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Related Experiment Video

Updated: Apr 30, 2026

Clinical Imaging of Microwave Mammography
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Clinical Imaging of Microwave Mammography

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Mammography Screening - as of 2013.

S Heywang-Koebrunner1, K Bock2, W Heindel3

  • 1Munich Mammography Reference Centre, Munich.

Geburtshilfe Und Frauenheilkunde
|April 29, 2014
PubMed
Summary
This summary is machine-generated.

Mammography screening for women aged 50-69 significantly reduces breast cancer mortality by up to 43%. While false positives and overdiagnoses occur, the benefits of early detection and less invasive treatment outweigh the risks.

Keywords:
breast cancermammamammogram screening

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Area of Science:

  • Public Health
  • Radiology
  • Oncology

Background:

  • The German Mammography Screening Programme, established in 2008 for women aged 50-69, adheres to European Guidelines amidst ongoing public and professional debate.
  • Controversies surround the program's benefits versus potential harms, including false positives, overdiagnosis, and radiation exposure.

Purpose of the Study:

  • To evaluate the effectiveness and risks of the German Mammography Screening Programme.
  • To analyze data from randomized studies and quality-assured screening programs across 18 European countries.

Main Methods:

  • Mathematical synopsis of recent European screening program publications.
  • Analysis of diagnostic rates from over 4.6 million screening examinations in Germany.
  • Comparison of outcomes between participants and non-participants in mammography screening.

Main Results:

  • Mammography screening participants experienced a mortality reduction of 43% compared to non-participants.
  • False-positive diagnoses and biopsy recommendations occurred in a small percentage of women (288/1000 called back, 74/288 biopsied).
  • Overdiagnosis accounted for 4 additional carcinoma diagnoses per 1000 women over 20 years, without impacting mortality.

Conclusions:

  • Mammography screening offers a significant reduction in breast cancer mortality and enables less invasive treatments.
  • The risk-benefit ratio strongly supports recommending mammography screening to asymptomatic women aged 50-69.
  • Educating women about quality-assured early detection options is crucial for informed healthcare decisions.