DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story

starstarstarstarstar (1)
Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

 

More Industry Headlines

$115 million settlement of Anthem data breach lawsuit Funds will include credit monitoring for impacted individuals

Gadolinium retention may be more widespread than previously thought Why that is remains to be understood

PET/CT, PET/MR and PET Product Showcase A quick look at all the leading modalities in the market

Philips gets FDA nod to market IntelliSpace Portal 9.0 and new applications Helps quantify and quickly diagnose conditions

This microscope could spare women repeat breast cancer surgeries Light-sheet microscope can scan excised breast tissue for cancer cells in 30 minutes

Solutions for mitigating health care investigation complexities and risks Shifting from reactive to proactive to reduce breaches

Sanford Health, Mid Dakota merger heads to court Would create a group with at least a 75 percent share of physician services

How fast will the U.S. market get access to Gallium-68? The nuclear medicine world is preparing for the introduction of Ga-68 tracers

German researchers find sweet alternative to conventional MR contrast agents Imaging with glucose using 7T MR scanner

Supplemental breast MR superior to ultrasound for screening breast cancer survivors But what about cost-effectiveness?

NJ breast density legislation stirs debate

by Loren Bonner , DOTmed News Online Editor
Although New Jersey joins 14 other states with breast density inform laws, its law can't give women specific and personal density notification, like most other state laws.

The breast density inform law that New Jersey Governor Chris Christie signed last week will only give women general information about breast density. In other words, every woman, whether she has dense breasts or not, receives the same notification about the possibility of a mammogram showing dense breast tissue.

Story Continues Below Advertisement

qualiTEE - reliabiliTEE - repairabiliTEE - we guaranTEE

Bayer HealthCare Multi Vendor Service will repair your transducer with the same precision and care you provide to your patients. Now offering TotalREPAIR on 140 transducer models! Call us at 1-844-5100 or visit www.mvs.bayer.com to set up an order today.



"We advocates were quite disappointed with the 'inform' language now required to be sent to New Jersey women," said JoAnn Pushkin, co-founder of D.E.N.S.E., an advocacy group. "It moves the onus from the doctor to report, onto the woman to ask."

Radiologists also support this view, but in the end, a different medical specialty won out.

A Senate version of the bill required the inclusion of breast density notification in the woman's result letter after her mammogram. But according to Laurie Scofield, founder of D.E.N.S.E. NJ, when the bill got to the New Jersey Assembly, the medical association weighed in and pushed for a change to the language. This version was signed into law.

For the most part, opposition to the language in the Senate bill was led by the New Jersey section of the American Congress of Obstetricians and Gynecologists (ACOG). They believe physicians will be inclined to order additional tests, like ultrasounds, for women with dense breasts, in order to prevent lawsuits.

Studies have shown that mammography is not able to do as good a job as some other technologies in detecting cancer in dense breast tissue. On a mammogram, dense breasts have less fat and more connective tissue, which appears white on the mammogram, just like cancer, possibly making it easy for radiologists to miss.

A study presented last year at the American Roentgen Ray Society's annual meeting found that ultrasound screening performed after mammography on women with dense breast tissue was capable of detecting more lesions. Screening ultrasound was able to detect an additional 3.4 cancers or high-risk lesions per 1000 women screened, a detection rate just under that of screening mammography alone for women with less dense breasts, according to the study.

"My support is based on density notification which is clear, specific to the woman receiving the letter and which creates an actionable alert that would provide the woman with the information about her own medical condition," said Dr. Stacey Vitiello, a radiologist from the Montclair Breast Center, in a written letter to lawmakers.

She went on to say the bill will now mandate New Jersey radiologists to lie to 10 percent of the population they screen (women with fatty breasts) and provide misleading information to another 40 to 50 percent of their patients.

Even though the New Jersey law doesn't include specific dense breast information for individual women, it will require insurers to cover breast evaluations and additional medically necessary testing under certain circumstance.

"The bill is a good first step — it took me a while to reconcile myself to that fact," said Scofield. "It does raise awareness at a very high level, general level, but where it does fall short is it doesn't provide New Jersey women with enough information about their own medical condition to be their best advocate."

A federal breast density law, introduced by Reps. DeLauro (CT) and Israel (NY), is making its way through Congress. Dense breast advocates believe this could resolve any language issues in the future that might come up in individual states.

Related:


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2017 DOTmed.com, Inc.
ALL RIGHTS RESERVED