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  1. Breast cancer screening.

    Article - En anglais

    Radiographic imaging of the breast began in the early years of the twentieth century.

    Continuous advances in film quality, energy sources, targets, grids, and filters have all contributed to superior image resolution.

    Federal quality standards now regulate screening mammography, and mass screening for breast cancer has become widely accepted in the United States.

    Wider application of screening has resulted in a dramatic apparent increase in incidence rates of breast cancer ; a large proportion of this increase is in ductal carcinoma in situ.

    During the past 30 years, nine prospective, randomized trials to evaluate the ability of screening mammography to reduce mortality from breast cancer have been completed.

    These trials show a 30% reduction in mortality for women ages 50-69 years, but the benefit to women aged 40-49 years remains uncertain.

    This uncertainty is largely attributable to the lack of properly designed and conducted studies to evaluate screening efficacy in younger women.

    Although there is no biological reason to predict poor screening performance in the younger age groups, the sensitivity of screening mammography is lower in younger women.

    Additional data suggest that screening intervals longer than 12 months are ineffective in women younger than 50 years.

    With shorter screening intervals, the cost associated with screening mammography is comparable to other life-saving measures widely applied in the population. (...)

    Mots-clés Pascal : Tumeur maligne, Glande mammaire, Technique, Mammographie, Dépistage, Evaluation performance, Age, Analyse coût efficacité, Economie santé, Etats Unis, Amérique du Nord, Amérique, Prévention, Homme, Glande mammaire pathologie, Radiodiagnostic, Imagerie médicale

    Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Technique, Mammography, Medical screening, Performance evaluation, Age, Cost efficiency analysis, Health economy, United States, North America, America, Prevention, Human, Mammary gland diseases, Radiodiagnosis, Medical imagery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0067203

    Code Inist : 002B20E02. Création : 14/05/1998.