Initiating a National Mammographic Screening Program: The Kuwait Experience Training With a US Cancer Center
| Autor: | Cynthia M Thornton, Mona H Ashkanani, Hanaa Al-Khawari, Elizabeth A. Morris, Victoria L. Mango, D. David Dershaw, Pauline Turner, Brenda Pennisi |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Screening mammogram Breast imaging International Educational Exchange Early detection Breast Neoplasms Article 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Breast cancer Humans Mass Screening Medicine Mammography Radiology Nuclear Medicine and imaging Medical physics Stage (cooking) Early Detection of Cancer Aged medicine.diagnostic_test business.industry Mammography Quality Standards Act Cancer Middle Aged medicine.disease United States Kuwait 030220 oncology & carcinogenesis Female Radiology business |
| Zdroj: | Journal of the American College of Radiology. 16:202-207 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2018.07.025 |
| Popis: | Purpose: To train Kuwait radiologists and technologists in breast imaging to create a Kuwait national mammography screening program (KNMSP) that provides high quality safe mammography services meeting international standards for early detection of small invasive breast cancers in asymptomatic women. Materials and Methods: 5 radiologists, 6 technologists and 1 physicist/radiation protection technologist from Kuwait trained at x hospital over a 3 year period utilizing Society of Breast Imaging/American College of Radiology guidelines and Food and Drug Administration Mammography Quality Standards Act requirements for education program content. On site visits in Kuwait were provided by x hospital radiologists and technologists 3 times during the program. The KNMSP was implemented to provide asymptomatic women ages 40–69 screening mammography services. A lead Kuwaiti breast radiologist collected and analyzed mammography results and outcome data utilizing descriptive statistics. Results: 6933/164000 (4.2%) Kuwaiti women were screened with 83 cancers detected, 74 invasive and 9 ductal carcinoma in situ. Screening mammography sensitivity was 97.6%, specificity 88.2%, and PPV3 37.1%. Diagnosis was stage 0 in 9/83 (10.8%), Stage 1 in 24/83(28.9%), Stage 2 in 34/83 (41%), Stage 3 in 11/83 (13.3%) and Stage 4 in 5/83 (6.0%). 80% of women with breast cancer were diagnosed with tissue biopsy within 4 weeks of their screening mammogram. Conclusion: The KNMSP demonstrates the successful training of Kuwait radiologists and mammography technologists with implementation of a national screening mammography program in Kuwait with acceptable sensitivity and specificity and timely diagnosis of early stage breast cancers. |
| Databáze: | OpenAIRE |
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