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Advanced Breast Imaging Availability by Screening Facility Characteristics.

Christoph I Lee1, Andy Bogart2, Rebecca A Hubbard2

  • 1Department of Radiology, University of Washington School of Medicine, 825 Eastlake Ave East, Seattle, WA 98109; Department of Health Services, University of Washington School of Public Health, Seattle, Washington.

Academic Radiology
|April 9, 2015
PubMed
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This summary is machine-generated.

Facility type impacts access to advanced breast imaging like ultrasound and MRI. Multispecialty and academic centers offer more on-site services, potentially improving timely diagnosis and supplemental screening for women.

Area of Science:

  • Radiology and Imaging Science
  • Breast Cancer Screening and Diagnostics
  • Health Services Research

Background:

  • Advanced breast imaging services, including ultrasound (US) and magnetic resonance imaging (MRI), are crucial for supplemental screening and diagnosing abnormal mammogram findings.
  • The availability of these services on-site at screening facilities can influence patient access and timeliness of care.

Purpose of the Study:

  • To investigate the relationship between characteristics of screening mammography facilities and the on-site availability of advanced breast imaging and image-guided biopsy services.
  • To identify facility types that are more likely to offer comprehensive breast imaging services.

Main Methods:

  • Analysis of data from 105 active screening mammography facilities within the Breast Cancer Surveillance Consortium (2011-2012).
Keywords:
Screeningbreast cancerdiagnostic imagingmammography

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  • Generalized estimating equations regression models were used to assess associations between facility characteristics (e.g., academic affiliation, practice type) and the availability of on-site US, MRI, and image-guided biopsy.
  • Data included facilities offering screening mammography.

    • Main Results:

    • Breast MRI was unavailable at nonradiology or breast imaging-only facilities.
    • Multispecialty breast centers (76.0%) were significantly more likely than full diagnostic radiology practices (22.2%) to offer a combination of breast US, MRI, and image-guided biopsy (P = .0047).
    • Academic facilities reported higher availability of both supplemental screening US/MRI and biopsy services compared to nonacademic facilities (P = .02).

    Conclusions:

    • Screening mammography facility characteristics, such as multispecialty focus and academic affiliation, are strongly associated with the availability of on-site advanced breast imaging and biopsy services.
    • The type of facility a woman chooses for screening mammography may significantly affect her access to necessary supplemental screening and diagnostic evaluations.
    • Ensuring equitable access to advanced breast imaging services across different facility types is critical for timely breast cancer detection and management.