel details the development of breast cancer and its various types of tumors, the treatment options, and the psychological effects. Also provided are techniques for—and questions to ask when—communicating with your doctor in order to make informed decisions.




Mammography and Beyond


Book Description

Each year more than 180,000 new cases of breast cancer are diagnosed in women in the U.S. If cancer is detected when small and local, treatment options are less dangerous, intrusive, and costly-and more likely to lead to a cure. Yet those simple facts belie the complexity of developing and disseminating acceptable techniques for breast cancer diagnosis. Even the most exciting new technologies remain clouded with uncertainty. Mammography and Beyond provides a comprehensive and up-to-date perspective on the state of breast cancer screening and diagnosis and recommends steps for developing the most reliable breast cancer detection methods possible. This book reviews the dramatic expansion of breast cancer awareness and screening, examining the capabilities and limitations of current and emerging technologies for breast cancer detection and their effectiveness at actually reducing deaths. The committee discusses issues including national policy toward breast cancer detection, roles of public and private agencies, problems in determining the success of a technique, availability of detection methods to specific populations of women, women's experience during the detection process, cost-benefit analyses, and more. Examining current practices and specifying research and other needs, Mammography and Beyond will be an indispensable resource to policy makers, public health officials, medical practitioners, researchers, women's health advocates, and concerned women and their families.




Digital Breast Tomosynthesis


Book Description

This book provides a comprehensive description of the screening and clinical applications of digital breast tomosynthesis (DBT) and offers straightforward, clear guidance on use of the technique. Informative clinical cases are presented to illustrate how to take advantage of DBT in clinical practice. The importance of DBT as a diagnostic tool for both screening and diagnosis is increasing rapidly. DBT improves upon mammography by depicting breast tissue on a video clip made of cross‐sectional images reconstructed in correspondence with their mammographic planes of acquisition. DBT results in markedly reduced summation of overlapping breast tissue and offers the potential to improve mammographic breast cancer surveillance and diagnosis. This book will be an excellent practical teaching guide for beginners and a useful reference for more experienced radiologists.




Understanding the Mammography Controversy


Book Description

Explains how breast cancer develops, discusses the controversy surrounding mammography, and includes a timeline showing how public advice on the merits of mammography has changed over the years.




Breast Tomosynthesis E-Book


Book Description

The use of tomosynthesis in breast imaging is growing rapidly due to its superior ability to identify and characterize normal findings, benign lesions, and breast cancer, as well as its optimal performance with dense breast tissue. Providing unparalleled coverage of this breakthrough breast imaging modality, Breast Tomosynthesis explains how this new modality can lead to enhanced interpretation and better patient outcomes. This new reference is an indispensable guide for today's practitioner looking to keep abreast of the latest developments with correlative findings, practical interpretation tips, physics, and information on how tomosynthesis differs from conventional 2D FFDM mammography. Over 900 high-quality images offer visual guidance to effectively reading and interpreting this key imaging modality. Includes over 900 high-quality tomosynthesis and mammography images representing the spectrum of breast imaging. Features the latest Breast Imaging Reporting and Data System (or BI-RADS) standards updated in February 2014. Highlights practical tips to interpreting this new modality and how it differs from 2D mammography. Details how integration of tomosynthesis drastically changes lesion work-up and overall workflow in the department. "Tomo Tips" boxes offer tips and pitfalls for expert clinical guidance.




Breast Imaging, An Issue of Radiologic Clinics of North America, E-Book


Book Description

This issue of Radiologic Clinics of North America focuses on Breast Imaging and is edited by Dr. Phoebe E. Freer. Articles will include: Management of High-risk Lesions in Breast Cancer; Contrast Mammography and Tomosynthesis; Breast Radiology Advocacy: Responding to the Call-to-Action; Artificial Intelligence and Breast Imaging; Is It the Era for Personalized Breast Cancer Screening?; Understanding the Mammography Audit; MRI Screening of Breast Cancer; Abbreviated MRI for Breast Cancer; Overdiagnosis and Risks of Breast Cancer Screening; MRI Audit of Screening and Diagnostic Breast Imaging; Supplemental Screening for Breast Cancer in Patients at Intermediate and High Risk; and more!




Mammography Screening


Book Description

'This book gives plenty of examples of ad hominem attacks, intimidation, slander, threats of litigation, deception, dishonesty, lies and other violations of good scientific practice. For some years I kept a folder labeled Dishonesty in breast cancer screening on top of my filing cabinet, storing articles and letters to the editor that contained statements I knew were dishonest. Eventually I gave up on the idea of writing a paper about this collection, as the number of examples quickly exceeded what could be contained in a single article.' From the Introduction The most effective way to decrease women's risk of becoming a breast cancer patient is to avoid attending screening. Mammography screening is one of the greatest controversies in healthcare, and the extent to which some scientists have sacrificed sound scientific principles in order to arrive at politically acceptable results in their research is extraordinary. In contrast, neutral observers increasingly find that the benefit has been much oversold and that the harms are much greater than previously believed. This groundbreaking book takes an evidence-based, critical look at the scientific disputes and the information provided to women by governments and cancer charities. It also explains why mammography screening is unlikely to be effective today. All health professionals and members of the public will find these revelations disturbingly illuminating. It will radically transform the way healthcare policy makers view mammography screening in the future. 'If Peter Gotzsche did not exist, there would be a need to invent him ...It may still take time for the limitations and harms of screening to be properly acknowledged and for women to be enabled to make adequately informed decisions. When this happens, it will be almost entirely due to the intellectual rigour and determination of Peter Gotzsche.' From the Foreword by Iona Heath, President, RCGP 'If you care about breast cancer, and we all should, you must read this book. Breast cancer is complex and we cannot afford to rely on the popular media, or on information from marketing campaigns from those who are invested in screening. We need to question and to understand. The story that Peter tells matters very much.' From the Foreword by Fran Visco, President, National Breast Cancer Coalition.