Showing posts with label Breast cancer screening. Show all posts
Showing posts with label Breast cancer screening. Show all posts

Monday, February 5, 2018

FDA issues warning against breast cancer screening by thermogram

The US-FDA has issued a consumer health alert that thermogram breast cancer screening test is no substitute for mammography because of lack of scientific evidence in favor of thermogram.

This alert was issued in wake of reports received from many healthcare centers and patients that many providers are misleading patients into believing that thermogram can be a substitute for mammography.

Helen J. Barr, M.D., director of the Division of Mammography Quality Standards in the FDA’s Center for Devices and Radiological Health said, “Plenty of evidence shows that mammography is still the most effective screening method for detecting breast cancer in its early, most treatable stages. You should not rely solely on thermography for the screening or diagnosis of breast cancer.”

Those patients who are screened with thermogram may be falsely assured that they do not have cancer as it has high false negative results. Similarly, patients may receive a false diagnosis of breast cancer when in fact they do not have any lesion.

Thermography was only cleared by FDA as an adjunct tool, to be used with a primary screening method. Some women prefer to get the test done as it is painless and does not expose the patient to radiation.  

FDA also stressed that claims by websites that thermography detects cancers earlier than other screening methods does not have any scientific evidence.

FDA has further taken regulatory action against manufacturers of thermography devices and healthcare providers who are misleading patients to believe that thermography can replace mammography.

FDA has put the alert on consumer update page and it continues to monitor the situation.


Media Courtesy: FDA

Thursday, September 7, 2017

FDA clears first 2D digital mammography system that allows patients to control the compression

Courtesy: GE healthcare 

GE Healthcare announced today FDA 510(k) clearance of an industry-first, patient-assisted mammography system, Senographe Pristina Dueta that makes mammography experience more comfortable by putting the control in patients’ own hands.

Agnes Berzsenyi, President and CEO of GE Healthcare Women’s Health said in a press release, “Mammograms can be uncomfortable or even painful. Engineered by a team of women for women, GE Healthcare has transformed mammography with the creation of patient-assisted compression to decrease pain associated with the exam, improve patient experience and increase outcomes for breast cancer screening which we know saves lives.”

The patient is handed the remote-control device with a plus and minus button on it as she is getting ready for the procedure.  In traditional mammography, the technician decides the amount of compression necessary and it often make the patient very uncomfortable. While compression is still necessary to get a good image, in this new system the patient can gradually increase the compression till the desired level is achieved.

Giving the control in patient’s hands makes them more relaxed, more cooperative and they move less, resulting in a better-quality image. A study by Gustave Roussy analyzing patient response to the new mammography system found that 83 per cent of patients surveyed were extremely satisfied with the exam.

Dr. Kathy Schilling, Medical Director of the Boca Raton Regional Hospital’s Christine E. Lynn Women’s Health & Wellness Center and the radiologist who conducted a clinical review of the new tool said, ““This is a new age in breast imaging. Patients who used the remote control said the exam was more comfortable and they were visibly more relaxed. Any breast radiologist knows that when patients are relaxed, we are able to get better images and better images lead to a more confident diagnosis. My hope is that increasing comfort during the exam and giving patients the option of working with the technologist to set their own compression will increase compliance, enable early detection and improve outcomes.”

Senographe Pristina is a totally redesigned mammography with rounded edges and a thinner image detector to create a more pleasant experience for women as well as armrests that position women to relax rather than tense up during the compression and image acquisition process.

“Senographe Pristina was designed with empathy. It humanizes the mammography experience by increasing comfort and reducing patient anxiety. The system's potential to help increase the number of annual screening exams is a critical advancement in women's healthcare.” Agnes Berzsenyi further added.





Wednesday, February 8, 2017

Should there be a cut-off age for women to stop getting biennial screening mammograms?



Mammography is the standard imaging technique used for breast cancer screening worldwide. It reduces mortality by 20% across all age groups. Guidelines about the age to start the screening are nearly similar across the globe but, since long debates are ongoing regarding the age at which we can safely make a recommendation to stop screening.

In USA, women start routine mammography screening in their 40s. Similar guidelines are put forward by Australia, where biennial screening is advised for women aged 50 to 74 years and in UK for women aged 50 to 70 years.

In 2009, the United States Preventive Services Task Force (USPSTF) released new guidelines which stated there was not enough evidence to assess the balance of benefits and harms of screening mammography in women aged 75 years or older.

Dr. Cindy S. Lee, M.D., assistant professor in residence at the University of California, San Francisco said this is because most RCTs exclude women more than 75 years of age, thereby data is very sparse and limited to few observational studies.

Dr. Lee presented a paper at 102 annual meeting of the Radiological Society of North America at Chicago on November 28.[1] This is the largest ever study on screening mammography and using data from the National Mammography Database Dr. Lee and her colleagues analyzed data from nearly 5.6 million screening mammograms performed over a period of 7 years (2008 – 2014) across multiple locations in 31 US states.[2]

Women over 40 years of age were sorted into groups by age in 5 years’ interval for specific age related analysis of the data. The researchers looked at age, ethnicity, mammography results, cancer detection and biopsy results.

The mean cancer detection rate from the study was 3.74 per 1,000 patients, with increasing cancer detection trend as the age increases till 90 years.

Dr. Lee said" The continuing increase of cancer detection rate and positive predictive values in women between the ages of 75 and 90 does not provide evidence for age-based mammography cessation."

It was also seen that as women get older, the chances of cancer detection increase, the positive predictive value(PPV) increase because of decrease in breast density.

ACS recommends to continue screening as long as women is in good health.

Some 80 years old women are in very good health, the life expectancy of healthy 75-year-old women is 13 years and that of healthy 80 years is another 89 years.

The decision about when to stop screening should be based on woman’s individual preference, her medical history and general health.

Dr. Andrew Kaunitz said" In my practice, many of the women in their mid-70s and older I see are active and have life expectancies that exceed one decade. The majority of these patients wish to continue screening mammograms, a decision I support."

The Science behind the new ACS Breast Cancer Screening Guidelines.






[1] http://press.rsna.org/timssnet/Media/pressreleases/14_pr_target.cfm?id=1916
[2] https://www.acr.org/Quality-Safety/National-Radiology-Data-Registry/National-Mammography-DB

Thursday, January 19, 2017

UE LifeSciences’ iBreastExam – portable, painless and radiation-free device is revolutionizing breast cancer detection.



Courtesy: 3imagescoroflot.com

UE Lifesciences developed this high-tech, portable and easy to use breast examination device based on patented ceramic sensors invented at Philadephia’s Drexel University, USA. The tactile sensors in Intelligent Beast Exam (iBreastExam )detect subtle variations in stiffness and tissue compression of the breast tissue.



  • Bilateral breast exam within 5 minutes (with results at the point-of-care)
  • Accuracy to detect clinically relevant breast lesions higher than 85%
  • Usable by any health-worker or doctor. No pain, No radiation.
 Lifesciences has also developed NoTouch BreastScan™

courtesy : http://www.ibreastexam.com/


Mihir Shah, Founder and CEO, UE LifeSciences is a Computer Engineer from Drexel University. His interest was aroused in this field because of a close family member suffering from Breast Cancer. It also made him aware of the disparities regarding access to healthcare facilities in developed and developing world. [i]

It has offices both in India and USA. The device can be used by community workers and paramedics in rural and low resource settings. It is compact, low cost, pain free and easy to operate. It can connect with smart phone app, which displays the results simultaneously as the procedure is performed.

In 2013, Breast cancer claimed approximately 70,000 lives in India which was 43% increase in 5 years. Research are projecting an addition of approximately 750,000 new breast cancer cases by 2020. India also has shortage of radiologists, high cost of mammograms and cultural taboos related to breast health delaying detection of breast cancer in its early stage. In west more than ¾ patients are diagnosed in early stages increasing longevity and quality of life.

Indian Journal of Gynaecologic Oncology (IJGO) published a study by Somashekhar SP et al in which the ibreastExam device outperformed physician performing manual breast examination by 19% because it also picked up non-palpable lesions. The study reported high Specificity (94 %) ,NPV (98 %) Sensitivity (84%)  and PPV 94%.

The authors concluded "iBreastExam can be a promising tool to provide clinically effective and standardized breast examinations in low-resource settings to detect breast lesions at early stages.
The device can also be an effective screening tool for younger women with dense breasts.”[ii]

The device is currently available in big cities Delhi, Hyderabad, Chennai and Mumbai. It received a recent approval form National Health Systems Resource Centre (NHRSC) of India.

UE LifeSciences’ in collaboration with non-profits have already administered 20,000 exams in rural Rajasthan, Maharashtra and Delhi.


The cost of a single screening in private set up is Rs. 700-1000 and in Non-Profit units  is Rs. 100. They are trying to bring down the cost to under  Rs.100 in private set up also.

iBreastExam received FDA 510k clearance as a "Breast Lesion Documentation System" in April 2015 and is commercially available in USA and India since October 2015.

Two Promotional Video by UE LifeSciences regarding iBreastExam.





[i] http://www.uelifesciences.com/
[ii] http://link.springer.com/article/10.1007/s40944-016-0057-1