The Egyptian National Breast Screening Program: Priorities, challenges, and results of the pilot phase

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. 1523-1523
Author(s):  
D. S. Salem ◽  
R. Kamal ◽  
N. H. Said ◽  
I. Adel ◽  
S. Talaat ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Screening ◽  
Screening Program ◽  
University Hospital ◽  
World Health ◽  
Cancer Awareness ◽  
Full Field ◽  
Full Field Digital Mammography ◽  
Mobile Mammography ◽  
National Breast

1523 Background: According to the World Health Organization,the number of breast cancercases in developing countries will increase dramatically by the year 2050. Egypt is likely to see an increase in this disease burden unless effective programs for early detection and control are implemented. Many women, especially those who are medically underserved, still do not understand the importance of regular mammograms, or how and where to get one. Methods: Four mobile mammography vans were launched in October 2007, to screen women over 45 years old in the underserved areas of Cairo. Each van was equipped with a full field digital mammography (FFDM) machine, dedicated computer system linked to the National Breast Screening Center via video SAT & ADSL, sphygmomanometer, blood glucose measuring kit, and spring scale and meter to measure weight and height. Based on positive findings, patients were directed to Cairo University Hospital to receive appropriate treatment. Mobile units continued to operate through October, 2008. Results: From October 2007 through October 2008, 11,414 women were screened for breast cancer, hypertension, diabetes, and obesity. Two hundred forty four (2.13%) women were radiologically positive for cancer; of these, only 112 (45.9%) women agreed to be recalled for assessment; of these, 49.1% were confirmed to be true positive with BI-RADS 4,5 (61% cases were mass, with 27.9 % 1–2 cm in size; 16.4% cases were microcalcifications alone; multicentricity in 6.6 %; bilaterality in 2.5% of cases). 36.6% were false positive, and 14.2% are under further investigation. Conclusions: Although Cairo is the most developed city in Egypt, there is lack of breast cancer awareness, especially in the underserved areas. Breast cancer is now a priority for the Ministry of Health, with four more vans and 10 fixed FFDM units to be implemented during the next year. A 5-year plan has been established to cover all 29 Egyptian Governorates. No significant financial relationships to disclose.

Interest of systematic tomosynthesis (3D mammography) with synthetic 2D mammography in breast cancer screening

2017 ◽  
Vol 32 (2) ◽  
Author(s):  
Mathieu Liberatore ◽  
Jean-Michel Cucchi ◽  
Martine Fighiera ◽  
Anne Binet ◽  
Marie Christine Missana ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Digital Mammography ◽  
Screening Program ◽  
Young Patients ◽  
Digital Breast Tomosynthesis ◽  
Full Field ◽  
Full Field Digital Mammography ◽  
Absorbed Doses

AbstractFull field digital mammography (FFDM) is the current pillar of breast cancer screening program. However, the emerging technique digital breast tomosynthesis (DBT) has demonstrated a significant increase in the sensibility of cancer detection in several large cohort trials. DBT is particularly helpful for young patients, dense breasts and soft masses due to its ability to reduce overlapping of tissue. In such a population of women, radiologists are more confident and the recall rates are reduced together with a higher positive predictive value. To reduce the breast absorbed doses of screened women and facilitate the workflow, a synthetized two-dimensional (2D) digital mammography (sDM) is obtained from DBT to replace the FFDM. No significant differences regarding detection of anomalies have been reported with respect to FFDM. These results validate a modern strategy for breast cancer screening supported by two views of DBT with sDM. In terms of mean absorbed doses, this strategy is around 1.5 mGy/view and almost equivalent to FFDM. In Europe, major limitations to such evolution are public health policies especially agreements and reimbursement for the technique being used in organized screening.

scholarly journals Assessment of required resources for implementation of national breast cancer screening program in Serbia

2014 ◽  
Vol 142 (1-2) ◽  
pp. 59-66
Author(s):  
Nemanja Majstorovic ◽  
Snezana Simic ◽  
Bojana Matejic ◽  
Mladen Cudanov
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Economies Of Scale ◽  
Screening Program ◽  
Objective Assessment ◽  
National Program ◽  
Financial Feasibility ◽  
National Breast ◽  
The Republic ◽  
Radiology Technicians

Introduction. High values of standardized mortality and morbidity rates of standardized cancer mortality in Serbia, especially colorectal, cervical and breast cancer led to creation of national programs for their early detection and engagement of the international support for their implementation. Objective. Assessment of required resources (time, personnel, financial) to implement the National program for screening of breast cancer in the Republic of Serbia. Methods. Three possible scenarios have been prepared (optimistic, realistic and pessimistic) based on the expected coverage by screening of women aged 45 to 69 years, and time, personnel and financial feasibility estimates were made for a two-year screening cycle. Results. Time aspect of feasibility even under conditions of ?relaxation? of the assumption on the number of working days during the year did not question feasibility of any of the scenarios. Personnel feasibility is only possible in the pessimistic scenario, while the financial feasibility only makes sense in optimistic scenario as the least unfavorable solution due to economies of scale. Conclusion. Establishment of the initial base of skilled radiologists and radiology technicians and the system for their continuous medical education as well as allocation of specific MoH budget line for screening program expenditures, along with donated mammographs and good organization and coordination, may provide unobstructed implementation of the National program for early detection of breast cancer in the Republic of Serbia.

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