Commentary. Mammography--a perspective.
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Biomedical subjects
Publications and source records attributed to D S Cukier.
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To determine whether one-view mammography would be sufficiently diagnostic, 106 cases of breast cancer diagnosed by film mammography or xeromammography were reviewed independently by two radiologists. Detection rates were analyzed for the lateral view, the craniocaudal view, and then both views combined. The lateral projection resulted in an accuracy rate of 97%. Errors in false-negative reports in either projection were traced to their source.
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Anyone using mammography should perform it seriously with one or two radiologists in any group as the primary physicians. It is only by being exposed to a high patient volume day after day and having a thorough knowledge of all the pathologic conditions that one can truly appreciate the subtle mammographic patterns present. In only this way is the diligent radiologist optimally helpful to the surgeon and pathologist, and this best serves patient welfare. Conversely, the part-time mammographer, although not necessarily besmirching his professional competence, will tend to give the examination a bad reputation by unnecessary hedges and reporting uncertainties characterized by long winded reports. Patients undergoing mammography should undergo a physical examination by the radiologist. Thus, accuracy rates for the detection of cancer can approach, 98 per cent. Liabilities consequent to mammography can be minimized by the professional competence of the radiologist, understanding the limitations of the examination and the expertise of the reporting style.