Certifications and training for mammography screening services and professionals in Norway
|
|
- Philomena Freeman
- 5 years ago
- Views:
Transcription
1 Certifications and training for mammography screening services and professionals in Norway Solveig Hofvind Cancer Registry of Norway Thursday May 31, 2018, 15:40-16:00 Rome, Italy
2
3 Health costs per inhabitants, selected OECD countries, 2013 (*2012) purchase adjusted USD purchase adjusted USD Governmental costs Private costs
4 BreastScreen Norway Started as a pilot in 1995 Nationwide in years of organized breast cancer screening in Norway
5 The Norwegian Breast Cancer Screening Program BreastScreen Norway Administered by the Cancer Registry of Norway
6 The Cancer Registry of Norway Established in 1953 Mandatory by law to notify new cancer cases to the CRN (MD, hospitals and labs) Cancer information comes from several independent sources Annually notifications related to cancer illness of these, almost new cancer cases Cancer incidence annual report National quality register for breast cancer
7 The Cancer Registry of Norway Established in 1953 Mandatory by law to notify new cancer cases to the CRN (MD, hospitals and labs) Cancer information comes from several independent sources Annually notifications related to cancer illness of these, almost new cancer cases Cancer incidence annual report National quality register for breast cancer About 160 persons employed Administration Registry IT Research Screening (breast cancer = 9 employees) Screening Breast Cancer Screening Program Cervical Cancer Screening Program Pilot: Colorectal cancer screening
8 BreastScreen Norway Administered by the Cancer Registry of Norway Steering group, Advisory board and professional groups
9 BreastScreen Norway Steering group headed by the Health Directorate Advisory board advices to the CRN Professional groups Radiology Pathology Radiography Medical Physicists Epidemiologists (will be established in 2018) Structure and strategy for national screening programs in Norway Guidelines for diagnostics, treatment and follow-up
10 BreastScreen Norway Screening unit at Danmarksplass, Bergen Administered by the Cancer Registry of Norway Steering group, Advisory board and professional groups Targets women aged 50-69, invited every two years Own fee for screening: 25 Euro Independent double reading with consensus/arbitation Screening and recall assessment, treatment and follow up is performed by the breast centers (local health trusts) 30 screening units and 16 breast centers Based on European guidelines (2006) and EUSOMA Own quality assurance manual for all professionals Mobile screening unit in Finnmark
11 A national coordination center ensures similar screening for all the women National guidelines for Screening Treatment and follow-up All women are offered same screening, treatment and follow-up regardless of where the screening exam is performed and where they live One quality assurance manual The same guidelines and quality assurance are performed for all labs/breast centers Common rules for implementation of new techniques One common IT network
12 A national coordination center ensures similar screening for all the women A PIN given to all inhabitants in Norway allow us to link data- Within the Cancer Registry (interval cancer) Statistics Norway Birth Registry Death Registry +++
13 National level (Cancer Registry) Administration Managing/running the program Invitations Identification of the women targeted by the screening program Letters IT systems and support At the Cancer Registry To / from the screening units To /from the breast centers Collection, coding and quality assurance of the data Ensure high quality and completeness
14 National level (Cancer Registry) Information To the women targeted by the screening program To the general population To media Quality assurance and - improvements According to the quality assurance manual Reporting to the breast centers and to the professionals Meetings, site visits and work-shops Research Initiate and perform
15 Regional / county level Staff to do: Screening According to the guidelines Ensure and maintain high attendance rate Interpretation of the screening tests According to the guidelines (volume, time etc) Additional/recall exams, treatment and follow up According to the guidelines Quality assurance Related to the regional activity According to the guidelines Report deviations Research Regional and national projects
16
17
18 Not shown... Not detected
19
20 Results
21 Conclusions: High compression force and low compression pressure were associated with more favorable early performance measures in the screening program.
22 Warranted: Closer collaboration with the medical physisists
23 Our goal is to: Ensure standardized imaging stepwise potitioning? Ensure optimal image quality Find evidence for the optimal compression force/pressure Find evidence for the optimal screening volume for the radiographers to perform excellent
24 Radiographers Requirements Bachelor in radiography Course in mammography during the first two years of practice During 2018: Speciality in breast radiography Reqirements regarding performance of a particular volume of screening and clinical examinations, education (points) and academics (scientific/research work)
25 Attendance rate: 75%
26 Attendance rate among those invited 2016 and % of the invited women have requested that data about their negative screening examinations should not be used for quality assurance or research 3.8% of the women have opted out the majority due to breast cancer Breast Center Participation Rogaland 80 % Hordaland 75 % Oslo 66 % Telemark 74 % Agder 78 % Troms og F 76 % Østfold 73 % Nordland 80 % Trøndelag 78 % Oppland 76 % Møre og R 75 % Sogn og F 79 % Vestfold 74 % Hedmark 75 % Akershus Øst 73 % Vestre Viken 74 % Total 75 %
27 Participation rate % Immigrants in the target All women Non-immigrants Immigrants group of BreastScreen Norway (%) Oslo Østfold Akershus Hedmark Oppland Vestfold Telemark Agder Rogaland Hordaland Sogn og Fjordane Møre og Romsdal Trøndelag Nordland Troms og Finnmark Vestre Viken Total
28 Participation rate % Immigrants in the target All women Non-immigrants Immigrants group of BreastScreen Norway (%) Oslo Østfold Akershus Hedmark Oppland Vestfold Telemark Agder Rogaland Hordaland Sogn og Fjordane Møre og Romsdal Trøndelag Nordland Troms og Finnmark Vestre Viken Total
29 Participation rate % Immigrants in the target All women Non-immigrants Immigrants group of BreastScreen Norway (%) Oslo Østfold Akershus Hedmark Oppland Vestfold Telemark Agder Rogaland Hordaland Sogn og Fjordane Møre og Romsdal Trøndelag Nordland Troms og Finnmark Vestre Viken Total
30 Early performance measures Radiologists
31 Time spent on initial interpretation DM Center X; January October 2016 Radiologist n Time used per screen read A :41 B :49 C :38 D :39 E :14 F :45 G :47 H :59 All :39
32 Interpretation score and consensus Interpretation score Radiologists 1 2+ B ,8 % C ,4 % D ,3 % E ,7 % G ,7 % H ,2 % All ,7 % Consensus Selected for recall Deselected % % % % % % % % % % % % % % Further analyses long time follow up and reviews - are needed to ensure that the correct cases are selected and deselected
33 Working days from screening to final interpretation: 8 days Breast Center Number of working days Rogaland 3.6 Hordaland 8.0 Oslo 6.3 Telemark 6.8 Agder 5.8 Troms og F 5.4 Østfold 1.5 Nordland 5.0 Trøndelag 31.5 Oppland 11.7 Møre og R 4.0 Sogn og F 5.6 Vestfold 4.0 Hedmark 3.0 Akershus Øst 4.3 Vestre Viken 4.8 Total 7.6
34 Recall rate due to abnormal mammography, Recall rate: 3.3% Prevalently screened: 5.5% Subsequently screened: 2.6% Breast Center Total Rogaland 2.1 %. Hordaland 4.0 % Oslo 3.6 % Telemark 1.4 % Agder 2.6 % Troms og F 2.7 % Østfold 2.4 % Nordland 2.4 % Trøndelag 3.1 % Oppland 2.8 % Møre og R 3.3 % Sogn og F 6.2 % Vestfold 3.1 % Hedmark 4.1 % Akershus Øst 4.0 % Vestre Viken 5.1 % Total 3.3 %
35 Rate of screen-detected breast cancer Rate of screen-detected breast cancer: 0.56 Prevalently screened: 0.64% Subsequently screened: 0.53%
36 Rate of screen-detected breast cancer Rate of screen-detected breast cancer: 0.56% Prevalently screened: 0.64% Subsequently screened: 0.53%
37 Recalls and cancer detection (Site ) R1 Screen reads (n) Total (n) Recalled R1 Score 1 (n) R1 score 1 (%) A % B % C % D % E % F % G % H % Total %
38 Recalls and cancer detection (Site ) R1 Screen reads (n) Total (n) Recalled R1 Score 1 (n) R1 score 1 (%) SDC R1 Score 1 SDC % R2 = 2 R2 = 3 R2 = 4/5 A % B % C % D % E % F % G % H % Total % % % % % % ,0 % ,0 % % %
39 Rate of interval breast cancer Rate of interval breast cancer: 0.18% IC=24% of the breast cancers detected among screened women
40 Histologic Tumor Diameter Screen-detected breast cancer Mean/median (mm) 15, , , , , ,4 12,5 15,0 13 Interval breast cancer 22, , ,5 19,5 21, , , ,8 18
41 Breast cancer survival by detection mode and tumor size, diagnosed SDC IBC Outside BreastScreen Norway
42 Informed review of screen-detected and interval breast cancers Radiologists Missed Minimal sign actionavble Minimal sign not actionable True Occult Radiographers Missed due to positioning errors
43 Informed review of screen-detected and interval breast cancers 16 breast centers 8 pairs, 16 review sessions Consensus panel 5 breast radiologists Aim: 75 IC and 75 SDC from each center 1258 screen-detected 1062 intervals In total: 2320 cases reviewed Approx. 15 hours of work at each center
44 Study design - deliberations Feasibility Involve and engage all breast centers Reasonable time consumption Quality assurance Research based evaluation Stimulate uniform screening process across centers Educational perspective How can we perform better in the future? Radiographers/radiologists with less experience observed the review process
45 Classification according to visibility on prior mammograms TRUE Not visible on prior mammograms MISSED MINIMAL SIGN ACTIONABLE MINIMAL SIGN NON ACTIONABLE Obvious abnormalities visible on priors Minor abnormalities visible on priors, not necessarily requiring a recall Very subtle findings on priors at the site of the upcoming cancer; not suspicious for malignancy OCCULT Visible neither on prior nor diagnostic mammograms
46 Classification Missed True Minimal sign actionable Minimal sign non actionable Occult Total SDC % 45.5 % 15.6 % 16.5 % 0.2 %
47 Classification Missed True Minimal sign actionable Minimal sign non actionable Occult Total SDC % 45.5 % 15.6 % 16.5 % 0.2 % IC % 34.9 % 15.2 % 13.2 % 12.2 % 47.1% true + occult IC
48
49
50
51 Early performance measures in mammographic screening by mammographic density Automated measurements of breast density Two screening sites Accepted for publication in Radiology
52 VDG1 n=84,991 (37%) VDG2 n=80,333 (35%) VDG3 n=55,629 (24%) VDG4 n= 11,045 (5%) Total n=231,998 Recall rate Biopsy rate
53 VDG1 n=84,991 (37%) VDG2 n=80,333 (35%) VDG3 n=55,629 (24%) VDG4 n= 11,045 (5%) Total n=231,998 Recall rate Biopsy rate Rate of screen-detected breast cancer (per 1,000 screening examinations) DCIS Invasive DCIS + Invasive
54 VDG1 n=84,991 (37%) VDG2 n=80,333 (35%) VDG3 n=55,629 (24%) VDG4 n= 11,045 (5%) Total n=231,998 Recall rate Biopsy rate Rate of screen-detected breast cancer (per 1,000 screening examinations) DCIS Invasive DCIS + Invasive Rate of interval breast cancer (per 1,000 screening examinations) DCIS Invasive DCIS + invasive
55 VDG1 n=84,991 (37%) VDG2 n=80,333 (35%) VDG3 n=55,629 (24%) VDG4 n= 11,045 (5%) Total n=231,998 Recall rate Biopsy rate Rate of screen-detected breast cancer (per 1,000 screening examinations) DCIS Invasive DCIS + Invasive Rate of interval breast cancer (per 1,000 screening examinations) DCIS Invasive DCIS + invasive Sensitivity Specificity
56 28% reducion in breast cancer mortality among the invited women 37%reduction in breast cancer mortality among those screened 43% reduction in breast cancer mortality among those screened
57
58
59 Radiologists Which qualifications need to be met to start working in BreastScreen Norway? supervised 500 clinical mx examinations trained in clinical examination shadow read 1500 screening examinations participated at 500 consensus decisions 15 multidispilinary meetings knowledge about the content in dedicated docuemtation about screening, diagnostics, treatment and follow up of bc patients, including the QA manual course in general aspects of screening
60 Radiologists Which qualifications need to be met to continue working in BreastScreen Norway? screen 3000 scr ex annually regularly take part in consensus and multidisplinary meetings do clinical mx and further assessment describe MR keep updated about data regarding clincal and histopathologcal aspects participate at national and international conferences every two years keep updated by reading professional literature and articles
61 What happens if the QA parameters are not met?
62
63
64 Summary Certifications and training for mammography screening services and professionals in Norway Challenges Founded on European and Norwegian guidelines National guidelines for Screening Diagnostics Treatment Follow-up QA for screening, Q-improvement projects, research Feedback, but no real action is taken if recommendations are not met
65
66
67 Radiologists Interpretation scores Recalls Rate of screen-detected breast cancer Interval breast cancer Mammographic features Histopathologic findings A program for analyzing the data is available at each site Mini-Reports (4-6/year) Reports Site visits Meetings A board of radiologists Quality improvements projects Research
68 Reports number of screen reads
69 Percentage of recalls where one of the two readers have given a score of 1
70 Percentage of recalls where one reader scored 1 Reader A
71 Percentage of screen-detected breast cancer where one reader scored 1 and the other 2+ («Missed» by Reader A) Reader A
72 Percentage of screen-detected breast cancer where Reader A one reader scored 1 and the other 2+ («Saved» by Reader A)
73 Percentage of screen-detected breast cancer where both readers scored 2+ Reader A
Practice and challenges in Assuring the Quality of Breast Cancer Care in Europe - Norway
Practice and challenges in Assuring the Quality of Breast Cancer Care in Europe - Norway Solveig Hofvind Head of the Norwegian Breast Cancer Screening Program Baveno, Lago Maggiore, Italy Dec 10, 2015
More informationInternational Registries: The Government-Driven Model
International Registries: The Government-Driven Model Pål Surén Norwegian Institute of Public Health Presentation outline Overview of Norwegian health registries The Norwegian Mother and Child Cohort Study
More informationThoracic surgery in Norway 2008 Norwegian Association of Cardiothoracic Surgeons
Thoracic surgery in Norway 28 Norwegian registry for general thoracic surgery. Steinar Solberg, MD, PhD. Department of Thoracic and Cardiovascular Surgery Rikshospitalet, 27 Oslo, Norway steinar.solberg@rikshospitalet.no
More informationThe surveillance programme for Campylobacter spp. in broiler flocks in Norway 2015
Annual Report 2015 Surveillance programmes for terrestrial and aquatic animals in Norway The surveillance programme for Campylobacter spp. in broiler flocks in Norway 2015 Surveillance programmes for terrestrial
More informationSurveillance and control programmes for terrestrial and aquatic animals in Norway
Annual Report 2012 Surveillance and control programmes for terrestrial and aquatic animals in Norway Norwegian Veterinary Institute The surveillance and control programme for Campylobacter spp. in broiler
More informationThe surveillance and control programme
Annual Reports 2010 Surveillance and control programmes for terrestrial and aquatic animals in Norway Norwegian Veterinary Institute The surveillance and control programme for Campylobacter spp. in broiler
More informationThe surveillance programme for Campylobacter spp. in broiler flocks in Norway 2013
Annual Report 2013 Surveillance programmes for terrestrial and aquatic animals in Norway Norwegian Veterinary Institute The surveillance programme for Campylobacter spp. in broiler flocks in Norway 2013
More informationSuboptimal MMR2 vaccine coverage in six counties in Norway detected through the national immunisation registry, April 2014 to April 2017
Perspective Suboptimal MMR2 vaccine coverage in six counties in Norway detected through the national immunisation registry, April 2014 to April 2017 M Hagerup-Jenssen ¹, S Kongsrud ¹, ØR Riise ² 1. Department
More informationThe surveillance programme for Campylobacter spp in broiler flocks in Norway 2017
Annual Report The surveillance programme for Campylobacter spp in broiler flocks in Norway 2017 Norwegian Veterinary Institute The surveillance programme for Campylobacter spp. in broiler flocks in Norway
More informationThe surveillance and control programme
Annual Reports 2009 Surveillance and control programmes for terrestrial and aquatic animals in Norway National Veterinary Institute The surveillance and control programme for Campylobacter spp. in broiler
More informationPGMI classification of screening mammograms prior to interval cancer. Comparison with radiologists' consensus classification.
PGMI classification of screening mammograms prior to interval cancer. Comparison with radiologists' consensus classification. Poster No.: C-0673 Congress: ECR 2016 Type: Authors: Keywords: DOI: Scientific
More informationAnnual Reports Norwegian Veterinary Institute. Norwegian Veterinary Institute
Annual Reports 2013 Surveillance programmes for terrestrial and aquatic animals in Norway. Annual report 2013 Project managers at the : Ståle Sviland (Terrestrial animals) Anne-Gerd Gjevre (Aquatic animals)
More informationBreast cancer screening programme: France. Dr. Rosemary Ancelle-Park Department of health Office for chronic diseases
Breast cancer screening programme: France Dr. Rosemary Ancelle-Park Department of health Office for chronic diseases French health care system General population of 65 Million GP clinics = 32 200 Radiology
More informationCervical cancer screening in Norway
Cervical cancer screening in Norway «The future of cancer screening in Estonia: health benefits and best practices» 17 November 2016, Tartu Stefan Lönnberg Cancer Registry of Norway Screening governance
More informationThe Harvard community has made this article openly available. Please share how this access benefits you. Your story matters
Improved Breast Cancer Survival Following Introduction of an Organized Mammography Screening Program among Both Screened and Unscreened Women: A Population-Based Cohort Study The Harvard community has
More informationSession 2: The Role of Specialist Radiology Technologists
Session 2: The Role of Specialist Radiology Technologists Louise M. Henderson, MSPH PhD Assistant Professor, Department of Radiology The University of North Carolina, Chapel Hill Overview Role of the technologist
More informationA NATIONWIDE STUDY OF 425 PATIENTS
Children s orthopaedics The epidemiology and aetiology of Perthes disease in Norway A NATIONWIDE STUDY OF 425 PATIENTS O. Wiig, T. Terjesen, S. Svenningsen, S. A. Lie From Ullevål University Hospital,
More informationBreast Cancer Services in Germany
Breast Cancer Services in Germany COUNTRY DELEGATES WORKSHOP Ispra (VA) - 13 and 14 March 2013 Karen Budewig, Federal Ministry of Health, Germany Vanessa Kääb-Sanyal, Mammography-Screening-Program, Germany
More informationPSA measurement and prostate cancer overdiagnosis and overtreatment?
Original article PSA measurement and prostate cancer overdiagnosis and overtreatment? 1711 6 BACKGROUND Growing attention is being paid to PSA testing and the risk of overdiagnosis of prostate cancer.
More informationAscertaining and reporting interval cancers in BreastScreen Aotearoa: A protocol NATIONAL SCREENING UNIT (NSU) MINISTRY OF HEALTH
Ascertaining and reporting interval cancers in BreastScreen Aotearoa: A protocol NATIONAL SCREENING UNIT (NSU) MINISTRY OF HEALTH Dr. Simon Baker National Screening Unit Ministry of Health October 2005
More informationUnderstanding the role of mammographic density in a. population based breast cancer screening program: A step
Understanding the role of mammographic density in a population based breast cancer screening program: A step towards stratified screening for breast cancer in Norway? Nataliia Moshina Faculty of Medicine
More informationAnalysis of fatal fires in Norway in the period
Report Analysis of fatal fires in Norway in the 2005 204 period Authors: Christian Sesseng, Karolina Storesund, Anne Steen-Hansen RISE Fire Research RISE report Analysis of fatal fires in Norway in the
More informationBreastScreen Queensland Gold Coast Service. General Practice Nurses Forum Thursday 4 May 2017
BreastScreen Queensland Gold Coast Service General Practice Nurses Forum Thursday 4 May 2017 BreastScreen Queensland Gold Coast Service General Practice Nurses Forum Thursday 4 May 2017 BreastScreen in
More informationBreast Cancer Screening Factsheet
Breast Cancer Screening What does breast cancer screening entail? The National Breast Cancer Screening Programme is designed for women between 50 and 75 years of age. Once every 2 years, women in this
More informationSURVEY OF MAMMOGRAPHY PRACTICE
Study ID SURVEY OF MAMMOGRAPHY PRACTICE This survey takes about 10-15 minutes to complete. We realize how busy you are and greatly appreciate your time. Your input can help make a difference in mammography.
More informationDESCRIPTION: Percentage of final reports for screening mammograms that are classified as probably benign
Quality ID #146 (NQF 0508): Radiology: Inappropriate Use of Probably Benign Assessment Category in Screening Mammograms National Quality Strategy Domain: Efficiency and Cost Reduction 2018 OPTIONS F INDIVIDUAL
More informationSession 4: Test instruments to assess interpretive performance challenges and opportunities Overview of Test Set Design and Use
Session 4: Test instruments to assess interpretive performance challenges and opportunities Overview of Test Set Design and Use Robert A. Smith, PhD American Cancer Society Test Sets vs. Audits Benefits
More informationFremtidens rolle for tomosyntese
Dansk Radiologisk Selskab 9.årsmøde Odense 3.januar, 214 Fremtidens rolle for tomosyntese Professor dr. med. Per Skaane Oslo University Hospital Ullevaal Breast Imaging Center Oslo / Norway PERSKA@ous-hf.no
More informationBreastScreen Victoria Annual Statistical Report
BreastScreen Victoria Annual Statistical Report 2010 BREASTSCREEN VICTORIA: ANNUAL STATISTICAL REPORT, 2010 Produced by: BreastScreen Victoria Coordination Unit Level 1, 31 Pelham Street, Carlton South
More informationGENERAL COMMENTS. The Task Force Process Should be Fully Open, Balanced and Transparent
December 9, 2013 Submitted Electronically United States Preventive Services Task Force c/o Dr. Robert Cosby Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 RE: USPSTF Draft
More informationBreast Imaging! Ravi Adhikary, MD!
Breast Imaging! Ravi Adhikary, MD! ACS Estimated Cancers Statistics 2014! Breast! New Cases in Women! 232,670 (+67,570 in situ)! Deaths in Women! 40,000! Colon! 48,380! 24,040! Cervical! 12,360! 4,020!
More informationScreening Mammograms: Questions and Answers
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Screening Mammograms:
More informationA Prospective Study of Pigmentation, Sun Exposure, and Risk of Cutaneous Malignant Melanoma in Women
A Prospective Study of Pigmentation, Sun Exposure, and Risk of Cutaneous Malignant Melanoma in Women Marit Bragelien Veierød, Elisabete Weiderpass, Magnus Thörn, Johan Hansson, Eiliv Lund, Bruce Armstrong,
More informationEuropean Cancer Network Aims and Activities
3rd National Workshop on Screening for Breast Cancer in the Czech Republic 18 November 2005, Brno European Cancer Network Aims and Activities Dr. med. Lawrence von Karsa Head (Acting), Screening Quality
More informationBreastScreen Victoria Annual Statistical Report
BreastScreen Victoria Annual Statistical Report 005 Produced by: BreastScreen Victoria Coordination Unit Level, Pelham Street, Carlton South Victoria 05 PH 0 9660 6888 FX 0 966 88 EM info@breastscreen.org.au
More informationSubarachnoid hemorrhage
Factulty of Health Sciences Department of Clinical Medicine Brain and Circulation Research Group and University Hospital of North Norway Department of Neurosurgery Subarachnoid hemorrhage Incidence, risk
More informationSTATE BOARD OF COMMUNITY COLLEGES CURRICULUM PROGRAM APPLICATION (New to the System) Pitt Community College Breast Sonography (Certificate) (C45xxx)
Attachment PROG 4 STATE BOARD OF COMMUNITY COLLEGES CURRICULUM PROGRAM APPLICATION (New to the System) The State Board of Community Colleges is asked to approve the curriculum program at the listed college
More informationInterval Cancers in BreastScreen Aotearoa
Interval Cancers in BreastScreen Aotearoa 2008 2009 Released 2018 nsu.govt.nz Citation: National Screening Unit. 2018. Interval Cancers in BreastScreen Aotearoa 2008 2009. Wellington: Ministry of Health.
More informationProgramme Report
Programme Report 2015-2016 Contents Introduction from the Head of Screening, National Screening Service 2 Highlights of 2015-2016 4 Programme report 5 References 19 Introduction from the Head of Screening,
More informationThe Australian BreastScreen workforce: a snapshot
Original article Volume 59 (1) 2012 The Australian BreastScreen workforce: a snapshot S Moran British Diploma of Diagnostic Radiography H Warren Forward Bsc (Hons), Phd Medical Radiation Science Hunter
More informationThe American College of Radiology Breast Ultrasound Accreditation Program: Frequently Asked Questions (Revised: July 31, 2017)
The American College of Radiology Breast Ultrasound Accreditation Program: Frequently Asked Questions (Revised: July 31, 2017) Table of Contents APPLICATION - GENERAL... 1 MOVED FACILITIES AND UNITS...
More informationChallenges to Delivery of High Quality Mammography
Challenges to Delivery of High Quality Mammography Overview of Current Challenges Barbara Monsees, Washington University Geographic Access, Equity and Impact on Quality Tracy Onega, Dartmouth Medical School
More informationDESCRIPTION: Percentage of final reports for screening mammograms that are classified as probably benign
Measure #146 (NQF 0508): Radiology: Inappropriate Use of Probably Benign Assessment Category in Screening Mammograms National Quality Strategy Domain: Efficiency and Cost Reduction 2016 PQRS OPTIONS F
More informationMulticenter Trial, Phase I Assessment of 2-D FFDM Versus Combo of 2-D and 3-D Tomosynthesis in Breast Cancer Screening
ACRIN PA 4006: Comparison of Full Field Digital Mammography with Digital Breast Tomosynthesis Image Acquisition in Relation to Screening Call-Back Rate Imaging Manual Multicenter Trial, Phase I Assessment
More informationIntroduction 1. Executive Summary 5
Roman_pages 20-09-2005 21:01 Pagina IX Table of contents Introduction 1 Executive Summary 5 1. Epidemiological guidelines for quality assurance in breast cancer screening 15 1.10 Introduction 17 1.20 Local
More informationMelissa Hartman, DO Women s Health Orlando VA Medical Center
Melissa Hartman, DO Women s Health Orlando VA Medical Center Most common non-skin cancer and Second deadliest cancer in women Majority are diagnosed by abnormal screening study An approach to breast cancer
More informationName of Policy: Computer-aided Detection (CAD) Mammography
Name of Policy: Computer-aided Detection (CAD) Mammography Policy #: 112 Latest Review Date: October 2010 Category: Radiology Policy Grade: Active Policy but no longer scheduled for regular literature
More informationAlabama Breast and Cervical Cancer Early Detection Program (ABCCEDP) County Health Department Protocol
Alabama Breast and Cervical Cancer Early Detection Program (ABCCEDP) County Health Department Protocol BREAST AND CERVICAL CANCER TABLE OF CONTENTS ABCCEDP Overview and Purpose... 1 Clinical Guidelines...
More information- The University of. - Student. Western Australia, Crawley, Western Australia
Title: Is Step Down Assessment of Screen Detected Lesions as Safe as Workup at a Metropolitan Assessment Centre? Authors Author name Degrees/ Fellowships Position Institution Phone Email Jade P Hughes
More informationAlabama Department of Public Health County Health Department Protocol
Alabama Department of Public Health County Health Department Protocol BREAST AND CERVICAL CANCER TABLE OF CONTENTS ABCCEDP Overview and Purpose... 1 Clinical Guidelines... 1 Patient Enrollment... 1 Resource
More informationBreastScreen Victoria Annual Statistical Report
BreastScreen Victoria Annual Statistical Report CONTENTS FIGURES AND TABLES... Figures... Tables... 3 INTRODUCTION... 5 SECTION MAXIMISING PARTICIPATION... 6 Program acceptance... 6 Eligibility... 6 Inviting
More informationEARLY DETECTION: MAMMOGRAPHY AND SONOGRAPHY
EARLY DETECTION: MAMMOGRAPHY AND SONOGRAPHY Elizabeth A. Rafferty, M.D. Avon Comprehensive Breast Center Massachusetts General Hospital Harvard Medical School Breast Cancer Screening Early detection of
More informationDiabetes Care 30: , 2007
Epidemiology/Health Services/Psychosocial Research O R I G I N A L A R T I C L E Spatiotemporal Trends and Age-Period- Cohort Modeling of the Incidence of Type 1 Diabetes Among Children Aged
More informationBREAST CANCER SCREENING:
BREAST CANCER SCREENING: controversies D David Dershaw Memorial Sloan Kettering Cancer Center New York, NY Areas of general agreement about mammographic screening Screening mammography has been demonstrated
More informationBreastScreen Victoria Annual Statistical Report
BreastScreen Victoria Annual Statistical Report 29 BREASTSCREEN VICTORIA: ANNUAL STATISTICAL REPORT, 29 Produced by: BreastScreen Victoria Coordination Unit Level, 3 Pelham Street, Carlton South Victoria
More informationTitle: Breast Screen Reader Assessment Strategy (BREAST): UK Collaboration
Susan Williams CoRIPS Research Grant 147 5000 awarded Title: Breast Screen Reader Assessment Strategy (BREAST): UK Collaboration Principle Aim The principal aim of the study is to evaluate the performance
More informationANNUAL REPORT OF POST-PRIMARY EXAMINATIONS 2014
ANNUAL REPORT OF POST-PRIMARY EXAMINATIONS 214 INTRODUCTION The ARRT offers two categories of certification and registration: primary and post-primary. This report summarizes the results of the 214 post-primary
More informationEUROPA DONNA Advocates Guide to the ECIBC European Commission Initiative on Breast Cancer
EUROPA DONNA Advocates Guide to the ECIBC European Commission Initiative on Breast Cancer Part 1 About EUROPA DONNA EUROPA DONNA The European Breast Cancer Coalition is an independent non-profit organisation
More informationBreast Screening Information and advice for patients. Urdu
Breast Screening Information and advice for patients Urdu Information about Breast Screening Breast Screening is the best way to check if you have any changes in your breasts. These changes can be picked
More informationProven clinical effectiveness at low radiation dose
MicroDose Mammography Solutions Proven clinical effectiveness at low radiation dose Several studies provide evidence that Philips MicroDose Mammography* can provide outstanding image quality at 18% to
More informationThe surveillance programme for bluetongue in Norway 2014
Surveillance programmes for terrestrial and aquatic animals in Norway Annual Report 2014 The surveillance programme for bluetongue in Norway 2014 Johan Åkerstedt Ståle Sviland Siv Klevar Attila Tarpai
More informationEARLY DETECTION: MAMMOGRAPHY AND SONOGRAPHY
EARLY DETECTION: MAMMOGRAPHY AND SONOGRAPHY Elizabeth A. Rafferty, M.D. Avon Comprehensive Breast Center Massachusetts General Hospital Harvard Medical School Breast Cancer Screening Early detection of
More information3 D. Digital. Mobile Mammography. Palmetto Health Baptist Breast Center Columbia, South Carolina
3 D Digital Mobile Mammography Palmetto Health Baptist Breast Center Columbia, South Carolina METHOD OF PAYMENT Insurance will be filed at the time of the procedure if you have mammography coverage. If
More informationSince its introduction in 2000, digital mammography has become
Review Article Smith A, PhD email : Andrew.smith@hologic.com Since its introduction in 2000, digital mammography has become an accepted standard of care in breast cancer screening and has paved the way
More informationHealth Authority Abu Dhabi
Health Authority Abu Dhabi Document Title HAAD Standard for Breast Cancer Screening & Diagnosis Document Ref. Number HAAD/BCSD/SD/1.0 Version 1.0 Approval Date 01 July 2012 Effective Date: July 2012 Last
More informationQuality ID #225 (NQF 0509): Radiology: Reminder System for Screening Mammograms National Quality Strategy Domain: Communication and Care Coordination
Quality ID #225 (NQF 0509): Radiology: Reminder System for Screening Mammograms National Quality Strategy Domain: Communication and Care Coordination 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY
More informationHISTORY OF MQSA AND ACR
HISTORY OF MQSA AND ACR DEBORAH THAMES R.T. (R)(M)(QM) WHY MQSA? In the United States, there was a lack of standards in mammography imaging. Reporting Imaging Type of imaging screening/diagnostic Equipment
More informationBreast Cancer Screening
Scan for mobile link. Breast Cancer Screening What is breast cancer screening? Screening examinations are tests performed to find disease before symptoms begin. The goal of screening is to detect disease
More informationMammography. What is Mammography? What are some common uses of the procedure?
Mammography What is Mammography? Mammography is a specific type of imaging that uses a low-dose x-ray system to examine breasts. A mammography exam, called a mammogram, is used to aid in the early detection
More informationthe EUROPEAN COMMISSION INITIATIVE
ECIBC the EUROPEAN COMMISSION INITIATIVE on BREAST CANCER Livia Giordano GDG Member CPO Piemonte - ITALY Origin of the Initiative Because of "substantial and persistent inequalities in breast cancer incidence,
More information2015 Reimbursement Information for Mammography, CAD and Digital Breast Tomosynthesis 1
GE Healthcare 2015 Reimbursement Information for Mammography, CAD and Digital Breast Tomosynthesis 1 April, 2015 www.gehealthcare.com/reimbursement This advisory addresses Medicare coding, coverage and
More informationBreast Screening Information and advice for patients
Breast Screening Information and advice for patients Information about Breast Screening Breast Screening is the best way to check if you have any changes in your breasts. These changes can be picked up
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: digital_breast_tomosynthesis 3/2011 6/2016 6/2017 11/2016 Description of Procedure or Service Conventional
More informationThe Northern Ireland breast screening programme
The Northern Ireland breast screening programme Guide for health professionals The HSC offers breast screening to reduce the number of women who die from breast cancer. Breast cancer is the second most
More informationQuick Reference Guide for Health Care Providers
Quick Reference Guide for Health Care Providers Breast and Cervical Cancer Screening and Treatment in Kentucky Kentucky Cancer Program Kentucky Department for Public Health For more information, contact:
More informationElectrical impedance scanning of the breast is considered investigational and is not covered.
ARBenefits Approval: 09/28/2011 Effective Date: 01/01/2012 Revision Date: Code(s): Medical Policy Title: Electrical Impedance Scanning of the Breast Document: ARB0127 Administered by: Public Statement:
More informationANTIBODIES TO RUMINANT ALPHA-HERPESVIRUSES AND PESTIVIRUSES IN NORWEGIAN CERVIDS
ANTIBODIES TO RUMINANT ALPHA-HERPESVIRUSES AND PESTIVIRUSES IN NORWEGIAN CERVIDS Author(s): Atle Lillehaug, Turid Vikøren, Inger-Lise Larsen, Johan Åkerstedt, Jorun Tharaldsen, and Kjell Handeland Source:
More information#46: DIGITAL TOMOSYNTHESIS: What is the Data Really Showing? TERMS (AKA) WHAT IS TOMOSYNTHESIS? 3/3/2014. Digital breast tomosynthesis =
#46: DIGITAL TOMOSYNTHESIS: What is the Data Really Showing? January K. Lopez, MD Hoag Breast Care Center Newport Beach, CA Disclosures: None TERMS (AKA) Digital breast tomosynthesis = DBT Tomo 3D Full
More informationMammographic features and correlation with biopsy findings using 11-gauge stereotactic vacuum-assisted breast biopsy (SVABB)
Original article Annals of Oncology 14: 450 454, 2003 DOI: 10.1093/annonc/mdh088 Mammographic features and correlation with biopsy findings using 11-gauge stereotactic vacuum-assisted breast biopsy (SVABB)
More informationALARA in mammography screening. Hilde Bosmans et al.
ALARA in mammography screening Hilde Bosmans et al. ALARA in the mammography Overview 1. Screening 2. The balance: 1. Image quality 2. Radiation dose 3. In practice Screening leeftijd Mammography Screening
More informationImproving Reading Time of Digital Breast Tomosynthesis with Concurrent Computer Aided Detection
White Paper Improving Reading Time of Digital Breast Tomosynthesis with Concurrent Computer Aided Detection WHITE PAPER 2 3 Abstract PowerLook Tomo Detection, a concurrent computer-aided detection (CAD)
More informationLearning and Earning with Gateway Professional Education CME/CEU Webinar Series. Breast Cancer Screening September 21, :00pm 1:00pm
Learning and Earning with Gateway Professional Education CME/CEU Webinar Series Breast Cancer Screening September 21, 2017 12:00pm 1:00pm Robert A. Smith, PhD Vice President, Cancer Screening American
More information10.2 Summary of the Votes and Considerations for Policy
CEPAC Voting and Policy Implications Summary Supplemental Screening for Women with Dense Breast Tissue December 13, 2013 The last CEPAC meeting addressed the comparative clinical effectiveness and value
More informationPublic Health Agency NORTHERN IRELAND BREAST SCREENING PROGRAMME ANNUAL REPORT & STATISTICAL BULLETIN QUALITY ASSURANCE REFERENCE CENTRE
Public Health Agency Improving Your Health and Wellbeing NORTHERN IRELAND BREAST SCREENING PROGRAMME ANNUAL REPORT & STATISTICAL BULLETIN 2010-2011 QUALITY ASSURANCE REFERENCE CENTRE August 2012 1 2 Contents
More informationMammographic imaging of nonpalpable breast lesions. Malai Muttarak, MD Department of Radiology Chiang Mai University Chiang Mai, Thailand
Mammographic imaging of nonpalpable breast lesions Malai Muttarak, MD Department of Radiology Chiang Mai University Chiang Mai, Thailand Introduction Contents Mammographic signs of nonpalpable breast cancer
More informationBreastScreen Singapore: Lessons Learnt
BreastScreen Singapore: Lessons Learnt Anushka Mangharam Manager, Screening Policy & Planning Department Regional Health & Community Outreach Division Health Promotion Board, Singapore Outline Singapore:
More informationThe Radiology Aspects
REQUIREMENTS FOR INTERNATIONAL ACCREDITATION OF BREAST CENTERS/UNITS The Radiology Aspects Miri Sklair-Levy, Israel RADIOLOGY GUIDELINES FOR QUALITY ASSURANCE IN BREAST CANCER SCREENING AND DIAGNOSIS Radiologists
More informationSurveillance and control programmes for terrestrial and aquatic animals in Norway
Norwegian Veterinary Institute Surveillance and control programmes for terrestrial and aquatic animals in Norway Annual Reports 2011 The surveillance and control programme for specific virus infections
More informationMulti-stakeholder meeting on the optimised use of CT scanners
Multi-stakeholder meeting on the optimised use of CT scanners The Process of CT dose optimisation through education and training and role of CT Manufacturers Dean Pekarovič EFRS - CT Expert Group EFRS
More informationMammographic density and risk of breast cancer by tumor characteristics: a casecontrol
Krishnan et al. BMC Cancer (2017) 17:859 DOI 10.1186/s12885-017-3871-7 RESEARCH ARTICLE Mammographic density and risk of breast cancer by tumor characteristics: a casecontrol study Open Access Kavitha
More informationSupplementary Online Content
Supplementary Online Content Schultz JK, Yaqub S, Wallon C, et al. Laparoscopic lavage vs primary resection for acute perforated diverticulitis: the SCANDIV randomized clinical trial. JAMA. doi:10.1001/jama.2015.12076
More informationQ. Where can I find out if my state currently requires stereotactic breast biopsy accreditation?
The American College of Radiology Stereotactic Breast Biopsy Accreditation Program: Frequently Asked Questions (Revised: September 7, 2017; updated questions in red) Table of Contents Application - General...
More informationHong Kong College of Radiologists Mammography Statement
Hong Kong College of Radiologists Mammography Statement The Hong Kong College of Radiologists would like to give the following comments concerning mammography. Mammography screening: Breast cancer is the
More informationIntroduction to Breast Density
Introduction to Breast Density A/Prof Wendy Ingman Breast Biology & Cancer Unit Ethical and Legal Considerations in Breast Density Workshop 2018 In this presentation My interest in breast density What
More informationMammography limitations. Clinical performance of digital breast tomosynthesis compared to digital mammography: blinded multi-reader study
Clinical performance of digital breast tomosynthesis compared to digital mammography: blinded multi-reader study G. Gennaro (1), A. Toledano (2), E. Baldan (1), E. Bezzon (1), C. di Maggio (1), M. La Grassa
More informationRetrospective study comparison of Arcadia Lab s Galileo and Parascript AccuDetect Galileo CAD systems in screening environment.
Retrospective study comparison of Arcadia Lab s Galileo and Parascript AccuDetect Galileo CAD systems in screening environment July 2011 Parascript Page 1 7/8/2011 Investigators Dr. Rossano Girometti (Researcher),
More informationRetrospective Study Comparison of Arcadia Lab s Galileo and Parascript AccuDetect Galileo CAD systems in screening environment.
White Paper Retrospective Study Comparison of Arcadia Lab s Galileo and Parascript AccuDetect Galileo CAD systems in screening environment Takeaway AccuDetect Galileo performs significantly better than
More informationBREAST DENSITY WHAT IS IT? WHY IS IT IMPORTANT? & What IOWA SF250 Means to Patients and Providers
BREAST DENSITY WHAT IS IT? WHY IS IT IMPORTANT? & What IOWA SF250 Means to Patients and Providers Arnold Honick, MD Radiology Consultants of Iowa, PLC ahonick@rciowa.com BREAST DENSITY LEGISLATION Nancy
More informationCT Lung Screening Implementation Challenges: State Based Initiatives
CT Lung Screening Implementation Challenges: State Based Initiatives Andrea McKee, MD Chair Radiation Oncology Lahey Hospital and Medical Center Co-Director Rescue Lung, Rescue Life Program Co-Chair Massachusetts
More informationRisk of breast cancer after false- positive results in mammographic screening
Cancer Medicine ORIGINAL RESEARCH Open Access Risk of breast cancer after false- positive results in mammographic screening Marta Román 1,2, Xavier Castells 3,4, Solveig Hofvind 1,5 & My von Euler-Chelpin
More information