Skip to main content

16.11.2016 | Statement | Ausgabe 1/2017 Open Access

Insights into Imaging 1/2017

Mammography: an update of the EUSOBI recommendations on information for women

Insights into Imaging > Ausgabe 1/2017
Francesco Sardanelli, Eva M. Fallenberg, Paola Clauser, Rubina M. Trimboli, Julia Camps-Herrero, Thomas H. Helbich, Gabor Forrai, for the European Society of Breast Imaging (EUSOBI), with language review by Europa Donna–The European Breast Cancer Coalition


This article summarises the information to be offered to women about mammography. After a delineation of the aim of early diagnosis of breast cancer, the difference between screening mammography and diagnostic mammography is explained. The need to bring images and reports from the previous mammogram (and from other recent breast imaging examinations) is highlighted. Mammography technique and procedure are described with particular attention to discomfort and pain experienced by a small number of women who undergo the test. Information is given on the recall during a screening programme and on the request for further work-up after a diagnostic mammography. The logic of the mammography report and of classification systems such as R1-R5 and BI-RADS is illustrated, and brief but clear information is given about the diagnostic performance of the test, with particular reference to interval cancers, i.e., those cancers that are missed at screening mammography. Moreover, the breast cancer risk due to radiation exposure from mammography is compared to the reduction in mortality obtained with the test, and the concept of overdiagnosis is presented with a reliable estimation of its extent. Information about new mammographic technologies (tomosynthesis and contrast-enhanced spectral mammography) is also given. Finally, frequently asked questions are answered.

Key Points

Direct digital mammography should be preferred to film-screen or phosphor plates.
Screening (in asymptomatic women) should be distinguished from diagnosis (in symptomatic women).
A breast symptom has to be considered even after a negative mammogram.
Digital breast tomosynthesis increases cancer detection and decreases the recall rate.
Contrast-enhanced spectral mammography can help in cancer detection and lesion characterisation.
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2017

Insights into Imaging 1/2017 Zur Ausgabe

Neu im Fachgebiet Radiologie

11.01.2019 | Klinik aktuell | Nachrichten | Onlineartikel

Ein Fünftel mehr Organspender

09.01.2019 | IT für Ärzte | Nachrichten | Onlineartikel

AU-Bescheinigungen via Whatsapp

21.12.2018 | Gesundheitspolitik | Nachrichten | Onlineartikel

„Ärzte zu oft auf dem Golfplatz“

Meistgelesene Bücher aus der Radiologie

2016 | Buch

Medizinische Fremdkörper in der Bildgebung

Thorax, Abdomen, Gefäße und Kinder

Dieses einzigartige Buch enthält ca. 1.600 hochwertige radiologische Abbildungen und Fotos iatrogen eingebrachter Fremdmaterialien im Röntgenbild und CT.

Dr. med. Daniela Kildal

2011 | Buch

Atlas Klinische Neuroradiologie des Gehirns

Radiologie lebt von Bildern! Der vorliegende Atlas trägt dieser Tatsache Rechnung. Sie finden zu jedem Krankheitsbild des Gehirns Referenzbilder zum Abgleichen mit eigenen Befunden.

Priv.-Doz. Dr. med. Jennifer Linn, Prof. Dr. med. Martin Wiesmann, Prof. Dr. med. Hartmut Brückmann

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Radiologie und bleiben Sie gut informiert – ganz bequem per eMail.