Comparative evaluation of digital mammography and film mammography: systematic review and meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , |
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. |
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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 |