Comparative Effectiveness of Digital Versus Film-Screen Mammography
Authors: Karla Kerlikowske, Rebecca Hubbard
Journal: Annals of Internal Medicine (2012)

Letters7 February 2012Comparative Effectiveness of Digital Versus Film-Screen MammographyKarla Kerlikowske, MD and Rebecca Hubbard, PhDKarla Kerlikowske, MDFrom San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, and Group Health Research Institute, Seattle, WA 98101-1448.Search for more papers by this author and Rebecca Hubbard, PhDFrom San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, and Group Health Research Institute, Seattle, WA 98101-1448.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-3-201202070-00024 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We compared the interpretative performance of digital versus film-screen mammography in community practice and were reassured to find that no subgroups of women have substantially worse performance with either modality. In fact, digital mammography tended to perform as well or slightly better in most subgroups. Dr. Keen suggests that if we had taken use of computer-aided detection into account, we would have found less favorable performance results for digital compared with film-screen mammography because computer-aided detection is widely used to interpret digital mammograms. Computer-aided detection was more commonly used for digital than for film-screen mammography (56% vs. 23%) ...References1. Rothman KJ. No adjustments are needed for multiple comparisons. Epidemiology. 1990;1:43-6. [PMID: 2081237] CrossrefMedlineGoogle Scholar2. Pisano ED, Gatsonis C, Hendrick E, Yaffe M, Baum JK, Acharyya S, et al; Digital Mammographic Imaging Screening Trial (DMIST) Investigators Group. Diagnostic performance of digital versus film mammography for breast-cancer screening. N Engl J Med. 2005;353:1773-83. [PMID: 16169887] CrossrefMedlineGoogle Scholar3. Houssami N, Kerlikowske K. The impact of breast density on breast cancer risk and on breast screening. Curr Breast Cancer Rep. 2012;4. [Forthcoming] Google Scholar4. Schousboe JT, Kerlikowske K, Loh A, Cummings SR. Personalizing mammography by breast density and other risk factors for breast cancer: analysis of health benefits and cost-effectiveness. Ann Intern Med. 2011;155:10-20. [PMID: 21727289] LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Karla Kerlikowske, MD; Rebecca Hubbard, PhDAffiliations: From San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, and Group Health Research Institute, Seattle, WA 98101-1448.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-2769. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPersonalizing Mammography by Breast Density and Other Risk Factors for Breast Cancer: Analysis of Health Benefits and Cost-Effectiveness John T. Schousboe , Karla Kerlikowske , Andrew Loh , and Steven R. Cummings Comparative 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 John D. Keen Comparative Effectiveness of Digital Versus Film-Screen Mammography Stephan Imfeld Comparative Effectiveness of Digital Versus Film-Screen Mammography Paul F. Pinsky Metrics 7 February 2012Volume 156, Issue 3Page: 251KeywordsBreast cancerComputersDiagnostic imagingDisclosureForecastingMammographyMedical risk factorsRadiologistsResearch designRisk management ePublished: 7 February 2012 Issue Published: 7 February 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...