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

• Published in: European Radiology
• Main Authors: Sardanelli, F., Noi, A., Rotaru, N.I., Ротару, Н.
• Format: Article in Journal/Newspaper
• Language: English
• Published: 2017
• Subjects: breast cancer; Digital mammography; Digital breast tomosynthesis (DBT); Population-based screening; Recall rate; Iceland
• Online Access: https://ibn.idsi.md/vizualizare_articol/59341; https://doi.org/10.1007/s00330-016-4612-z

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 40nbsp;% for women aged 50ndash;69nbsp;years taking up the invitation while the probability of false-positive needle biopsy is 1nbsp;% per round and overdiagnosis is only 1ndash;10nbsp;% for a 20-year screening. Mortality reduction was also observed for the age groups 40ndash;49nbsp;years and 70ndash;74nbsp;years, although with ldquo;limited evidencerdquo;. Thus, we firstly recommend biennial screening mammography for average-risk women aged 50ndash;69nbsp;years; extension up to 73 or 75nbsp;years, biennially, is a second priority, from 40ndash;45 to 49nbsp;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 ldquo;routine mammographyrdquo; 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: bull; EUSOBI and 30 national breast radiology bodies support screening mammography. bull; A first priority is double-reading biennial mammography for women aged 50ndash;69nbsp;years. bull; Extension to 73ndash;75 and from 40ndash;45 to 49nbsp;years is also encouraged. bull; Digital mammography not film-screen or computer radiography should be used. bull; DBT is set to become ldquo;routine mammographyrdquo; in the screening setting in the next future.