ArticleEuropean radiology2010
Consequences of digital mammography in population-based breast cancer screening: initial changes and long-term impact on referral rates.
Article in European radiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Impact of Full-Field Digital Mammography Versus Film-Screen Mammography in Population Screening: A Meta-Analysis.Journal of the National Cancer Institute · 2021Pooled it
- Finding the optimal recall rate in breast cancer screening: results from the ROCS study.European radiology · 2026Article
- The Screening Tomosynthesis Trial with Advanced Reader Methods (STREAM): design and rationale of a population-based breast cancer screening trial.European radiology · 2025Article
- The impact of the BreastScreen NSW transition from film to digital mammography, 2002-2016: a linked population health data analysis.The Medical journal of Australia · 2025Article
- The prognostic potential of mammographic growth rate of invasive breast cancer in the Nijmegen breast cancer screening cohort.Journal of medical screening · 2024Article
- Flemish breast cancer screening programme: 15 years of key performance indicators (2002-2016).BMC cancer · 2019Article
- Detection and interval cancer rates during the transition from screen-film to digital mammography in population-based screening.BMC cancer · 2018Article
- Screen-detected versus interval cancers: Effect of imaging modality and breast density in the Flemish Breast Cancer Screening Programme.European radiology · 2017Article
- Interval breast cancer characteristics before, during and after the transition from screen-film to full-field digital screening mammography.BMC cancer · 2017Article
- Volumetric breast density affects performance of digital screening mammography.Breast cancer research and treatment · 2017Article
- Digital vs screen-film mammography in population-based breast cancer screening: performance indicators and tumour characteristics of screen-detected and interval cancers.British journal of cancer · 2016Article
- Impact of the Introduction of Digital Mammography in an Organized Screening Program on the Recall and Detection Rate.Journal of digital imaging · 2016Article
- Small-area spatio-temporal analyses of participation rates in the mammography screening program in the city of Dortmund (NW Germany).BMC public health · 2015Article
- Transition from film to digital mammography: impact for breast cancer screening through the national breast and cervical cancer early detection program.American journal of preventive medicine · 2015Article
- Impact of the digitalisation of mammography on performance parameters and breast dose in the Flemish Breast Cancer Screening Programme.European radiology · 2014Article
- Quantifying short run cost-effectiveness during a gradual implementation process.The European journal of health economics : HEPAC : health economics in prevention and care · 2013Article
- Technical and clinical breast cancer screening performance indicators for computed radiography versus direct digital radiography.European radiology · 2013Article
- Is Age-targeted full-field digital mammography screening cost-effective in emerging countries? A micro simulation model.SpringerPlus · 2013Article
- Effects of digital mammography uptake on downstream breast-related care among older women.Medical care · 2012Article
- Tipping the balance of benefits and harms to favor screening mammography starting at age 40 years: a comparative modeling study of risk.Annals of internal medicine · 2012Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the referral pattern after the transition to full-field digital mammography (FFDM) in a population-based breast cancer screening programme.
methodsPreceding the nationwide digitalisation of the Dutch screening programme, an FFDM feasibility study was conducted. Detection and referral rates for FFDM and screen-film mammography (SFM) were compared for first and subsequent screens. Furthermore, radiological characteristics of referrals in digital screening were assessed.
resultsA total of 312,414 screening mammograms were performed (43,913 digital and 268,501 conventional), with 4,473 consecutive referrals (966 following FFDM). Initially the FFDM referral rate peaked, and many false-positive results were noted as a consequence of pseudolesions and increased detection of (benign) microcalcifications. A higher overall referral rate was observed in FFDM screening in both first and subsequent examinations (p < .001), with a significant increase in cancer detection (p = .010).
conclusionAs a result of initial inexperience with digital screening images implementing FFDM in a population-based breast cancer screening programme may lead to a strong, but temporary increase in referral. Dedicated training in digital screening for radiographers and screening radiologists is therefore recommended. Referral rates decrease and stabilise (learning curve effect) at a higher level than in conventional screening, yet with significantly enhanced cancer detection.
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