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ARRS: Breast Cancer Detection Rates Go Up, Patient Recall Rates
Go Down With Consensus Double Reading
ATLANTA, GA -- April 29, 2002 -- Breast cancer detection rates
can be increased by almost 10 percent and the rate that women
are recalled for additional testing can be decreased by seven
percent if screening mammograms are consensus double read, a
new study indicates.
Consensus double reading means that each screening mammogram is
read by one radiologist. It is then re-read by another radiologist.
If they don't agree, a third radiologist is brought in to determine
whether the mammogram is suspicious and the woman needs to return
for additional tests, says Susan Harvey, MD, assistant professor
of radiology at the University of Vermont College of Medicine,
and lead author of the study.
The study included 15,985 screening mammograms. Of that, 2,110
women were recalled for additional tests, and biopsies confirmed
103 cancers, says Dr. Harvey. Consensus double reading was
responsible for detecting 10 of those cancers, increasing the
detection rate by 9.7 percent, she says. All the cancers were
very early stage, she says.
Consensus double reading saved 189 women from having to return
for additional tests, notes Dr. Harvey. None of these women,
at followup, had developed cancer, which indicates that consensus
double reading led to the correct diagnosis for these women,
she says.
"Last year, we did a study that looked at double reading of mammograms,
where one radiologist, then another, read each screening mammogram,"
says Dr. Harvey. If one of the two radiologists recommended
additional tests, the patient underwent the additional tests.
"We saw an increase in cancer detection and an increase in the
patient recall rate with double reading," says Dr. Harvey.
"Consensus
double reading has led to an even better cancer detection rate,
and a seven percent decrease in the patient recall rate, says
Dr. Harvey.
[04/30/2002; Doctor's Guide] www.docguide.com
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