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Estimating individual cancer risks in the UK national breast screening programme: A feasibility study

Diffey, Jennifer; Hufton, Alan; Astley, Susan; Mercer, Claire; Maxwell, Anthony

Authors

Jennifer Diffey

Alan Hufton

Susan Astley

Anthony Maxwell



Abstract

Conventional risk models for the development of breast cancer use inputs such as age, weight, hormonal factors and family history to compute individual breast cancer risk. These are employed in the management of women at high risk. The addition of breast density as an input has been shown to improve the accuracy of such models. An improved risk model could facilitate risk-based population screening. However, in order to use breast density in risk models there is a need to employ objective methods for measuring the density. A feasibility study has been carried out to assess the practicality of using a stepwedge-based technique for measuring breast density from mammograms in the UK National Health Service Breast Screening Programme and to determine whether additional information, relevant to risk, can be collected by questionnaire. Preliminary results suggest that it is practical to use such a technique in the screening environment. In a sample of 100 women, the mean density was 27% (range 2 - 81%). A negative trend in breast density was observed with Body Mass Index.

Citation

Diffey, J., Hufton, A., Astley, S., Mercer, C., & Maxwell, A. (2008). Estimating individual cancer risks in the UK national breast screening programme: A feasibility study. In International Workshop on Digital Mammography (469-476). https://doi.org/10.1007/978-3-540-70538-3_65

Conference Name 9th International Workshop, IWDM 2008
Conference Location Tucson, AZ, USA
Publication Date 2008
Deposit Date Aug 11, 2023
Publisher Springer
Pages 469-476
Series ISSN 1611-3349
Book Title International Workshop on Digital Mammography
DOI https://doi.org/10.1007/978-3-540-70538-3_65