Computer-aided detection increases diagnoses of DCIS

Computer-Aided Detection Tied to Increase in DCIS Diagnoses
Computer-Aided Detection Tied to Increase in DCIS Diagnoses

(HealthDay News) -- The use of computer-aided detection (CAD) for screening mammography has increased in prevalence and is associated with increased diagnosis of ductal carcinoma in situ (DCIS), according to a study published in the April 16 issue of the Annals of Internal Medicine.

Joshua J. Fenton, M.D., M.P.H., from the University of California in Davis, and colleagues conducted a retrospective cohort study to examine the correlation between CAD use during screening mammography and the incidence of DCIS and invasive breast cancer among 163,099 women, aged 67 to 89 years, undergoing 409,459 mammograms from 2001 to 2006.

During the study period, the researchers found that the prevalence of CAD increased from 3.6 to 60.5 percent. CAD use correlated with a significantly increased incidence of DCIS (adjusted odds ratio [aOR], 1.17), but no increase in the incidence of invasive breast cancer (aOR, 1.00). Among women with invasive cancer, the likelihood of stage I to II compared with stage III to IV was increased with CAD (aOR, 1.27). CAD correlated with significantly increased odds of diagnostic mammography (aOR, 1.28), breast ultrasonography (aOR, 1.07), and breast biopsy (aOR, 1.10) among women without breast cancer.

"In conclusion, CAD use among older U.S. women having screening mammography is associated with increased diagnosis of DCIS and the diagnosis of invasive breast cancer at earlier stage," the authors write. "However, CAD use is also associated with increased diagnostic testing among women without breast cancer. The long-term effect of CAD on breast cancer stage, mortality, quality of life, and costs warrants investigation."

Full Text (subscription or payment may be required)

Loading links....
You must be a registered member of ONA to post a comment.

Sign Up for Free e-newsletters

Regimen and Drug Listings


Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Genitourinary Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Rare Cancers Regimens
Skin Cancer Regimens Drugs