Supplemental Ultrasonography Screening for Women With Dense Breasts
Authors: Wendie A. Berg, David Gur
Journal: Annals of Internal Medicine (2015)

Letters2 June 2015Supplemental Ultrasonography Screening for Women With Dense BreastsWendie A. Berg, MD, PhD and David Gur, ScDWendie A. Berg, MD, PhDFrom University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.Search for more papers by this author and David Gur, ScDFrom University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5061 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read Sprague and colleagues' (1) article with great interest. Legislation about breast density notification is motivated by the low sensitivity of mammography in women with dense breasts. Women diagnosed with advanced-stage cancer after adhering to annual screening commonly wonder how their disease was not identified during screening.Models depend on the values of input parameters. For example, Sprague and colleagues used a lenient definition of "sensitivity" for mammography; results were considered to be false-negative only when cancer was detected clinically within 12 months after a screening mammography. However, many cases of late-stage cancer are detected on ...References1. Sprague BL, Stout NK, Schechter C, van Ravesteyn NT, Cevik M, Alagoz O, et al. Benefits, harms, and cost-effectiveness of supplemental ultrasonography screening for women with dense breasts. Ann Intern Med. 2015;162:157-66. [PMID: 25486550] doi:10.7326/M14-0692 LinkGoogle Scholar2. Berg WA. Tailored supplemental screening for breast cancer: what now and what next? AJR Am J Roentgenol. 2009;192:390-9. [PMID: 19155400] doi:10.2214/AJR.08.1706 CrossrefMedlineGoogle Scholar3. Berg WA, Zhang Z, Lehrer D, Jong RA, Pisano ED, Barr RG, et al; ACRIN 6666 Investigators. Detection of breast cancer with addition of annual screening ultrasound or a single screening MRI to mammography in women with elevated breast cancer risk. JAMA. 2012;307:1394-404. [PMID: 22474203] doi:10.1001/jama.2012.388 CrossrefMedlineGoogle Scholar4. Corsetti V, Houssami N, Ghirardi M, Ferrari A, Speziani M, Bellarosa S, et al. Evidence of the effect of adjunct ultrasound screening in women with mammography-negative dense breasts: interval breast cancers at 1 year follow-up. Eur J Cancer. 2011;47:1021-6. [PMID: 21211962] doi:10.1016/j.ejca.2010.12.002 CrossrefMedlineGoogle Scholar5. Weigert JM. The Connecticut experiment continues: ultrasound in the screening of women with dense breasts years 3 and 4 [Abstract]. Presented at Radiologic Society of North America 2014, Chicago, Illinois, 30 November–5 December 2014. Abstract no. SSA01-03. Google Scholar Author, Article, and Disclosure InformationAffiliations: From University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L15-0182. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBenefits, Harms, and Cost-Effectiveness of Supplemental Ultrasonography Screening for Women With Dense Breasts Brian L. Sprague , Natasha K. Stout , Clyde Schechter , Nicolien T. van Ravesteyn , Mucahit Cevik , Oguzhan Alagoz , Christoph I. Lee , Jeroen J. van den Broek , Diana L. Miglioretti , Jeanne S. Mandelblatt , Harry J. de Koning , Karla Kerlikowske , Constance D. Lehman , and Anna N.A. Tosteson Benefits, Harms, and Cost-Effectiveness of Supplemental Ultrasonography Screening for Women With Dense Breasts Brian L. Sprague , Natasha K. Stout , Clyde Schechter , Nicolien T. van Ravesteyn , Mucahit Cevik , Oguzhan Alagoz , Christoph I. Lee , Jeroen J. van den Broek , Diana L. Miglioretti , Jeanne S. Mandelblatt , Harry J. de Koning , Karla Kerlikowske , Constance D. Lehman , and Anna N.A. Tosteson Supplemental Ultrasonography Screening for Women With Dense Breasts Brandon Hayse and Donald R. Lannin Supplemental Ultrasonography Screening for Women With Dense Breasts Elaine J. Schattner Supplemental Ultrasonography Screening for Women With Dense Breasts Brian L. Sprague , Constance D. Lehman , and Anna N.A. Tosteson Supplemental Ultrasonography Screening for Women With Dense Breasts Elaine J. Schattner Supplemental Ultrasonography Screening for Women With Dense Breasts Brian L. Sprague , Constance D. Lehman , and Anna N.A. Tosteson Supplemental Ultrasonography Screening for Women With Dense Breasts Brandon Hayse and Donald R. Lannin Metrics Cited byOutcomes of Return to Routine Screening for BI-RADS 3 Lesions Detected at Supplemental Automated Whole-Breast Ultrasound in Women with Dense Breasts: A Prospective StudyA Systematic Review on Radiologists' Knowledge of Breast Cancer Screening 2 June 2015Volume 162, Issue 11Page: 801KeywordsBiopsyCancer screeningDiagnostic imagingDiagnostic radiologyDisclosureLegislationMagnetic resonance imagingMammographyUltrasound imaging ePublished: 2 June 2015 Issue Published: 2 June 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...