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Related Experiment Videos

Is general practitioner access to breast imaging safe?

G D Osborn1, J K Gahir, K Preece

  • 1The Breast Unit, Royal Glamorgan Hospital, Llantrisant, UK.

Clinical Radiology
|May 9, 2006
PubMed
Summary
This summary is machine-generated.

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The open-access breast radiology service (OAR) is as effective as traditional breast clinics (BC) in diagnosing breast cancer, with no significant difference in missed cancer rates between the two systems.

Area of Science:

  • Oncology
  • Radiology
  • Public Health

Background:

  • The study evaluated the safety and efficacy of an open-access breast radiology service (OAR) run by consultant radiologists.
  • Assessed whether the OAR system missed any breast cancer diagnoses compared to traditional methods.

Purpose of the Study:

  • To determine if the OAR service for symptomatic breast cancer is safe.
  • To compare the diagnostic accuracy of the OAR with traditional breast clinic (BC) services.

Main Methods:

  • Retrospective review of the national cancer registry database (April 2000-April 2002).
  • Inclusion of patients with symptomatic breast cancer from the Royal Glamorgan Hospital catchment area.
  • Review of pathology, radiology, and outpatient records for previously assessed patients.

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Main Results:

  • 54 breast cancers diagnosed via OAR, 159 via BC.
  • 12 cancers diagnosed after initial presentation; 8 patients previously seen for benign lesions.
  • 4 missed breast cancers (2 via BC, 2 via OAR); no significant difference in missed rates (p=0.221).

Conclusions:

  • The OAR service demonstrates comparable accuracy to traditional rapid access breast clinics for breast cancer diagnosis.
  • Clinical fine core-biopsy is recommended for women with discrete lumps lacking radiological abnormality.