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Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
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Compliance With Screening Mammography Guidelines After a False-Positive Mammogram.

Lara A Hardesty1, Kimberly E Lind1, Eric J Gutierrez2

  • 1Department of Radiology, University of Colorado School of Medicine, Aurora, Colorado.

Journal of the American College of Radiology : JACR
|May 29, 2016
PubMed
Summary

A prior false-positive mammogram does not deter women from adhering to screening mammography guidelines. Women who return for screening after a false-positive result show similar compliance rates to those with negative mammograms.

Keywords:
Screening mammographybreast cancerfalse-positive mammogram

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Area of Science:

  • Radiology
  • Public Health
  • Preventive Medicine

Background:

  • Screening mammography is crucial for early breast cancer detection.
  • False-positive mammograms can cause patient anxiety and potentially impact future screening behavior.

Purpose of the Study:

  • To determine if women with a false-positive mammogram are less compliant with screening guidelines compared to women with negative mammograms.
  • To investigate the impact of prior false-positive mammograms on adherence to recommended screening intervals.

Main Methods:

  • Retrospective cohort study of 9,385 screening mammograms in women over 40.
  • Linear regression and Fisher's exact test were used to analyze time between mammograms and compliance with screening guidelines.
  • Adjustments were made for mammogram location and patient age.

Main Results:

  • No significant difference in time between mammograms was found based on prior recall status (P = .83).
  • No association was observed between compliance with screening guidelines and prior mammogram recall status (ACR P = .398, USPSTF P = .416).
  • Noncompliant women previously recalled were more likely to use outpatient offices over mobile units for mammography.

Conclusions:

  • A prior false-positive mammogram does not significantly deter compliance with screening mammography guidelines among women who return for subsequent screenings.
  • Findings suggest that false-positive results do not negatively influence adherence to recommended screening schedules.