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Updated: Jun 10, 2026

Clinical Imaging of Microwave Mammography
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Clinical Imaging of Microwave Mammography

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Variation in performance in low-volume mammography screening programmes: experience from Switzerland.

J-L Bulliard1, C Ducros, E Dayer

  • 1Unité d'épidémiologie du cancer, Institut de médecine sociale et préventive, Centre Hospitalier Universitaire Vaudois et Université de Lausanne, Switzerland. Jean-Luc.Bulliard@chuv.ch

Cancer Epidemiology
|August 24, 2010
PubMed
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Mammography screening performance varies significantly in low-volume programs. A restrictive second reader selection strategy improved detection of early-stage cancers, suggesting key areas for enhancing screening effectiveness.

Area of Science:

  • Oncology
  • Public Health
  • Radiology

Background:

  • Mammography screening performance is linked to reading volume.
  • Low-volume screening programs in Switzerland were compared for quality and effectiveness.
  • Program comparability was maximized by similar screening procedures, differing mainly in second reader accreditation strategies.

Purpose of the Study:

  • To compare quality and effectiveness across low-volume mammography screening programs.
  • To explore variations in performance and identify determinants for improvement.
  • To optimize mammography screening in decentralized healthcare systems.

Main Methods:

  • Analysis of approximately 200,000 mammograms from 1999-2006 across three Swiss cantonal programs.
  • Assessment of quality and effectiveness indicators against European standards.

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Last Updated: Jun 10, 2026

Clinical Imaging of Microwave Mammography
05:28

Clinical Imaging of Microwave Mammography

Published on: November 14, 2025

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
13:44

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns

Published on: August 30, 2013

  • Identification of interval cancers via linkage with cancer registries.

    • Main Results:

    • Swiss programs generally met European performance standards, showing a favorable cancer stage shift.
    • Significant two-fold variations in performance indicators were observed.
    • A non-restrictive second reader strategy was associated with lower detection of in situ and small cancers (≤1cm) and higher detection of advanced lesions (stage II+).

    Conclusions:

    • Performance differences were partly attributed to second reader selection strategies and prior screening experience.
    • Opportunistic screening levels and program attendance did not explain performance variations.
    • Findings offer insights for enhancing mammography screening performance in low-volume settings.