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Screen-detected versus interval cancers : effect of imaging modality and breast density in the Flemish Breast Cancer Screening Programme

(2017) EUROPEAN RADIOLOGY. 27(9). p.3810-3819
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Abstract
To investigate if direct radiography (DR) performs better than screen-film mammography (SF) and computed radiography (CR) in dense breasts in a decentralized organised Breast Cancer Screening Programme. To this end, screen-detected versus interval cancers were studied in different BI-RADS density classes for these imaging modalities. The study cohort consisted of 351,532 women who participated in the Flemish Breast Cancer Screening Programme in 2009 and 2010. Information on screen-detected and interval cancers, breast density scores of radiologist second readers, and imaging modality was obtained by linkage of the databases of the Centre of Cancer Detection and the Belgian Cancer Registry. Overall, 67% of occurring breast cancers are screen detected and 33% are interval cancers, with DR performing better than SF and CR. The interval cancer rate increases gradually with breast density, regardless of modality. In the high-density class, the interval cancer rate exceeds the cancer detection rate for SF and CR, but not for DR. DR is superior to SF and CR with respect to cancer detection rates for high-density breasts. To reduce the high interval cancer rate in dense breasts, use of an additional imaging technique in screening can be taken into consideration.
Keywords
FIELD DIGITAL MAMMOGRAPHY, REPLACEMENT THERAPY USE, FILM MAMMOGRAPHY, LESION DETECTION, PERFORMANCE PARAMETERS, RANDOMIZED-TRIAL, OSLO-II, RISK, AGE, ACCURACY, Breast cancer screening, Interval cancers, Screen-film mammography, Digital mammography, Breast density

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Chicago
Timmermans, Lore, Luc Bleyen, Klaus Bacher, Koen Van Herck, Kim Lemmens, Chantal Van Ongeval, Andre Van Steen, et al. 2017. “Screen-detected Versus Interval Cancers : Effect of Imaging Modality and Breast Density in the Flemish Breast Cancer Screening Programme.” European Radiology 27 (9): 3810–3819.
APA
Timmermans, L., Bleyen, L., Bacher, K., Van Herck, K., Lemmens, K., Van Ongeval, C., Van Steen, A., et al. (2017). Screen-detected versus interval cancers : effect of imaging modality and breast density in the Flemish Breast Cancer Screening Programme. EUROPEAN RADIOLOGY, 27(9), 3810–3819.
Vancouver
1.
Timmermans L, Bleyen L, Bacher K, Van Herck K, Lemmens K, Van Ongeval C, et al. Screen-detected versus interval cancers : effect of imaging modality and breast density in the Flemish Breast Cancer Screening Programme. EUROPEAN RADIOLOGY. 2017;27(9):3810–9.
MLA
Timmermans, Lore, Luc Bleyen, Klaus Bacher, et al. “Screen-detected Versus Interval Cancers : Effect of Imaging Modality and Breast Density in the Flemish Breast Cancer Screening Programme.” EUROPEAN RADIOLOGY 27.9 (2017): 3810–3819. Print.
@article{8530626,
  abstract     = {To investigate if direct radiography (DR) performs better than screen-film mammography (SF) and computed radiography (CR) in dense breasts in a decentralized organised Breast Cancer Screening Programme. To this end, screen-detected versus interval cancers were studied in different BI-RADS density classes for these imaging modalities. 
The study cohort consisted of 351,532 women who participated in the Flemish Breast Cancer Screening Programme in 2009 and 2010. Information on screen-detected and interval cancers, breast density scores of radiologist second readers, and imaging modality was obtained by linkage of the databases of the Centre of Cancer Detection and the Belgian Cancer Registry. 
Overall, 67\% of occurring breast cancers are screen detected and 33\% are interval cancers, with DR performing better than SF and CR. The interval cancer rate increases gradually with breast density, regardless of modality. In the high-density class, the interval cancer rate exceeds the cancer detection rate for SF and CR, but not for DR. 
DR is superior to SF and CR with respect to cancer detection rates for high-density breasts. To reduce the high interval cancer rate in dense breasts, use of an additional imaging technique in screening can be taken into consideration.},
  author       = {Timmermans, Lore and Bleyen, Luc and Bacher, Klaus and Van Herck, Koen and Lemmens, Kim and Van Ongeval, Chantal and Van Steen, Andre and Martens, Patrick and De Brabander, Isabel and Goossens, Mathieu and Thierens, Hubert},
  issn         = {0938-7994},
  journal      = {EUROPEAN RADIOLOGY},
  keyword      = {FIELD DIGITAL MAMMOGRAPHY,REPLACEMENT THERAPY USE,FILM MAMMOGRAPHY,LESION DETECTION,PERFORMANCE PARAMETERS,RANDOMIZED-TRIAL,OSLO-II,RISK,AGE,ACCURACY,Breast cancer screening,Interval cancers,Screen-film mammography,Digital mammography,Breast density},
  language     = {eng},
  number       = {9},
  pages        = {3810--3819},
  title        = {Screen-detected versus interval cancers : effect of imaging modality and breast density in the Flemish Breast Cancer Screening Programme},
  url          = {http://dx.doi.org/10.1007/s00330-017-4757-4},
  volume       = {27},
  year         = {2017},
}

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