
Breast screening in the UK
Expert warns that breast screening across the country needs to undergo a dramatic transformation over the next 15 years, Mark Nicholls reports.

Expert warns that breast screening across the country needs to undergo a dramatic transformation over the next 15 years, Mark Nicholls reports.

The daily management of around 700 examinations within the national mammography screening programme keeps Dr Ilse Vejborg and her team at Rigshospitalet pretty busy. ‘We have the largest screening unit in Denmark with 200,000 women aged 50-69 years in the target group invited for an examination every second year,’ she explains.

Films with vivid 3-D images draw millions to cinemas – regardless of the plot. This technology, which is based on a stereoscopic effect, is not only entertaining but also medically relevant, as demonstrated by the Amulet three-dimensional digital mammography system produced by Fujifilm.

Yes, it’s in beautiful Dresden again and -- as in 2006 when the city last hosted the Congress of the German Society for Senology -- this year’s Congress President is Professor Rüdiger Schulz-Wendtland (Department of Radiology, University of Erlangen). However, the repetition ends there; the congress topics will be anything but repeated. Report: Meike Lerner
Dr Bill Svensson believes that elastography has the potential to improve diagnosis of breast cancer, reduce the number of false positives in the detection of the condition and also lead to fewer biopsies performed as accuracy of imaging improves further. This June he highlighted the potential of elastography and the developments in the imaging modality at two sessions at the United Kingdom…

Oestrogen receptor (ER)-negative breast cancer, remains hard to treat despite major advances in surgery and adjuvant therapies. The latest results from a Swedish study [Pub: Breast Cancer Res. 2011 May 14;13(3):R49] suggest that a high daily intake of coffee -- more than five cups -- is associated with a statistically significant decrease in ER-negative breast cancer among postmenopausal women…

Every medical congress is an opportunity for the manufacturers to showcase their products. This year’s congress of the German Röntgen Society was no exception -- and one innovation particularly caught the attention of our European Hospital team: positron emission mammography, PEM for short.

Although powerful, new, targeted treatments are regularly introduced to cancer clinics, choices for the first-line treatment of invasive breast cancer normally lie between preventive surgery and chemotherapy. A recent American study used genomic prediction combining multiple signatures to determine outcomes to standard chemotherapy.

It’s digital mammography taken to the next level – or, so to speak, the next dimension as digital breast tomosynthesis (DBT) that provides high resolution 3-D imaging. For about two years this exciting technology has promised to become the magic bullet in the early detection of breast cancer, particularly in the dense breast.

SECure TRAnsmission, the main aim of a spin-off from the Linköping Institute of Technology, was established in 1978. From this beginning, the Swedish firm Sectra has evolved into one of the world’s leading players in PACS and mammography solutions. Although secure communication systems remains a core business, the medical section has constantly grown since 1988, when Dr Torbjörn Kronander…
Breast cancer can develop very differently in different women. Researchers in Norway are improving breast cancer diagnostics and treatment by identifying the various tumour types. The objective is to find out as much as possible about the various tumour types so that each patient can receive precisely the right treatment at the right time.

Tissue hardness provides radiologists and gynaecologists with significant information to help distinguish between benign and malignant tumours. Tumour tissue is harder and less malleable than normal glandular and fatty tissues. Therefore, the classification of tissue hardness determines whether a biopsy is necessary. For breast diagnoses, real-time tissue elastography, along with conventional…

High resolution radionuclide imaging is a technique increasingly used to detect breast cancers and has already been shown to offer improved diagnosis in many clinical situations. The technique, which will be discussed at RSNA 2010 (28 November to 3 December, Chicago) , is also allowing clinicians to detect previously unknown areas of breast cancer in women with newly-diagnosed disease.

Digital breast tomosynthesis (DBT) is a promising new technology that acquires 3-D breast images. The individual images are presented as thin, high-resolution slices, which can be displayed individually or in a dynamic cine mode. Preliminary studies in a clinical setting have demonstrated that this new technology has the potential to improve not only the breast cancer detection but also to reduce…

It’s been around for decades, re-emerged in the ’90s and, today, experts see a bright future for tomosynthesis technology. Thus its progress and future developments, plus specialist uses (e.g. breast) will be a particular feature at the Radiological Society of North America scientific assembly and annual meeting in Chicago this year.

Women could be undergoing unnecessary breast surgery as a result of having magnetic resonance imaging, says an expert on bmj.com. In the last decade, says Malcolm Kell, Consultant Surgeon and Senior Lecturer at the Eccles Breast Screening Unit at University College Dublin, MRI or magnetic resonance mammography has become the most favoured type of investigation for high risk patients when combined…

Invited by Dr Mahdi Rezai, medical director of the breast centre at Luisen Hospital in Düsseldorf, Germany, and founder of the European Academy of Senology, some 1,400 international specialists attended the 8th Düsseldorf Breast Cancer Conference this June where leading experts evaluated new imaging methods.

Innovative technologies such as elastography, shearwave and 3-D have been cause for euphoria in today’s ultrasound world. The most recent development in breast imaging also has the potential to revolutionise this field, because the Automated Volume Breast Scanner (ABVS) is allowing user-independent and reproducible image acquisition for the first time.

The Italian firm Internazionale Medico Scientifica (IMS) produces highly innovative mammography units under the brand name Giotto. More than 3,500 Giotto systems are now in use in 38 countries, mostly in Europe, America, China and the Far East. Reason enough for European Hospital to visit IMS in Pontecchio Marconi, Bologna.

Standard mammography is the most relevant diagnostic tool to address breast cancer: It shows excellent image quality, a smooth workflow, high connectivity and a very good clinical outcome in terms of sensitivity and specificity. However, there are certain shortcomings to it, especially in dense breast tissue.

White nights in St Petersburg draw in not only romantics, but June in this beautiful city also sees thousands of delegates arrive to attend the many scientific conferences and congresses. Among oncologists, the ‘white nights’ period means another annual scientific conference organised by the NN Petrov Research Institute of Oncology. For its continuing focus on breast cancer, the halls are…

During his Honorary Lecture at the 8th Düsseldorf Breast Cancer Conference in Germany world renowned surgeon and oncologist Prof. Veronesi reflected about the prevention and treatment of breast cancer.

A study looking at breast cancer patients in England compared to those in Norway and Sweden has highlighted the importance of early detection. The three-country comparison reveals that every year almost 1,000 more lives could be saved in England alone.

The German Senology Society has campaigned for women’s breast health for 30 years. Founded in 1980 on the then very novel concept of organ-related, interdisciplinary, scientific cooperation, today a large percentage of the society’s 1,800 members are gynaecologists, radiologists, surgeons and internists.

The overall success of MRI in diagnosing breast cancer and the exploding demand for breast MRI, in particular, have caused a scanner shortage in much of Europe. Dr Jean-Pierre Pruvo, Chairman of the French Society of Radiology, recently raised the alarm: ‘We have hundreds of thousands of women in France at risk for breast cancer, yet we do not have the means to provide a breast examination by…