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Evolution of Mammography Screening : From Film Screen to Digital Breast Tomosynthesis

Zackrisson, Sophia LU and Houssami, Nehmat (2016) p.323-346
Abstract

Mammography population screening has been implemented based on evidence of efficacy from randomized controlled trials (RCTs). Substantial technical developments have witnessed an evolution from screen-film mammography (SFM) to full-field digital mammography (FFDM), and more recently to digital breast tomosynthesis as a potential screening modality. Mammography's technical evolution calls for consideration of the evidence required on the performance and effect of new screening technologies before these could be broadly recommended for screening. This chapter provides an overview of the technical background of the different mammography screening modalities, and an overview of the trials and studies that form the evidence-base for... (More)

Mammography population screening has been implemented based on evidence of efficacy from randomized controlled trials (RCTs). Substantial technical developments have witnessed an evolution from screen-film mammography (SFM) to full-field digital mammography (FFDM), and more recently to digital breast tomosynthesis as a potential screening modality. Mammography's technical evolution calls for consideration of the evidence required on the performance and effect of new screening technologies before these could be broadly recommended for screening. This chapter provides an overview of the technical background of the different mammography screening modalities, and an overview of the trials and studies that form the evidence-base for screening with FFDM and potentially for tomosynthesis. The transition to FFDM was underpinned by observational studies and an RCT showing (respectively) similar or higher cancer detection for FFDM compared to SFM. The evidence on screen-detection measures using tomosynthesis is emerging rapidly but there is limited data on whether this extends screening benefit.

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Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
Breast cancer, Breast tomosynthesis, Digital mammography, Interval cancer, Overdiagnosis, Population screening, Screening performance, Synthetic (reconstructed) mammogram
host publication
Breast Cancer Screening: An Examination of Scientific Evidence
pages
24 pages
publisher
Academic Press
external identifiers
  • scopus:84969612645
ISBN
9780128024942
9780128022092
DOI
10.1016/B978-0-12-802209-2.00013-9
language
English
LU publication?
yes
id
1f8f41ee-e863-458c-8a59-2b36c51118c3
date added to LUP
2016-06-14 13:39:40
date last changed
2022-02-14 03:20:16
@inbook{1f8f41ee-e863-458c-8a59-2b36c51118c3,
  abstract     = {{<p>Mammography population screening has been implemented based on evidence of efficacy from randomized controlled trials (RCTs). Substantial technical developments have witnessed an evolution from screen-film mammography (SFM) to full-field digital mammography (FFDM), and more recently to digital breast tomosynthesis as a potential screening modality. Mammography's technical evolution calls for consideration of the evidence required on the performance and effect of new screening technologies before these could be broadly recommended for screening. This chapter provides an overview of the technical background of the different mammography screening modalities, and an overview of the trials and studies that form the evidence-base for screening with FFDM and potentially for tomosynthesis. The transition to FFDM was underpinned by observational studies and an RCT showing (respectively) similar or higher cancer detection for FFDM compared to SFM. The evidence on screen-detection measures using tomosynthesis is emerging rapidly but there is limited data on whether this extends screening benefit.</p>}},
  author       = {{Zackrisson, Sophia and Houssami, Nehmat}},
  booktitle    = {{Breast Cancer Screening: An Examination of Scientific Evidence}},
  isbn         = {{9780128024942}},
  keywords     = {{Breast cancer; Breast tomosynthesis; Digital mammography; Interval cancer; Overdiagnosis; Population screening; Screening performance; Synthetic (reconstructed) mammogram}},
  language     = {{eng}},
  pages        = {{323--346}},
  publisher    = {{Academic Press}},
  title        = {{Evolution of Mammography Screening : From Film Screen to Digital Breast Tomosynthesis}},
  url          = {{http://dx.doi.org/10.1016/B978-0-12-802209-2.00013-9}},
  doi          = {{10.1016/B978-0-12-802209-2.00013-9}},
  year         = {{2016}},
}