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Women's Health Homepage

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Mammography screenings higher in coastal cities, says study Examined disparities in screening mammography utilization at city level

Cross-matching mammo exams with treatment data sets yields large-scale insight Bringing clarity to disparate mammo screening guidelines

Agnes Berzsenyi

Putting the patient at the center of breast care

By Agnes Berzsenyi

Medical care has changed dramatically over the past 50 years – including standards of care, the (now outdated) idea of exploratory surgery and the tools of the trade. Breast imaging technology is no exception, with the rapid innovation and development of basic mammography, digital breast tomosynthesis and even breast interventional procedures. But there’s one thing that hasn’t changed: the industry’s commitment to the patient.

Many of us know one of these patients – someone who has been affected by breast cancer, whether it be a friend, sister, mother or daughter. Knowing someone who has faced breast cancer personally is indeed what drives the search for innovation. And today’s most powerful breast care innovations focus not just on earlier detection and more tailored monitoring and treatment, but also on providing a better patient experience.
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More than 75 percent of breast cancer happens in women with no known risk factors , meaning mammography may be the best chance for a clinician to find it. Unfortunately for many women, the number one reason they don´t schedule a mammogram is fear and anxiety – related to both the potential result and discomfort during the breast exam . Disturbingly, a woman’s decision not to get a mammogram can delay a breast cancer diagnosis and impact a patient’s long-term prognosis, as finding breast cancer early reduces a woman’s risk of dying from the disease by 25-30 percent or more .

These numbers are just too high – and that risk is too big. But there is hope.

By taking a multimodality approach tailored to a patient’s age, breast density, breast size, medical history, risk factors and personal preference, clinicians can help improve screening outcomes by increasing the detection of early invasive cancers and decreasing interval cancer rates.

And by focusing on the patient experience, we’re helping clinicians provide different tests for different breasts. For example, mammography systems are now being designed by women, for women. As a result, the new technology is intended to reflect the contours of a woman’s body and make the experience as comfortable for the patient as possible. It also addresses a constant source of discomfort in mammography technology – compression. Compression of the breast is necessary to acquire an accurate diagnostic image, but with new patient-assisted compression technology, the patient is given an active role in her own exam. That way, the patient can know when the pressure is coming rather than anticipate the pain. If the patient has a more positive experience, they are more likely to return for future screenings, and clinicians may have a better chance of finding their breast cancer early – when it’s the most treatable.
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