Results of Two-Years Mammographic Screening in the Kaluga Region
Objective: approbation of the project of mass breast cancer mammographic screening in the Kaluga Region.Material and methods. From April 2018 to December 2019, screening mammography was performed in 35,439 women aged from 38 to 93 years (mean age 57.33 ± 8.07 years). The study was carried out on mob...
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Luchevaya Diagnostika, LLC
2022-10-01
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| Series: | Вестник рентгенологии и радиологии |
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| Online Access: | https://www.russianradiology.ru/jour/article/view/737 |
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| author | K. S. Drzhevetskaya G. P. Korzhenkova |
| author_facet | K. S. Drzhevetskaya G. P. Korzhenkova |
| author_sort | K. S. Drzhevetskaya |
| collection | DOAJ |
| description | Objective: approbation of the project of mass breast cancer mammographic screening in the Kaluga Region.Material and methods. From April 2018 to December 2019, screening mammography was performed in 35,439 women aged from 38 to 93 years (mean age 57.33 ± 8.07 years). The study was carried out on mobile mammography complexes assembled on Russian KamAZ vehicles with Russian-made equipment from Amiko company. Mammography was performed in frontal and oblique projections. BI-RADS ACR international classification was used to standardize the identified changes and assess the sensitivity and specificity of the study method.Results. Out of the total number of women examined, pathological changes (BI-RADS IV–V) were assumed according to mammography data in 778 (2.2%) cases, of which 700 (1.98%) patients appealed to an oncological institution. Benign processes were found in 394 (1.11%) patients, breast cancer in 164 (0.46%). Without verification of the diagnosis, 137 (0.39%) patients remained under the supervision of oncologists. Distribution of detected tumors by stages for 2 years of observation: stage 0 – 7, stage 1 – 73, stage 2 – 56, stage 3 – 13, stage 4 – 3. The stage was not set in 4 cases. The total number of those examined with verification of the diagnosis in the oncological institution was 596. The proportion of correct diagnoses was 94%. The total number of diagnostic errors that would occur in the absence of a true double scan accounted for 36 (6%) cases.Conclusion. The proposed screening method makes it possible to increase the breast cancer detection in the early preclinical stages of the disease, to provide the available diagnostics for the population due to mobile mammography complexes, and to speed up the process of diagnostics and further hospitalization for examination and necessary treatment according to the disease stage in a specialized oncological institution. |
| format | Article |
| id | doaj-art-0db01499c5514cc8b6129bbe0f9f3cbc |
| institution | Kabale University |
| issn | 0042-4676 2619-0478 |
| language | English |
| publishDate | 2022-10-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj-art-0db01499c5514cc8b6129bbe0f9f3cbc2025-08-20T03:58:45ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782022-10-011034-6182710.20862/0042-4676-2022-103-4-6-18-27415Results of Two-Years Mammographic Screening in the Kaluga RegionK. S. Drzhevetskaya0G. P. Korzhenkova1Russian Medical Academy of Continuous Professional EducationRussian Medical Academy of Continuous Professional Education; Blokhin National Medical Research Center of OncologyObjective: approbation of the project of mass breast cancer mammographic screening in the Kaluga Region.Material and methods. From April 2018 to December 2019, screening mammography was performed in 35,439 women aged from 38 to 93 years (mean age 57.33 ± 8.07 years). The study was carried out on mobile mammography complexes assembled on Russian KamAZ vehicles with Russian-made equipment from Amiko company. Mammography was performed in frontal and oblique projections. BI-RADS ACR international classification was used to standardize the identified changes and assess the sensitivity and specificity of the study method.Results. Out of the total number of women examined, pathological changes (BI-RADS IV–V) were assumed according to mammography data in 778 (2.2%) cases, of which 700 (1.98%) patients appealed to an oncological institution. Benign processes were found in 394 (1.11%) patients, breast cancer in 164 (0.46%). Without verification of the diagnosis, 137 (0.39%) patients remained under the supervision of oncologists. Distribution of detected tumors by stages for 2 years of observation: stage 0 – 7, stage 1 – 73, stage 2 – 56, stage 3 – 13, stage 4 – 3. The stage was not set in 4 cases. The total number of those examined with verification of the diagnosis in the oncological institution was 596. The proportion of correct diagnoses was 94%. The total number of diagnostic errors that would occur in the absence of a true double scan accounted for 36 (6%) cases.Conclusion. The proposed screening method makes it possible to increase the breast cancer detection in the early preclinical stages of the disease, to provide the available diagnostics for the population due to mobile mammography complexes, and to speed up the process of diagnostics and further hospitalization for examination and necessary treatment according to the disease stage in a specialized oncological institution.https://www.russianradiology.ru/jour/article/view/737breast cancerscreeningbi-rads systemquality controlmammography |
| spellingShingle | K. S. Drzhevetskaya G. P. Korzhenkova Results of Two-Years Mammographic Screening in the Kaluga Region Вестник рентгенологии и радиологии breast cancer screening bi-rads system quality control mammography |
| title | Results of Two-Years Mammographic Screening in the Kaluga Region |
| title_full | Results of Two-Years Mammographic Screening in the Kaluga Region |
| title_fullStr | Results of Two-Years Mammographic Screening in the Kaluga Region |
| title_full_unstemmed | Results of Two-Years Mammographic Screening in the Kaluga Region |
| title_short | Results of Two-Years Mammographic Screening in the Kaluga Region |
| title_sort | results of two years mammographic screening in the kaluga region |
| topic | breast cancer screening bi-rads system quality control mammography |
| url | https://www.russianradiology.ru/jour/article/view/737 |
| work_keys_str_mv | AT ksdrzhevetskaya resultsoftwoyearsmammographicscreeninginthekalugaregion AT gpkorzhenkova resultsoftwoyearsmammographicscreeninginthekalugaregion |