Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis

Detalhes bibliográficos
Autor(a) principal: Iared, Wagner [UNIFESP]
Data de Publicação: 2011
Outros Autores: Shigueoka, David Carlos [UNIFESP], Torloni, Maria Regina [UNIFESP], Velloni, Fernanda Garozzo [UNIFESP], Ajzen, Sergio Aron [UNIFESP], Atallah, Álvaro Nagib [UNIFESP], Valente, Orsine [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S1516-31802011000400009
http://repositorio.unifesp.br/handle/11600/6182
Resumo: CONTEXT AND OBJECTIVE: Mammography is the best method for breast-cancer screening and is capable of reducing mortality rates. Studies that have assessed the clinical impact of mammography have been carried out using film mammography. Digital mammography has been proposed as a substitute for film mammography given the benefits inherent to digital technology. The aim of this study was to compare the performance of digital and film mammography. DESIGN: Systematic review and meta-analysis. METHOD: The Medline, Scopus, Embase and Lilacs databases were searched looking for paired studies, cohorts and randomized controlled trials published up to 2009 that compared the performance of digital and film mammography, with regard to cancer detection, recall rates and tumor characteristics. The reference lists of included studies were checked for any relevant citations. RESULTS: A total of 11 studies involving 190,322 digital and 638,348 film mammography images were included. The cancer detection rates were significantly higher for digital mammography than for film mammography (risk relative, RR = 1.17; 95% confidence interval, CI = 1.06-1.29; I² = 19%). The advantage of digital mammography seemed greatest among patients between 50 and 60 years of age. There were no significant differences between the two methods regarding patient recall rates or the characteristics of the tumors detected. CONCLUSION: The cancer detection rates using digital mammography are slightly higher than the rates using film mammography. There are no significant differences in recall rates between film and digital mammography. The characteristics of the tumors are similar in patients undergoing the two methods.
id UFSP_e4909bba98c0e53989e8c1dac7fa2f3f
oai_identifier_str oai:repositorio.unifesp.br/:11600/6182
network_acronym_str UFSP
network_name_str Repositório Institucional da UNIFESP
repository_id_str 3465
spelling Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysisAvaliação comparativa entre a mamografia digital e mamografia em filme: revisão sistemática e metanáliseMammographyBreast neoplasmsMass screeningReviewMeta-analysisMamografiaNeoplasias da mamaProgramas de rastreamentoRevisãoMetanáliseCONTEXT AND OBJECTIVE: Mammography is the best method for breast-cancer screening and is capable of reducing mortality rates. Studies that have assessed the clinical impact of mammography have been carried out using film mammography. Digital mammography has been proposed as a substitute for film mammography given the benefits inherent to digital technology. The aim of this study was to compare the performance of digital and film mammography. DESIGN: Systematic review and meta-analysis. METHOD: The Medline, Scopus, Embase and Lilacs databases were searched looking for paired studies, cohorts and randomized controlled trials published up to 2009 that compared the performance of digital and film mammography, with regard to cancer detection, recall rates and tumor characteristics. The reference lists of included studies were checked for any relevant citations. RESULTS: A total of 11 studies involving 190,322 digital and 638,348 film mammography images were included. The cancer detection rates were significantly higher for digital mammography than for film mammography (risk relative, RR = 1.17; 95% confidence interval, CI = 1.06-1.29; I² = 19%). The advantage of digital mammography seemed greatest among patients between 50 and 60 years of age. There were no significant differences between the two methods regarding patient recall rates or the characteristics of the tumors detected. CONCLUSION: The cancer detection rates using digital mammography are slightly higher than the rates using film mammography. There are no significant differences in recall rates between film and digital mammography. The characteristics of the tumors are similar in patients undergoing the two methods.CONTEXTO E OBJETIVO: A mamografia é o melhor método para rastreamento do câncer de mama, capaz de reduzir a mortalidade. Os estudos que avaliam seu impacto clínico foram realizados com mamografia em filme. A mamografia digital é proposta para substituir a mamografia em filme com benefícios inerentes à tecnologia digital. O objetivo do estudo foi comparar o desempenho da mamografia digital com a mamografia em filme. TIPO DE ESTUDO: Revisão sistemática e metanálise. MÉTODO: Foram pesquisadas as bases Medline, Scopus, Embase e Lilacs, buscando-se por estudos pareados, coortes e ensaios clínicos randomizados comparando a mamografia digital e a mamografia em filme, quanto à taxa de detecção de câncer, de reconvocação e características dos tumores, publicados até 2009. As referências dos estudos incluídos foram verificadas em busca de citações relevantes. RESULTADOS: Foi incluído um total de 11 estudos, somando 190.322 mamografias digitais e 638.348 em filme. A taxa de detecção do câncer pela mamografia digital foi significantemente maior (risco relativo, RR: 1,17 [95% intervalo de confiança, IC = 1,06-1,29 I² = 19%]) do que pela mamografia em filme. A vantagem da mamografia digital parece maior em pacientes entre 50 e 60 anos. Não houve diferenças significantes nas taxas de reconvocação de pacientes e nas características dos tumores encontrados. CONCLUSÃO: A mamografia digital apresenta taxa de detecção de câncer pouco maior que a mamografia em filme. Não há diferenças significantes nas taxas de reconvocação entre a mamografia digital e a em filme. As características dos tumores são semelhantes em pacientes em ambos os métodos.Universidade Federal de São Paulo (UNIFESP) Department of Diagnostic ImagingUniversidade Federal de São Paulo (UNIFESP)Universidade Federal de São Paulo (UNIFESP) Department of MedicineUNIFESP, Department of Diagnostic ImagingUNIFESP, Department of MedicineSciELOConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Associação Paulista de Medicina - APMUniversidade Federal de São Paulo (UNIFESP)Iared, Wagner [UNIFESP]Shigueoka, David Carlos [UNIFESP]Torloni, Maria Regina [UNIFESP]Velloni, Fernanda Garozzo [UNIFESP]Ajzen, Sergio Aron [UNIFESP]Atallah, Álvaro Nagib [UNIFESP]Valente, Orsine [UNIFESP]2015-06-14T13:42:47Z2015-06-14T13:42:47Z2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion250-260application/pdfhttp://dx.doi.org/10.1590/S1516-31802011000400009IARED, Wagner et al . Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis. Sao Paulo Med. J., São Paulo , v. 129, n. 4, p. 250-260, 201110.1590/S1516-31802011000400009S1516-31802011000400009.pdf1516-3180S1516-31802011000400009http://repositorio.unifesp.br/handle/11600/6182WOS:000295795700009engSão Paulo Medical Journalinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-30T01:08:02Zoai:repositorio.unifesp.br/:11600/6182Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-30T01:08:02Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
Avaliação comparativa entre a mamografia digital e mamografia em filme: revisão sistemática e metanálise
title Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
spellingShingle Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
Iared, Wagner [UNIFESP]
Mammography
Breast neoplasms
Mass screening
Review
Meta-analysis
Mamografia
Neoplasias da mama
Programas de rastreamento
Revisão
Metanálise
title_short Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
title_full Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
title_fullStr Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
title_full_unstemmed Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
title_sort Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
author Iared, Wagner [UNIFESP]
author_facet Iared, Wagner [UNIFESP]
Shigueoka, David Carlos [UNIFESP]
Torloni, Maria Regina [UNIFESP]
Velloni, Fernanda Garozzo [UNIFESP]
Ajzen, Sergio Aron [UNIFESP]
Atallah, Álvaro Nagib [UNIFESP]
Valente, Orsine [UNIFESP]
author_role author
author2 Shigueoka, David Carlos [UNIFESP]
Torloni, Maria Regina [UNIFESP]
Velloni, Fernanda Garozzo [UNIFESP]
Ajzen, Sergio Aron [UNIFESP]
Atallah, Álvaro Nagib [UNIFESP]
Valente, Orsine [UNIFESP]
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Iared, Wagner [UNIFESP]
Shigueoka, David Carlos [UNIFESP]
Torloni, Maria Regina [UNIFESP]
Velloni, Fernanda Garozzo [UNIFESP]
Ajzen, Sergio Aron [UNIFESP]
Atallah, Álvaro Nagib [UNIFESP]
Valente, Orsine [UNIFESP]
dc.subject.por.fl_str_mv Mammography
Breast neoplasms
Mass screening
Review
Meta-analysis
Mamografia
Neoplasias da mama
Programas de rastreamento
Revisão
Metanálise
topic Mammography
Breast neoplasms
Mass screening
Review
Meta-analysis
Mamografia
Neoplasias da mama
Programas de rastreamento
Revisão
Metanálise
description CONTEXT AND OBJECTIVE: Mammography is the best method for breast-cancer screening and is capable of reducing mortality rates. Studies that have assessed the clinical impact of mammography have been carried out using film mammography. Digital mammography has been proposed as a substitute for film mammography given the benefits inherent to digital technology. The aim of this study was to compare the performance of digital and film mammography. DESIGN: Systematic review and meta-analysis. METHOD: The Medline, Scopus, Embase and Lilacs databases were searched looking for paired studies, cohorts and randomized controlled trials published up to 2009 that compared the performance of digital and film mammography, with regard to cancer detection, recall rates and tumor characteristics. The reference lists of included studies were checked for any relevant citations. RESULTS: A total of 11 studies involving 190,322 digital and 638,348 film mammography images were included. The cancer detection rates were significantly higher for digital mammography than for film mammography (risk relative, RR = 1.17; 95% confidence interval, CI = 1.06-1.29; I² = 19%). The advantage of digital mammography seemed greatest among patients between 50 and 60 years of age. There were no significant differences between the two methods regarding patient recall rates or the characteristics of the tumors detected. CONCLUSION: The cancer detection rates using digital mammography are slightly higher than the rates using film mammography. There are no significant differences in recall rates between film and digital mammography. The characteristics of the tumors are similar in patients undergoing the two methods.
publishDate 2011
dc.date.none.fl_str_mv 2011-01-01
2015-06-14T13:42:47Z
2015-06-14T13:42:47Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S1516-31802011000400009
IARED, Wagner et al . Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis. Sao Paulo Med. J., São Paulo , v. 129, n. 4, p. 250-260, 2011
10.1590/S1516-31802011000400009
S1516-31802011000400009.pdf
1516-3180
S1516-31802011000400009
http://repositorio.unifesp.br/handle/11600/6182
WOS:000295795700009
url http://dx.doi.org/10.1590/S1516-31802011000400009
http://repositorio.unifesp.br/handle/11600/6182
identifier_str_mv IARED, Wagner et al . Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis. Sao Paulo Med. J., São Paulo , v. 129, n. 4, p. 250-260, 2011
10.1590/S1516-31802011000400009
S1516-31802011000400009.pdf
1516-3180
S1516-31802011000400009
WOS:000295795700009
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv São Paulo Medical Journal
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 250-260
application/pdf
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268310393454592