Comparative Effectiveness of Digital Versus Film-Screen Mammography
Authors: John D. Keen
Journal: Annals of Internal Medicine (2012)

Letters7 February 2012Comparative Effectiveness of Digital Versus Film-Screen MammographyJohn D. Keen, MD, MBAJohn D. Keen, MD, MBAFrom Stroger Hospital of Cook County, Chicago, IL 60612.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-3-201202070-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Kerlikowske and colleagues have studied the utility of expensive digital imaging technology “after the fact” (1). Previously, Kerlikowske correctly called for evidence that benefits outweigh the harms before the medical community adopts new technologies, specifically regarding computer-aided detection (2). The recent article does not address this digital tag-along technology (1), but uptake of computer-aided detection has important implications before anyone recommends digital screening or concludes that digital technology is superior to film screening in community practice, hence determining that the transition was a good idea.My research—a 2008 telephone survey of a random sample of 400 (4.6%) ...References1. Kerlikowske K, Hubbard RA, Miglioretti DL, Geller BM, Yankaskas BC, Lehman CD, et al; Breast Cancer Surveillance Consortium. Comparative effectiveness of digital versus film-screen mammography in community practice in the United States: a cohort study. Ann Intern Med. 2011;155:493-502. [PMID: 22007043] LinkGoogle Scholar2. Kerlikowske K. A call for evidence of benefits outweighing harms before implementing new technologies: comment on “Diffusion of computer-aided mammography after mandated Medicare coverage”. Arch Intern Med. 2010;170:990-1. [PMID: 20548014] CrossrefMedlineGoogle Scholar3. Keen JD, Keen JE. Why do my health insurance premiums keep rising? A case study from radiology: market survey of screening mammography computer-aided detection (CAD) technology uptake and cash prices—comparison of digital vs. film facilities [Poster presentation]. Presented at Radiological Society of North America 2011 Scientific Assembly and Annual Meeting, Chicago, Illinois, 27 November–2 December 2011. Accessed at rsna2011.rsna.org/search/event_display.cfm?em_id=11034337&printmode=Y&autoprint=N on 3 January 2012. Google Scholar4. Fenton JJ, Abraham L, Taplin SH, Geller BM, Carney PA, D'Orsi C, et al; Breast Cancer Surveillance Consortium. Effectiveness of computer-aided detection in community mammography practice. J Natl Cancer Inst. 2011;103:1152-61. [PMID: 21795668] CrossrefMedlineGoogle Scholar5. Jørgensen KJ, Keen JD, Gøtzsche PC. Is mammographic screening justifiable considering its substantial overdiagnosis rate and minor effect on mortality? Radiology. 2011;260:621-7. [PMID: 21846758] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Stroger Hospital of Cook County, Chicago, IL 60612.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoComparative Effectiveness of Digital Versus Film-Screen Mammography in Community Practice in the United States Karla Kerlikowske , Rebecca A. Hubbard , Diana L. Miglioretti , Berta M. Geller , Bonnie C. Yankaskas , Constance D. Lehman , Stephen H. Taplin , Edward A. Sickles , and Comparative Effectiveness of Digital Versus Film-Screen Mammography Stephan Imfeld Comparative Effectiveness of Digital Versus Film-Screen Mammography Paul F. Pinsky Comparative Effectiveness of Digital Versus Film-Screen Mammography Karla Kerlikowske and Rebecca Hubbard Metrics Cited byUtilization of Computer-Aided Detection for Digital Screening Mammography in the United States, 2008 to 2016ENHANCEMENT OF SCREEN FILM MAMMOGRAM UP TO A LEVEL OF DIGITAL MAMMOGRAM: EXPERIMENTAL ANALYSIS 7 February 2012Volume 156, Issue 3Page: 249-250KeywordsComputersDrug administrationDrug screeningDrugsDuctal carcinoma in situFoodMammographyMortalityOdds ratioSpecificity ePublished: 7 February 2012 Issue Published: 7 February 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...