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News / Health / Breast Cancer

3-D mammograms boost breast cancer tests

The Columbian
Published: June 30, 2014, 12:00am

NEW YORK — Hologic’s 3-D mammograms, when paired with traditional screening, caught more deadly breast cancers than standard scans alone and resulted in fewer women being called back for more testing, a study found.

When combined, the two screening methods caught 41 percent more cancers than traditional mammography alone, according to research funded by Hologic and published Tuesday in the Journal of the American Medical Association. With the combination approach, 15 percent fewer women had to get more tests because of unclear results, researchers said.

The study is the largest to evaluate the effectiveness of 3-D mammography, a technology approved by U.S. regulators in 2011 that is not as widely available as conventional screening, the authors said. The method lets doctors see through the layers of the breast like the pages of a book to find cancers that may not be detected in traditional 2-D test, they said.

“We have a technology that is improving upon the main limitations of standard mammograms,” said lead study author Sarah Friedewald, section chief of breast imaging at Advocate Lutheran General in Park Ridge, Ill., in a telephone interview last week. “We now have a more accurate examination.”

The U.S. Preventive Services Task Force, an independent medical advisory group to the government, in 2009 recommended against routine mammograms for women ages 40 to 49 who aren’t at an increased risk for breast cancer, while suggesting a mammogram once every two years for those 50 to 74. The guidelines recommended against annual screenings for women in their 40s because they are more likely to get false-positive results that can lead to unnecessary biopsies.

The American Cancer Society suggests annual mammograms starting at 40.

More than 232,000 women and 2,360 men will be diagnosed with breast cancer this year, according to the National Cancer Institute. About 40,000 will die.

The 3-D technology, known as tomosynthesis, is designed to detect tumors that overlapping tissue can mask in conventional mammogram images. Currently, Bedford, Mass.-based Hologic has the only approved 3-D mammogram device in the U.S. More than 1,100 of these devices are in use nationwide.

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