J Korean Soc Radiol.  2019 Jan;80(1):8-18. 10.3348/jksr.2019.80.1.8.

A Systematic Review on Radiologists' Knowledge of Breast Cancer Screening

Affiliations
  • 1Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. rad-ksh@catholic.ac.kr

Abstract

Mammography screening has been shown to reduce breast cancer mortality and remains the primary screening method. However, the harms of false-positive results and over-diagnosis have recently been emphasized, and screening guidelines have been revised. Breast ultrasonography screening has the advantage of detecting mammographically occult breast cancers in dense breasts; however, false-positive results and rising medical costs due to increased biopsy recommendations create a problem. Till date, recommendations for breast ultrasonography screenings have not been established. Magnetic resonance imaging is recommended for women at high risk and has excellent sensitivity, but it is expensive and inferior in accessibility. This article reviews the benefits, harms, and guidelines of methods commonly used in breast cancer screening. This review also provides breast cancer screening methods according to individual breast cancer risk.


MeSH Terms

Biopsy
Breast Neoplasms*
Breast*
Early Detection of Cancer
Female
Humans
Magnetic Resonance Imaging
Mammography
Mass Screening*
Methods
Mortality
Ultrasonography, Mammary

Figure

  • Fig. 1. Screening recommendation according to breast cancer risk.


Cited by  1 articles

Automated Breast Ultrasound Screening for Dense Breasts
Sung Hun Kim, Hak Hee Kim, Woo Kyung Moon
Korean J Radiol. 2020;21(1):15-24.    doi: 10.3348/kjr.2019.0176.


Reference

References

1. Youlden DR, Cramb SM, Yip CH, Baade PD. Incidence and mortality of female breast cancer in the Asia-Pacific region.Cancer Biol Med. 2014; 11:101–115.
2. Korea Central Cancer Registry NCC.Annual report of cancer statistics in Korea in 2014. Sejong: Ministry of Health and Welfare;2016.
3. Korean Breast Cancer Society. Basic cancer facts and f/iigures 2017. Seoul: Korean Breast Cancer Society;2017.
4. The Global Cancer Observatory. International Association of Cancer Registiries. Available at.http://globo-can.iarc.fr/Pages/fact_sheets_cancer. Accessed Sep 1,. 2016.
5. Niell BL, Freer PE, Weinfurtner RJ, Arleo EK, Drukteinis JS. Screening for breast cancer. Radiol Clin North Am. 2017; 55:1145–1162.
Article
6. Tabár L, Yen AM, Wu WY, Chen SL, Chiu SY, Fann JC, et al. Insights from the breast cancer screening trials: how screening affects the natural history of breast cancer and implications for evaluating service screening programs.Breast J. 2015; 21:13–20.
7. Oeffinger KC, Fontham ET, Etzioni R, Herzig A, Michaelson JS, Shih YC, et al. Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society. JAMA. 2015; 314:1599–1614.
8. Shapiro S. Periodic screening for breast cancer: the HIP randomized controlled trial. Health Insurance Plan. J Natl Cancer Inst Monogr. 1997; 22:27–30.
9. Nyström L, Andersson I, Bjurstam N, Frisell J, Nordenskjöld B, Rutqvist LE. Long-term effects of mammography screening: updated overview of the Swedish randomised trials. Lancet. 2002; 359:909–919.
Article
10. Tabár L, Vitak B, Chen TH, Yen AM, Cohen A, Tot T, et al. Swedish two-county trial: impact of mammographic screening on breast cancer mortality during 3 decades. Radiology. 2011; 260:658–663.
Article
11. Alexander FE, Anderson TJ, Brown HK, Forrest AP, Hepburn W, Kirkpatrick AE, et al. 14 years of follow-up from the Edinburgh randomised trial of breast-cancer screening. Lancet. 1999; 353:1903–1908.
Article
12. Miller AB, Wall C, Baines CJ, Sun P, To T, Narod SA. Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial. BMJ. 2014.
Article
13. Kopans DB, Feig SA. The Canadian national breast screening study: a critical review.AJR Am J Roentgenol. 1993; 161:755–760.
14. Frisell J, Lidbrink E, Hellström L, Rutqvist LE. Followup after 11 years–update of mortality results in the Stockholm mammographic screening trial. Breast Cancer Res Treat. 1997; 45:263–270.
15. Bjurstam N, Björneld L, Warwick J, Sala E, Duffy SW, Nyström L, et al. The Gothenburg breast screening trial. Cancer. 2003; 97:2387–2396.
Article
16. G⊘tzsche PC, J⊘rgensen KJ. Screening for breast cancer with mammography.Cochrane Database Syst Rev. 2013; 6:CD001877.
17. Kim SY, Kim EK. Benefits and harms of breast screening: focused on updated Korean guideline for breast cancer screening. J Korean Soc Radiol. 2016; 74:147–155.
Article
18. Myers ER, Moorman P, Gierisch JM, Havrilesky LJ, Grimm LJ, Ghate S, et al. Benefits and harms of breast cancer screening: a systematic review. JAMA. 2015; 314:1615–1634.
19. Nelson HD, Pappas M, Cantor A, Griffin J, Daeges M, Humphrey L. Harms of breast cancer screening: systematic review to update the 2009 U.S. Preventive Services Task Force recommendation. Ann Intern Med. 2016; 164:256–267.
Article
20. Feig SA. Screening mammography benefit controversies: sorting the evidence. Radiol Clin North Am. 2014; 52:455–480.
21. Nelson HD. Mammography screening and overdiagnosis. JAMA Oncol. 2016; 2:261–262.
Article
22. Bleyer A, Welch HG. Effect of three decades of screening mammography on breast-cancer incidence. N Engl J Med. 2012; 367:1998–2005.
Article
23. Kopans DB. Breast-cancer tumor size and screening effectiveness. N Engl J Med. 2017; 376:93–94.
Article
24. Freer PE. Mammographic breast density: impact on breast cancer risk and implications for screening. Radiographics. 2015; 35:302–315.
Article
25. Siu AL. Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2016; 164:279–296.
Article
26. Monticciolo DL, Newell MS, Hendrick RE, Helvie MA, Moy L, Monsees B, et al. Breast cancer screening for average-risk women: recommendations from the ACR commission on breast imaging. J Am Coll Radiol. 2017; 14:1137–1143.
Article
27. Laine C, Dickersin K, Mulrow C. Time to douse the firestorm around breast cancer screening. Ann Intern Med. 2016; 164:303–304.
Article
28. Lee EH, Park B, Kim NS, Seo HJ, Ko KL, Min JW, et al. The Korean guideline for breast cancer screening. J Korean Med Assoc. 2015; 58:408–419.
Article
29. Trentham-Dietz A, Kerlikowske K, Stout NK, Miglioretti DL, Schechter CB, Ergun MA, et al. Tailoring breast cancer screening intervals by breast density and risk for women aged 50 years or older: collaborative modeling of screening outcomes. Ann Intern Med. 2016; 165:700–712.
Article
30. Boyd NF, Martin LJ, Yaffe MJ, Minkin S. Mammographic density and breast cancer risk: current understanding and future prospects. Breast Cancer Res. 2011; 13:223.
Article
31. Rajaram N, Mariapun S, Eriksson M, Tapia J, Kwan PY, Ho WK, et al. Differences in mammographic density between Asian and Caucasian populations: a comparative analysis. Breast Cancer Res Treat. 2017; 161:353362.
Article
32. Weigert J, Steenbergen S. The connecticut experiment: the role of ultrasound in the screening of women with dense breasts. Breast J. 2012; 18:517–522.
Article
33. Berg WA, Blume JD, Cormack JB, Mendelson EB, Lehrer D, Böhm-Vélez M, et al. Combined screening with ultrasound and mammography vs mammography alone in women at elevated risk of breast cancer. JAMA. 2008; 299:2151–2163.
Article
34. Ohuchi N, Suzuki A, Sobue T, Kawai M, Yamamoto S, Zheng YF, et al. Sensitivity and specificity of mammography and adjunctive ultrasonography to screen for breast cancer in the Japan Strategic Anti-cancer Randomized Trial (J-START): a randomised controlled trial. Lancet. 2016; 387:341–348.
Article
35. Brem RF, Lenihan MJ, Lieberman J, Torrente J. Screening breast ultrasound: past, present, and future. AJR Am J Roentgenol. 2015; 204:234–240.
Article
36. Berg WA, Bandos AI, Mendelson EB, Lehrer D, Jong RA, Pisano ED. Ultrasound as the primary screening test for breast cancer: analysis from ACRIN 6666. J Natl Cancer Inst. 2016; 108:djv367.
Article
37. Sprague BL, Stout NK, Schechter C, van Ravesteyn NT, Cevik M, Alagoz O, et al. Benefits, harms, and cost-effectiveness of supplemental ultrasonography screening for women with dense breasts. Ann Intern Med. 2015; 162:157–166.
Article
38. Berg WA, Gur D. Supplemental ultrasonography screening for women with dense breasts. Ann Intern Med. 2015; 162:801.
Article
39. Weigert JM. The connecticut experiment; the third installment: 4 years of screening women with dense breasts with bilateral ultrasound. Breast J. 2017; 23:34–39.
Article
40. Burkett BJ, Hanemann CW. A review of supplemental screening ultrasound for breast cancer: certain populations of women with dense breast tissue may benefit. Acad Radiol. 2016; 23:1604–1609.
41. Kuhl C, Weigel S, Schrading S, Arand B, Bieling H, König R, et al. Prospective multicenter cohort study to re fine management recommendations for women at elevated familial risk of breast cancer: the EVA trial.J Clin Oncol. 2010; 28:1450–1457.
42. Monticciolo DL, Newell MS, Moy L, Niell B, Monsees B, Sickles EA. Breast cancer screening in women at higher-than-average risk: recommendations from the ACR. J Am Coll Radiol. 2018; 15:408–414.
43. Vourtsis A, Berg WA. Breast density implications and supplemental screening. Eur Radiol. 2018. [In press].
Article
44. National Comprehensive Cancer Network.NCCN Clinical practice guidelines in oncology (NCCN guidelines). Genetic/familial high-r/iisk assessment: breast and ovarian. Fort. Washington: NCCN;2018.
45. National Cancer Institute. The Breast Cancer Risk Assessment Tool. Available at.https://www.cancer.gov/bcrisktool/download-source-code.aspx. Accessed May 11,. 2016.
46. Mainiero MB, Moy L, Baron P, Didwania AD, diFlorio RM, Green ED, et al. ACR Appropriateness Criteria® breast cancer screening. J Am Coll Radiol. 2017; 14:S383–S390.
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