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Fewer places for women to get mammograms, new study says

By Jacquelyn Cole - Scripps Howard Foundation WireMammography remains the best tool to help reduce breast cancer mortality rates, but there are fewer places for women to get the test and fewer people to interpret the results.

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Microsoft June 11, 2004 (AXcess News/SHFW) Washington - Mammography remains the best tool to help reduce breast cancer mortality rates, but there are fewer places for women to get the test and fewer people to interpret the results, a study released Thursday says.

  • For women older than age 50, regular mammograms (every 1 to 2 years) are recommended.
  • For women between the ages of 40 and 50, the benefits of mammogram are not as clear. Talk with your health professional to determine when to start and how often to have a mammogram. Some organizations recommend mammograms every 1 to 2 years while others recommend mammograms every year. Most organizations recommend that women have their first mammogram at age 40.
  • Your health professional may recommend testing more often if you have risk factors for breast cancer. Any woman with a personal or family history of breast cancer is recommended to have yearly mammograms.

Laptop Computers The report, "Saving Women's Lives," by the Institute of Medicine and National Research Council says its findings highlight serious obstacles to early detection and diagnosis of breast cancer.

ray. rays before the age of 20 had a 2.5 times increased risk of developing breast cancer before they turned 40, rays. Goldgar, who is now at the University of Utah, ray risk in the study affected younger women, risk women don't start having mammograms until they are in their 30s. "Most of the risk is from exposure at younger ages, " he said. "I don't think a woman should stop having mammograms at age 35."

Laptop Computer "We answered the question, 'Which approaches are most likely to save the most lives?'" said Dr. Martin Abeloff, director of the Johns Hopkins Cancer Center and study researcher. At a press conference, Abeloff called mammography "the most powerful tool at our disposal."Mammography helps reduce breast cancer mortality because it is the most effective means of detecting and diagnosing breast cancer in its early stages, the report says.

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Desktop Computer But, as Abeloff put it, "Mammography is not perfect."

Notebooks Studies show women do not receive mammograms because they misperceive their breast cancer risk. This is especially common among older women who receive mammograms less often as they advance in age - at just the time when their risk increases, Abeloff said.Advertisement

Lenovo The report, the result of an 18-month study, also says mammography is facing what Alberoff called a "crisis in capacity," with the number of mammography facilities declining by 8.5 percent in the past three years.There is also a shortage of breast imagers, the report says. Only 20,000 radiologists in the U.S. can interpret mammograms, and only about 2,000 of those specialize in breast imaging.

Hard Drive That there are so few medical personnel capable of reading mammograms is due to several factors, including fear of lawsuits - misdiagnosis of breast cancer is the leading cause of medical malpractice - and low reimbursement for long hours, Alberoff said.In an effort to reduce the workloads of radiologists, the report recommends changing mammography procedures to reflect practices used in the United Kingdom. In the U.K., non-physicians trained in breast imaging, pre-screen or double read mammograms under the supervision of a breast-imaging specialist, the report says.

Travelstar New technology could also improve mammography procedures.Dr. Etta Pisanto, director of breast imaging at University of North Carolina hospitals, said doctors are studying several new procedures that could improve breast cancer detection and diagnosis.

Gateway Two studies are testing the effectiveness of magnetic resonance imaging and ultrasound to locate breast cancer in high-risk women. Both studies will be completed in five years. Pisanto heads a study testing the benefits of digital mammography, the results of which should be available in one year, she said.

Laptop Parts One of the most important areas in which technological improvement is needed is determining risk, Alberoff said. "But it's not an exact science," he said.To determine risk, doctors use factors such as age and sex. A second set of factors, including family history and a woman

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