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Related Experiment Videos

Community-based mammography practice: services, charges, and interpretation methods.

R Edward Hendrick1, Gary R Cutter, Eric A Berns

  • 1Department of Radiology, Lynn Sage Comprehensive Breast Center, Northwestern University Feinberg School of Medicine, Galter Pavilion, 13th Floor, 251 E Huron St., Chicago, IL 60611, USA. ehendrick@radiology.northwestern.edu

AJR. American Journal of Roentgenology
|January 27, 2005
PubMed
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Community mammography practices offer diverse services, but adoption of new technologies like computer-aided detection (CAD) and digital mammography remains limited. Double interpretation practices vary significantly across facilities, impacting quality assurance.

Area of Science:

  • Radiology
  • Medical Imaging
  • Public Health

Background:

  • Community-based mammography practices are crucial for breast cancer screening and diagnosis.
  • Understanding current facility characteristics is essential for assessing mammography service delivery in the US.

Purpose of the Study:

  • To accurately describe the characteristics of community-based screening and diagnostic mammography facilities in the United States.

Main Methods:

  • A survey was developed and administered to community-based screening mammography facilities in Washington, Colorado, and New Hampshire.
  • Data collection occurred between December 2001 and September 2002, covering facility type, services, charges, information systems, and interpretation methods.

Main Results:

Related Experiment Videos

  • Of 45 responding facilities, all offered screening mammography; 76% offered diagnostic mammography. Advanced imaging like MRI and nuclear medicine breast scanning were offered by 16% each.
  • Most facilities were non-hospital radiology practices. Computer-aided detection (CAD) was used by 11% and digital mammography by 5%.
  • Nearly two-thirds interpreted screening mammograms on-site, while 91% interpreted diagnostic mammograms on-site. About half used double interpretation, with wide variation in methods and frequency.

    • Conclusions:

    • Mammography practice has evolved, with clearer distinctions between screening and diagnostic services and improved quality tools.
    • The adoption of new technologies like CAD and digital mammography was not widespread at the time of the survey.
    • Significant variability exists in double interpretation methods and frequency, highlighting areas for standardization and quality improvement.