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Digital Mammography does not exceed The Conventional
Detection of Tumors
The New England Journal of Medicine today published two
studies and an editorial that show the benefits of the
mammography as screening for breast cancer. The digital only
offers benefits, with regard to the conventional, in
children under 50 years, in breasts radiologically dense and
before and after menopause.
The diagnostic accuracy global digital mammography and of
the conventional as a method of screening for breast cancer
is similar, but the digital is more accurate in the age of
50 years, which have breasts radiological more dense and pre
or perimenopausal, according to a study published today in
The New England Journal of Medicine.
The conventional mammography has a limited sensitivity for
detection of breast cancer in women with breast radiological
dense. The team of Etta Pisano, at the University of North
Carolina at Chapel Hill, has studied whether the use of
digital mammography could avoid some of these limitations.
Presented a total of 49,528 asymptomatic women for a
mammogram screening in 33 centers in the United States and
Canada and were referred both to the conventional as to the
digital.

It had all the information relevant to 42,760 of these
women. Two radiologists interpreted independently mammograms.
The state of breast cancer was established by the
realization of a breast biopsy during the 15 months
following the entry of the patient in the study or through a
mammogram monitoring obtained at least 10 months after the
entry of the patient in the study. For the evolution of the
results will be used the analysis of the ROC curves.
In the population as a whole, the diagnostic accuracy of
both types of mammography was similar. However, that of the
digital mammography was significantly higher than the
conventional mammography in younger than 50 years, women
with breast unevenly dense or extremely dense in the
mammography or in the pre or perimenopausal.
In an editorial, David Dershaw, of the Center of the Cancer
Memorial Sloan-Kettering in New York, says that one of the
best news of the study of Pisano is that the mammography
saves lives. "When they are available the two types of
mammography, women decide to what technical subject, but all
women should go to the test when they exceed the 40 years".However,
the work makes clear the women's groups benefiting from the
digital mammography.
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