Evidence map›Paper›PMID 27807699›Full record

ArticleEuropean radiology2017

Position paper on screening for breast cancer by the European Society of Breast Imaging (EUSOBI) and 30 national breast radiology bodies from Austria, Belgium, Bosnia and Herzegovina, Bulgaria, Croatia, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Israel, Lithuania, Moldova, The Netherlands, Norway, Poland, Portugal, Romania, Serbia, Slovakia, Spain, Sweden, Switzerland and Turkey.

Francesco Sardanelli, Hildegunn S Aase, Marina Álvarez, Edward Azavedo, Henk J Baarslag, Corinne Balleyguier, Pascal A Baltzer, Vanesa Beslagic, Ulrich Bick, Dragana Bogdanovic-Stojanovic and 41 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 4 pooled it
12.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 4 syntheses or guidelines pooled it, 176 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Breast MRI to Screen Women With Extremely Dense Breasts.Journal of magnetic resonance imaging : JMRI · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

51 authors at 20 institutions in 28 countries.

Francesco SardanelliDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy. francesco.sardanelli@unimi.it.ORCID http://orcid.org/0000-0001-6545-9427
Hildegunn S AaseDepartment of Radiology, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.
Marina ÁlvarezDepartment of Radiology, Reina Sofía Hospital, Avda. Menéndez Pidal, s/n 14004, Córdoba, Spain.
Edward AzavedoDepartment of Radiology, Karolinska University Hospital, Karolinska vägen, 171 76, Solna, Stockholm, Sweden.
Henk J BaarslagDepartment of Radiology, Meander Medical Center, Maatweg 3, 3813, Amersfoort, The Netherlands.
Corinne BalleyguierDepartment of Radiology, Gustave-Roussy Institute, 114 Rue Edouard Vaillant, 94800, Villejuif, France.
Pascal A BaltzerDepartment of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna/Vienna General Hospital, Währinger Gürtel 18-20, 1090, Wien, Austria.
Vanesa BeslagicClinic of Radiology, University Clinical Center Sarajevo, Bolnička 25, 71000, Sarajevo, Bosnia and Herzegovina.
Ulrich BickClinic of Radiology, Charité, Universitätsmedizin Berlin, 10117, Berlin, Germany.
Dragana Bogdanovic-StojanovicDiagnostic Imaging Center, Institute of Oncology, Institutski put 4, 21204, Sremska Kamenica, Serbia.
Ruta BriedieneRadiology Department, National Cancer Institute, Santariskiu 1, Vilnius University, Vilnius, Lithuania.
Boris BrkljacicDepartment of Diagnostic and Interventional Radiology, University Hospital 'Dubrava', University of Zagreb School of Medicine, Avenija Gojka Šuška 6, 10000, Zagreb, Croatia.
Julia Camps HerreroDepartment of Radiology, Hospital de la Ribera, Carretera de Corbera, Km. 1, 46600, Alzira, Valencia, Spain.
Catherine ColinRadiology Unit, Hospices Civils de Lyon, Centre Hospitalo-Universitaire Lyon Sud, 165 Chemin du Grand Revoyet, 69495, Pierre Bénite Cedex, France.
Eleanor CornfordNottingham Breast Institute, Nottingham University Hospitals, Hucknall Rd, Nottingham, NG5 1PB, United Kingdom.
Jan DanesDepartment of Radiology, Charles University in Prague, First Faculty of Medicine, U Nemocnice 2, 128 08, Praha 2, Czech Republic.
Gérard de GeerDepartment of Radiology, ImageRive, Rue de Rive 1, 1204, Genève, Switzerland.
Gul EsenDepartment of Radiology, Acibadem University Maslak Hospital, Buyukdere cd, Maslak, Sariyer, 34457, İstanbul, Turkey.
Andrew EvansDundee Cancer Centre, Clinical Research Centre, Ninewells Hospital, and Medical School, Tom McDonald Avenue, Dundee, UK.
Michael H FuchsjaegerDivision of General Radiology, Department of Radiology, Medical University Graz, Auenbruggerplatz 9, 8036, Graz, Austria.
Fiona J GilbertDepartment of Radiology, University of Cambridge, Cambridge Biomedical Campus, Hills Road CB2 0QQ, Cambridge, UK.
Oswald GrafInstitute of Radiology, ACC Steyr, Stadtplatz 30, 4400, Steyr, Austria.
Gormlaith HargadenDepartment of Radiology, Mater Misericordiae University Hospital/BreastCheck, BreastCheck, 36 Eccles St, Dublin 7, Ireland.
Thomas H HelbichDepartment of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna/Vienna General Hospital, Währinger Gürtel 18-20, 1090, Wien, Austria.
Sylvia H Heywang-KöbrunnerReferenzzentrum Mammographie Munchen, Sonnenstraße 29, 80331, Munich, Germany.
Valentin IvanovDiagnostic Department of Radiology, Tokuda Hospital Sofia, 1407, Sofia, 51B N Vaptsarov Blvd., Bulgaria.
Ásbjörn JónssonDepartment of Radiology, Landspitali University Hospital, 108, Reykjavik, Iceland.
Christiane K KuhlUniversity Hospital of Aachen, Rheinisch-Westfälische Technische Hochschule, Pauwelsstraße 30, 52074, Aachen, Germany.
Eugenia C LisencuRadiotherapy I, The Oncology Institute 'Prof. Dr. Ion Chiricuta', Cluj-Napoca, 34-36 Republicii Street, RO-400015, Romania.
Elzbieta LuczynskaDepartment of Radiology Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Cracow Branch, Cracow, Poland.
Ritse M MannDepartment of Radiology, Radboud University Nijmegen Medical Centre, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.
Jose C MarquesDepartment of Radiology/Breast Imaging, Instituto Português de Oncologia de Lisboa, Rua Professor Lima Basto, 1099-023, Lisboa, Portugal.
Laura MartincichU.O. Radiodiagnostica, Candiolo Cancer Institute - FPO, IRCCS, Str. Prov. 142, km 3.95, 10060, Candiolo, Turin, Italy.
Margarete MortierGenitourinary Radiology, Ghent University Hospital, De Pintelaan 185, 9000, Gent, Belgium.
Markus Müller-SchimpfleKlinik für Radiologie, Neuroradiologie & Nuklearmedizin, Klinikum Frankfurt Hoechst, Frankfurt, Germany.
Katalin OrmandiDiagnoscan, SZTE Radiológiai Klinika, Szeged, Semmelweis u. 6, 6725, Szeged, Hungary.
Pietro PanizzaBreast Imaging Unit, Scientific Institute (IRCCS) Ospedale San Raffaele, Via Olgettina, 60, 20132, Milan, Italy.
Federica PediconiDepartment of Radiological, Oncological and Pathological Sciences, Sapienza University, Viale Regina Elena, 324, 00161, Rome, Italy.
Ruud M PijnappelDepartment of Imaging, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Katja PinkerDepartment of Biomedical Imaging and Image-guided Therapy, Division of Molecular and Gender Imaging, Medical University of Vienna/Vienna General Hospital, Währinger Gürtel 18-20, 1090, Wien, Austria.
Tarja RissanenDepartment of Diagnostic Radiology, Oulu University Hospital, Kajaanintie 50, 90220, Oulu, Finland.
Natalia RotaruDepartment of Radiology and Medical Imaging, State University of Medicine and Pharmacy 'Nicolae Testemitanu', bul. St.cel Mare 165, Chisinau, MD 2012, Moldova.
Gianni SaguattiItalian Group for Mammographic Screening (GISMa); Senology Unit, Local Health Authority, Bologna, Italy.
Tamar SellaMarlene Greenebaum Diagnostic Breast Center, Department of Radiology, Hadassah Hebrew University Hospital, Hadassah Ein Kerem Medical Center, 91120, Jerusalem, Israel.
Jana SlobodníkováClinic of Radiology, Alexander Dubček University of Trenčín in Trenčín, Faculty of Healthcare, Študentská 2, 911 50, Trenčín, Slovakia.
Maret TalkRadiology Centre, North Estonia Medical Centre, 19 Sütiste Street, 13419, Tallinn, Estonia.
Patrice TaourelDepartment of Radiology, Hôpital Lapeyronie, 371 Av. du Doyen Gaston Giraud, 34295, Montpellier, France.
Rubina M TrimboliDepartment of Radiology, Research Hospital Policlinico San Donato, Via Morandi 30, 20097, San Donato Milanese, Milan, Italy.
Ilse VejborgDepartment of Radiology, Rigshospitalet Blegdamsvej and Glostrup, Mammography Screening Programme in Capital Region, Blegdamsvej 9, 2100, Copenhagen, Denmark.
Athina VourtsisDiagnostic Mammography Center, Kifisias 362, Chalandri, 15233, Athens, Greece.
Gabor ForraiDuna Medical Center, Lechner Ödön fasor 7, 1095, Budapest, Hungary.
Vienna General Hospital · ATAcıbadem University · TRCandiolo Cancer Institute · ITCharité - Universitätsmedizin Berlin · DECharles University · CZEducation Authority · GBGhent University Hospital · BEHadassah Medical Center · ILHaukeland University Hospital · NOHôpital Lapeyronie · FRHospices Civils de Lyon · FRHospital de La Ribera · ESHospital Universitario Reina Sofía · ESImageRive (Switzerland) · CHInstitute of Oncology Prof. Dr. Ion Chiricuta · ROInstitut Gustave Roussy · FRIRCCS Ospedale San Raffaele · ITIRCCS Policlinico San Donato · ITKarolinska University Hospital · SEKlinikum Frankfurt Höchst · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EUSOBI and 30 national breast radiology bodies support mammography for population-based screening, demonstrated to reduce breast cancer (BC) mortality and treatment impact. According to the International Agency for Research on Cancer, the reduction in mortality is 40 % for women aged 50-69 years taking up the invitation while the probability of false-positive needle biopsy is <1 % per round and overdiagnosis is only 1-10 % for a 20-year screening. Mortality reduction was also observed for the age groups 40-49 years and 70-74 years, although with "limited evidence". Thus, we firstly recommend biennial screening mammography for average-risk women aged 50-69 years; extension up to 73 or 75 years, biennially, is a second priority, from 40-45 to 49 years, annually, a third priority. Screening with thermography or other optical tools as alternatives to mammography is discouraged. Preference should be given to population screening programmes on a territorial basis, with double reading. Adoption of digital mammography (not film-screen or phosphor-plate computer radiography) is a priority, which also improves sensitivity in dense breasts. Radiologists qualified as screening readers should be involved in programmes. Digital breast tomosynthesis is also set to become "routine mammography" in the screening setting in the next future. Dedicated pathways for high-risk women offering breast MRI according to national or international guidelines and recommendations are encouraged. KEY POINTS: • EUSOBI and 30 national breast radiology bodies support screening mammography. • A first priority is double-reading biennial mammography for women aged 50-69 years. • Extension to 73-75 and from 40-45 to 49 years is also encouraged. • Digital mammography (not film-screen or computer radiography) should be used. • DBT is set to become "routine mammography" in the screening setting in the next future.

Indexed as

AdultAgedBreast NeoplasmsEarly Detection of CancerEuropeFemaleHumansMammographyMass ScreeningMiddle AgedMiddle EastBreast cancerDigital breast tomosynthesis (DBT)Digital mammographyPopulation-based screeningRecall rate

Identifiers

PMID27807699
PMCPMC5486792
OpenAlexW2547430480

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.