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      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

      case-report
      1 , 2 , , 3 , 4 , 5 , 6 , 7 , 8 , 9 ,   10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 8 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 8 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 2 , 47 , 48 , 49
      European Radiology
      Springer Berlin Heidelberg
      Breast cancer, Population-based screening, Digital mammography, Digital breast tomosynthesis (DBT), Recall rate

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          Abstract

          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 5069 years.

          Extension to 7375 and from 4045 to 49 years is also encouraged.

          Digital mammography ( not film- screen or computer radiography) should be used.

          DBT is set to becomeroutine mammographyin the screening setting in the next future.

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          Most cited references30

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          Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society.

          Breast cancer is a leading cause of premature mortality among US women. Early detection has been shown to be associated with reduced breast cancer morbidity and mortality.
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            Magnetic resonance imaging of the breast: recommendations from the EUSOMA working group.

            The use of breast magnetic resonance imaging (MRI) is rapidly increasing. EUSOMA organised a workshop in Milan on 20-21st October 2008 to evaluate the evidence currently available on clinical value and indications for breast MRI. Twenty-three experts from the disciplines involved in breast disease management - including epidemiologists, geneticists, oncologists, radiologists, radiation oncologists, and surgeons - discussed the evidence for the use of this technology in plenary and focused sessions. This paper presents the consensus reached by this working group. General recommendations, technical requirements, methodology, and interpretation were firstly considered. For the following ten indications, an overview of the evidence, a list of recommendations, and a number of research issues were defined: staging before treatment planning; screening of high-risk women; evaluation of response to neoadjuvant chemotherapy; patients with breast augmentation or reconstruction; occult primary breast cancer; breast cancer recurrence; nipple discharge; characterisation of equivocal findings at conventional imaging; inflammatory breast cancer; and male breast. The working group strongly suggests that all breast cancer specialists cooperate for an optimal clinical use of this emerging technology and for future research, focusing on patient outcome as primary end-point. Copyright (c) 2010 Elsevier Ltd. All rights reserved.
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              Comparison of digital mammography alone and digital mammography plus tomosynthesis in a population-based screening program.

              To assess cancer detection rates, false-positive rates before arbitration, positive predictive values for women recalled after arbitration, and the type of cancers detected with use of digital mammography alone and combined with tomosynthesis in a large prospective screening trial.
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                Author and article information

                Contributors
                +390252774626 , francesco.sardanelli@unimi.it
                Journal
                Eur Radiol
                Eur Radiol
                European Radiology
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0938-7994
                1432-1084
                2 November 2016
                2 November 2016
                2017
                : 27
                : 7
                : 2737-2743
                Affiliations
                [1 ]ISNI 0000 0004 1757 2822, GRID grid.4708.b, Department of Biomedical Sciences for Health, , University of Milan, ; Milan, Italy
                [2 ]ISNI 0000 0004 1766 7370, GRID grid.419557.b, Department of Radiology, , Research Hospital Policlinico San Donato, ; Via Morandi 30, 20097 San Donato Milanese, Milan Italy
                [3 ]ISNI 0000 0000 9753 1393, GRID grid.412008.f, Department of Radiology, , Haukeland University Hospital, ; Jonas Lies vei 65, 5021 Bergen, Norway
                [4 ]ISNI 0000 0004 1771 4667, GRID grid.411349.a, Department of Radiology, , Reina Sofía Hospital, ; Avda. Menéndez Pidal, s/n 14004 Córdoba, Spain
                [5 ]ISNI 0000 0000 9241 5705, GRID grid.24381.3c, Department of Radiology, , Karolinska University Hospital, ; Karolinska vägen, 171 76 Solna, Stockholm Sweden
                [6 ]ISNI 0000 0004 0368 8146, GRID grid.414725.1, Department of Radiology, , Meander Medical Center, ; Maatweg 3, 3813 Amersfoort, The Netherlands
                [7 ]ISNI 0000 0001 2284 9388, GRID grid.14925.3b, Department of Radiology, , Gustave-Roussy Institute, ; 114 Rue Edouard Vaillant, 94800 Villejuif, France
                [8 ]ISNI 0000 0000 9259 8492, GRID grid.22937.3d, Department 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
                [9 ]Clinic of Radiology, University Clinical Center Sarajevo, Bolnička 25, 71000 Sarajevo, Bosnia and Herzegovina
                [10 ]ISNI 0000 0001 2218 4662, GRID grid.6363.0, Clinic of Radiology, Charité, , Universitätsmedizin Berlin, ; 10117 Berlin, Germany
                [11 ]Diagnostic Imaging Center, Institute of Oncology, Institutski put 4, 21204 Sremska Kamenica, Serbia
                [12 ]ISNI 0000 0001 2243 2806, GRID grid.6441.7, Radiology Department, National Cancer Institute, Santariskiu 1, , Vilnius University, ; Vilnius, Lithuania
                [13 ]ISNI 0000 0001 0657 4636, GRID grid.4808.4, Department of Diagnostic and Interventional Radiology, University Hospital ‘Dubrava’, , University of Zagreb School of Medicine, ; Avenija Gojka Šuška 6, 10000 Zagreb, Croatia
                [14 ]GRID grid.440284.e, Department of Radiology, , Hospital de la Ribera, ; Carretera de Corbera, Km. 1, 46600 Alzira, Valencia Spain
                [15 ]ISNI 0000 0001 0288 2594, GRID grid.411430.3, Radiology Unit, Hospices Civils de Lyon, , Centre Hospitalo-Universitaire Lyon Sud, ; 165 Chemin du Grand Revoyet, 69495 Pierre Bénite Cedex, France
                [16 ]ISNI 0000 0001 0440 1889, GRID grid.240404.6, Nottingham Breast Institute, , Nottingham University Hospitals, ; Hucknall Rd, Nottingham, NG5 1PB United Kingdom
                [17 ]ISNI 0000 0004 1937 116X, GRID grid.4491.8, Department of Radiology, , Charles University in Prague, ; First Faculty of Medicine, U Nemocnice 2, 128 08 Praha 2, Czech Republic
                [18 ]Department of Radiology, ImageRive, Rue de Rive 1, 1204 Genève, Switzerland
                [19 ]ISNI 0000 0004 0369 7552, GRID grid.411117.3, Department of Radiology, , Acibadem University Maslak Hospital, ; Buyukdere cd, Maslak, Sariyer, 34457 İstanbul, Turkey
                [20 ]ISNI 0000 0000 9009 9462, GRID grid.416266.1, Dundee Cancer Centre, Clinical Research Centre, , Ninewells Hospital, and Medical School, ; Tom McDonald Avenue, Dundee, UK
                [21 ]ISNI 0000 0000 8988 2476, GRID grid.11598.34, Division of General Radiology, Department of Radiology, , Medical University Graz, ; Auenbruggerplatz 9, 8036 Graz, Austria
                [22 ]ISNI 0000000121885934, GRID grid.5335.0, Department of Radiology, , University of Cambridge, ; Cambridge Biomedical Campus, Hills Road CB2 0QQ, Cambridge, UK
                [23 ]Institute of Radiology, ACC Steyr, Stadtplatz 30, 4400 Steyr, Austria
                [24 ]Department of Radiology, Mater Misericordiae University Hospital/BreastCheck, BreastCheck, 36 Eccles St, Dublin 7, Ireland
                [25 ]Referenzzentrum Mammographie Munchen, Sonnenstraße 29, 80331 Munich, Germany
                [26 ]GRID grid.479663.9, Diagnostic Department of Radiology, , Tokuda Hospital Sofia, ; 1407 Sofia, 51B N Vaptsarov Blvd., Bulgaria
                [27 ]ISNI 0000 0000 9894 0842, GRID grid.410540.4, Department of Radiology, , Landspitali University Hospital, ; 108 Reykjavik, Iceland
                [28 ]ISNI 0000 0001 0728 696X, GRID grid.1957.a, University Hospital of Aachen, , Rheinisch-Westfälische Technische Hochschule, ; Pauwelsstraße 30, 52074 Aachen, Germany
                [29 ]ISNI 0000 0004 0462 9789, GRID grid.452813.9, Radiotherapy I, , The Oncology Institute ‘Prof. Dr. Ion Chiricuta’, ; Cluj-Napoca, 34-36 Republicii Street, RO-400015 Romania
                [30 ]Department of Radiology Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Cracow Branch, Cracow, Poland
                [31 ]ISNI 0000 0004 0444 9382, GRID grid.10417.33, Department of Radiology, , Radboud University Nijmegen Medical Centre, ; Geert Grooteplein Zuid 10, 6525 GA Nijmegen, The Netherlands
                [32 ]ISNI 0000 0004 0631 0608, GRID grid.418711.a, Department of Radiology/Breast Imaging, , Instituto Português de Oncologia de Lisboa, ; Rua Professor Lima Basto, 1099-023 Lisboa, Portugal
                [33 ]GRID grid.419555.9, U.O. Radiodiagnostica, , Candiolo Cancer Institute - FPO, IRCCS, ; Str. Prov. 142, km 3.95, 10060, Candiolo, Turin, Italy
                [34 ]ISNI 0000 0004 0626 3303, GRID grid.410566.0, Genitourinary Radiology, , Ghent University Hospital, ; De Pintelaan 185, 9000 Gent, Belgium
                [35 ]Klinik für Radiologie, Neuroradiologie & Nuklearmedizin, Klinikum Frankfurt Hoechst, Frankfurt Germany
                [36 ]Diagnoscan, SZTE Radiológiai Klinika, Szeged, Semmelweis u. 6, 6725 Szeged, Hungary
                [37 ]ISNI 0000000417581884, GRID grid.18887.3e, Breast Imaging Unit, , Scientific Institute (IRCCS) Ospedale San Raffaele, ; Via Olgettina, 60, 20132 Milan, Italy
                [38 ]GRID grid.7841.a, Department of Radiological, Oncological and Pathological Sciences, , Sapienza University, ; Viale Regina Elena, 324, 00161 Rome, Italy
                [39 ]ISNI 0000000090126352, GRID grid.7692.a, Department of Imaging, , University Medical Centre Utrecht, ; Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
                [40 ]ISNI 0000 0004 4685 4917, GRID grid.412326.0, Department of Diagnostic Radiology, , Oulu University Hospital, ; Kajaanintie 50, 90220 Oulu, Finland
                [41 ]Department of Radiology and Medical Imaging, State University of Medicine and Pharmacy ‘Nicolae Testemitanu’, bul. St.cel Mare 165, Chisinau, MD 2012 Moldova
                [42 ]Italian Group for Mammographic Screening (GISMa); Senology Unit, Local Health Authority, Bologna, Italy
                [43 ]ISNI 0000 0001 2221 2926, GRID grid.17788.31, Marlene Greenebaum Diagnostic Breast Center, , Department of Radiology, Hadassah Hebrew University Hospital, ; Hadassah Ein Kerem Medical Center, 91120 Jerusalem, Israel
                [44 ]ISNI 0000 0001 1882 7776, GRID grid.183667.d, Clinic of Radiology, , Alexander Dubček University of Trenčín in Trenčín, Faculty of Healthcare, ; Študentská 2, 911 50, Trenčín, Slovakia
                [45 ]ISNI 0000 0004 0631 377X, GRID grid.454953.a, Radiology Centre, , North Estonia Medical Centre, ; 19 Sütiste Street, 13419 Tallinn, Estonia
                [46 ]ISNI 0000 0004 0638 8990, GRID grid.411572.4, Department of Radiology, , Hôpital Lapeyronie, ; 371 Av. du Doyen Gaston Giraud, 34295 Montpellier, France
                [47 ]Department of Radiology, Rigshospitalet Blegdamsvej and Glostrup, Mammography Screening Programme in Capital Region, Blegdamsvej 9, 2100 Copenhagen, Denmark
                [48 ]Diagnostic Mammography Center, Kifisias 362, Chalandri, 15233 Athens Greece
                [49 ]Duna Medical Center, Lechner Ödön fasor 7, 1095 Budapest, Hungary
                Author information
                http://orcid.org/0000-0001-6545-9427
                Article
                4612
                10.1007/s00330-016-4612-z
                5486792
                27807699
                22778ccb-565d-465e-b337-9fd5193ccfe3
                © The Author(s) 2016

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 14 June 2016
                : 29 August 2016
                : 15 September 2016
                Categories
                Breast
                Custom metadata
                © European Society of Radiology 2017

                Radiology & Imaging
                breast cancer,population-based screening,digital mammography,digital breast tomosynthesis (dbt),recall rate

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