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    European radiology. doi: 10.1007/s00330-016-4612-z. pii: 10.1007/s00330-016-4612-z
    Position paper on screening for breast cancer by the European Society of Breast Imaging (EUSOBI) and 30 national breast radiology bodies from Austria, Belgium, Bosnia and Herzegovina, Bulgaria, Croatia, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Israel, Lithuania, Moldova, The Netherlands, Norway, Poland, Portugal, Romania, Serbia, Slovakia, Spain, Sweden, Switzerland and Turkey.
    Sardanelli F1,  Aase HS2,  Álvarez M3,  Azavedo E4,  Baarslag HJ5,  Balleyguier C6,  Baltzer PA7,  Beslagic V8,  Bick U9,  Bogdanovic-Stojanovic D10,  Briediene R11,  Brkljacic B12,  Camps Herrero J13,  Colin C14,  Cornford E15,  Danes J16,  de Geer G17,  Esen G18,  Evans A19,  Fuchsjaeger MH20,  Gilbert FJ21,  Graf O22,  Hargaden G23,  Helbich TH24,  Heywang-Köbrunner SH25,  Ivanov V26,  Jónsson Á27,  Kuhl CK28,  Lisencu EC29,  Luczynska E30,  Mann RM31,  Marques JC32,  Martincich L33,  Mortier M34,  Müller-Schimpfle M35,  Ormandi K36,  Panizza P37,  Pediconi F38,  Pijnappel RM39,  Pinker K40,  Rissanen T41,  Rotaru N42,  Saguatti G43,  Sella T44,  Slobodníková J45,  Talk M46,  Taourel P47,  Trimboli RM48,  Vejborg I49,  Vourtsis A50,  Forrai G51
    Author information
    1Department of Biomedical Sciences for Health, University of Milan, Milan, Italy. francesco.sardanelli@unimi.it.
    2Department of Radiology, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.
    3Department of Radiology, Reina Sofía Hospital, Avda. Menéndez Pidal, s/n 14004, Córdoba, Spain.
    4Department of Radiology, Karolinska University Hospital, Karolinska vägen, 171 76, Solna, Stockholm, Sweden.
    5Department of Radiology, Meander Medical Center, Maatweg 3, 3813, Amersfoort, The Netherlands.
    6Department of Radiology, Gustave-Roussy Institute, 114 Rue Edouard Vaillant, 94800, Villejuif, France.
    7Department of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna/Vienna General Hospital, Währinger Gürtel 18-20, 1090, Wien, Austria.
    8Clinic of Radiology, University Clinical Center Sarajevo, Bolnička 25, 71000, Sarajevo, Bosnia and Herzegovina.
    9Clinic of Radiology, Charité, Universitätsmedizin Berlin, 10117, Berlin, Germany.
    10Diagnostic Imaging Center, Institute of Oncology, Institutski put 4, 21204, Sremska Kamenica, Serbia.
    11Radiology Department, National Cancer Institute, Santariskiu 1, Vilnius University, Vilnius, Lithuania.
    12Department of Diagnostic and Interventional Radiology, University Hospital 'Dubrava', University of Zagreb School of Medicine, Avenija Gojka Šuška 6, 10000, Zagreb, Croatia.
    13Department of Radiology, Hospital de la Ribera, Carretera de Corbera, Km. 1, 46600, Alzira, Valencia, Spain.
    14Radiology Unit, Hospices Civils de Lyon, Centre Hospitalo-Universitaire Lyon Sud, 165 Chemin du Grand Revoyet, 69495, Pierre Bénite Cedex, France.
    15Nottingham Breast Institute, Nottingham University Hospitals, Hucknall Rd, Nottingham, NG5 1PB, United Kingdom.
    16Department of Radiology, Charles University in Prague, First Faculty of Medicine, U Nemocnice 2, 128 08, Praha 2, Czech Republic.
    17Department of Radiology, ImageRive, Rue de Rive 1, 1204, Genève, Switzerland.
    18Department of Radiology, Acibadem University Maslak Hospital, Buyukdere cd, Maslak, Sariyer, 34457, İstanbul, Turkey.
    19Dundee Cancer Centre, Clinical Research Centre, Ninewells Hospital, and Medical School, Tom McDonald Avenue, Dundee, UK.
    20Division of General Radiology, Department of Radiology, Medical University Graz, Auenbruggerplatz 9, 8036, Graz, Austria.
    21Department of Radiology, University of Cambridge, Cambridge Biomedical Campus, Hills Road CB2 0QQ, Cambridge, UK.
    22Institute of Radiology, ACC Steyr, Stadtplatz 30, 4400, Steyr, Austria.
    23Department of Radiology, Mater Misericordiae University Hospital/BreastCheck, BreastCheck, 36 Eccles St, Dublin 7, Ireland.
    24Department of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna/Vienna General Hospital, Währinger Gürtel 18-20, 1090, Wien, Austria.
    25Referenzzentrum Mammographie Munchen, Sonnenstraße 29, 80331, Munich, Germany.
    26Diagnostic Department of Radiology, Tokuda Hospital Sofia, 1407, Sofia, 51B N Vaptsarov Blvd., Bulgaria.
    27Department of Radiology, Landspitali University Hospital, 108, Reykjavik, Iceland.
    28University Hospital of Aachen, Rheinisch-Westfälische Technische Hochschule, Pauwelsstraße 30, 52074, Aachen, Germany.
    29Radiotherapy I, The Oncology Institute 'Prof. Dr. Ion Chiricuta', Cluj-Napoca, 34-36 Republicii Street, RO-400015, Romania.
    30Department of Radiology Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Cracow Branch, Cracow, Poland.
    31Department of Radiology, Radboud University Nijmegen Medical Centre, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.
    32Department of Radiology/Breast Imaging, Instituto Português de Oncologia de Lisboa, Rua Professor Lima Basto, 1099-023, Lisboa, Portugal.
    33U.O. Radiodiagnostica, Candiolo Cancer Institute - FPO, IRCCS, Str. Prov. 142, km 3.95, 10060, Candiolo, Turin, Italy.
    34Genitourinary Radiology, Ghent University Hospital, De Pintelaan 185, 9000, Gent, Belgium.
    35Klinik für Radiologie, Neuroradiologie & Nuklearmedizin, Klinikum Frankfurt Hoechst, Frankfurt, Germany.
    36Diagnoscan, SZTE Radiológiai Klinika, Szeged, Semmelweis u. 6, 6725, Szeged, Hungary.
    37Breast Imaging Unit, Scientific Institute (IRCCS) Ospedale San Raffaele, Via Olgettina, 60, 20132, Milan, Italy.
    38Department of Radiological, Oncological and Pathological Sciences, Sapienza University, Viale Regina Elena, 324, 00161, Rome, Italy.
    39Department of Imaging, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
    40Department of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna/Vienna General Hospital, Währinger Gürtel 18-20, 1090, Wien, Austria.
    41Department of Diagnostic Radiology, Oulu University Hospital, Kajaanintie 50, 90220, Oulu, Finland.
    42Department of Radiology and Medical Imaging, State University of Medicine and Pharmacy 'Nicolae Testemitanu', bul. St.cel Mare 165, Chisinau, MD 2012, Moldova.
    43Italian Group for Mammographic Screening (GISMa); Senology Unit, Local Health Authority, Bologna, Italy.
    44Marlene Greenebaum Diagnostic Breast Center, Department of Radiology, Hadassah Hebrew University Hospital, Hadassah Ein Kerem Medical Center, 91120, Jerusalem, Israel.
    45Clinic of Radiology, Alexander Dubček University of Trenčín in Trenčín, Faculty of Healthcare, Študentská 2, 911 50, Trenčín, Slovakia.
    46Radiology Centre, North Estonia Medical Centre, 19 Sütiste Street, 13419, Tallinn, Estonia.
    47Department of Radiology, Hôpital Lapeyronie, 371 Av. du Doyen Gaston Giraud, 34295, Montpellier, France.
    48Department of Radiology, Research Hospital Policlinico San Donato, Via Morandi 30, 20097, San Donato Milanese, Milan, Italy.
    49Department of Radiology, Rigshospitalet Blegdamsvej and Glostrup, Mammography Screening Programme in Capital Region, Blegdamsvej 9, 2100, Copenhagen, Denmark.
    50Diagnostic Mammography Center, Kifisias 362, Chalandri, 15233, Athens, Greece.
    51Duna Medical Center, Lechner Ödön fasor 7, 1095, Budapest, Hungary.
    Abstract

    EUSOBI and 30 national breast radiology bodies support mammography for population-based screening, demonstrated to reduce breast cancer (BC) mortality and treatment impact. According to the International Agency for Research on Cancer, the reduction in mortality is 40 % for women aged 50-69 years taking up the invitation while the probability of false-positive needle biopsy is <1 % per round and overdiagnosis is only 1-10 % for a 20-year screening. Mortality reduction was also observed for the age groups 40-49 years and 70-74 years, although with "limited evidence". Thus, we firstly recommend biennial screening mammography for average-risk women aged 50-69 years; extension up to 73 or 75 years, biennially, is a second priority, from 40-45 to 49 years, annually, a third priority. Screening with thermography or other optical tools as alternatives to mammography is discouraged. Preference should be given to population screening programmes on a territorial basis, with double reading. Adoption of digital mammography (not film-screen or phosphor-plate computer radiography) is a priority, which also improves sensitivity in dense breasts. Radiologists qualified as screening readers should be involved in programmes. Digital breast tomosynthesis is also set to become "routine mammography" in the screening setting in the next future. Dedicated pathways for high-risk women offering breast MRI according to national or international guidelines and recommendations are encouraged.

    KEY POINTS: • EUSOBI and 30 national breast radiology bodies support screening mammography. • A first priority is double-reading biennial mammography for women aged 50-69 years. • Extension to 73-75 and from 40-45 to 49 years is also encouraged. • Digital mammography (not film-screen or computer radiography) should be used. • DBT is set to become "routine mammography" in the screening setting in the next future.


    KEYWORDS: Breast cancer, Digital breast tomosynthesis (DBT), Digital mammography, Population-based screening, Recall rate

    Publikations ID: 27807699
    Quelle: öffnen
     
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