Content, readability, and understandability of dense breast notifications by state
A partir de données portant sur 452 320 procédures d'imagerie du sein aux Etats-Unis, cette étude évalue, en fonction de la densité mammaire, les taux de détection et de rappel associés à l'ajout d'un examen par tomosynthèse à une mammographie numérique
Along with their screening mammogram results, women in nearly half of US states also receive notifications of breast density, a result of legislation intended to assist in making personalized decisions about further action. Dense breasts can mask cancer on mammography (masking bias), and are an independent cancer risk factor, but evidence does not yet indicate whether or what supplemental screening is appropriate. Rather, risk stratification is proposed to determine who may benefit from supplemental screening (eg, magnetic resonance imaging for women at high risk).
JAMA , résumé, 2015