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Breast Cancer Screening and the COVID-19 Pandemic.

Dana H Smetherman¹

¹Ochsner Health, Department of Radiology, New Orleans, LA.

Journal of Breast Imaging

|March 1, 2024

Summary

The COVID-19 pandemic disrupted breast radiology, halting screening mammograms and delaying diagnoses. Practices adapted to safety measures and telehealth, but the need for breast cancer screening remains critical.

Keywords:

COVID-19 breast cancer delayed diagnosis screening mammography

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Area of Science:

Radiology
Oncology
Public Health

Background:

The COVID-19 pandemic significantly impacted breast radiology services, leading to initial halts in screening mammography due to lockdowns.
Healthcare institutions implemented safety measures, causing a substantial decrease in imaging volumes while prioritizing patient and personnel protection.

Purpose of the Study:

To analyze the effects of the COVID-19 pandemic on breast radiology practices.
To explore the challenges and adaptations in breast cancer screening and diagnosis during the pandemic.
To emphasize the continued importance of breast imaging services despite disruptions.

Main Methods:

Review of the impact of COVID-19 on imaging volumes and practice operations.
Analysis of guidance from national organizations for safe return to outpatient imaging.
Discussion of challenges including financial impacts, service delivery modifications, and telehealth integration.

Main Results:

Initial suspension of nonessential imaging, including screening mammography, led to decreased diagnostic rates.
Development of safety protocols and guidance from health organizations facilitated a gradual return to services.
Significant challenges emerged, including financial strain, altered service delivery, and the adoption of telehealth.

Conclusions:

The COVID-19 pandemic caused substantial disruption to breast radiology, delaying cancer diagnosis and treatment.
Adaptations in service delivery and the adoption of telehealth were necessary to maintain essential breast imaging services.
Despite pandemic-related challenges, the demand for breast cancer screening and diagnostic procedures remains high, underscoring their vital role in women's health.