Breast cancer screening: No added value through mammography

Wednesday, March 17, 2010 - 08:28 in Health & Medicine

Do we need a revision of current recommendations for breast cancer screening? According to a recent prospective multicentre cohort study published in the 'Journal of Clinical Oncology,' this appears advisable at least for young women carrying an increased risk of breast cancer. The results of the EVA trial confirm once more that magnetic resonance imaging (MRI) is substantially more accurate for early diagnosis of breast cancer than digital mammography or breast ultrasound: MRI is three times more sensitive for breast cancer than digital mammography. For the EVA trial, almost 700 women were enrolled. Aim of the trial was to refine existing guidelines for surveillance of women at high and moderately increased risk of breast cancer. Findings suggest that in these women, MRI is essential for early diagnosis - and that a mammogram or an ultrasound examination does not increase the 'cancer yield' compared to what is achieved by MRI alone....

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