{"id":7880,"date":"2019-10-25T11:15:45","date_gmt":"2019-10-25T09:15:45","guid":{"rendered":"https:\/\/www.caperay.com\/blog\/?p=7880"},"modified":"2019-10-25T17:19:10","modified_gmt":"2019-10-25T15:19:10","slug":"does-3d-mammography-save-more-lives","status":"publish","type":"post","link":"https:\/\/www.caperay.com\/blog\/does-3d-mammography-save-more-lives\/","title":{"rendered":"Does 3D Mammography Save More Lives?"},"content":{"rendered":"\n<!-- Facebook Like Button v1.9.6 BEGIN [http:\/\/blog.bottomlessinc.com] -->\n<iframe src=\"http:\/\/www.facebook.com\/plugins\/like.php?href=https%3A%2F%2Fwww.caperay.com%2Fblog%2Fdoes-3d-mammography-save-more-lives%2F&amp;layout=standard&amp;show_faces=false&amp;width=300&amp;action=like&amp;colorscheme=light&amp;font=arial\" scrolling=\"no\" frameborder=\"0\" allowTransparency=\"true\" style=\"border:none; overflow:hidden; width:300px; height: 30px; align: left; margin: 2px 0px 15px 0px\"><\/iframe>\n<!-- Facebook Like Button END -->\n<p><a href=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Liz_Szabo.jpg\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"alignright wp-image-7884 size-full\" src=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Liz_Szabo.jpg\" alt=\"\" width=\"250\" srcset=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Liz_Szabo.jpg 1157w, https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Liz_Szabo-300x250.jpg 300w, https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Liz_Szabo-768x639.jpg 768w, https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Liz_Szabo-1024x852.jpg 1024w\" sizes=\"(max-width: 1157px) 100vw, 1157px\" \/><\/a>A week ago, <em>USA Today<\/em> published\u00a0<a href=\"https:\/\/www.usatoday.com\/story\/news\/health\/2019\/10\/18\/3-d-mammograms-marketing-makes-women-feel-pressured-do-screenings\/3999864002\/\" target=\"_blank\" rel=\"noopener noreferrer\">an article<\/a>\u00a0written by Liz Szabo (seen right) with the provocative headline, \u201cMassive marketing muscle pushes 3D mammograms, despite no evidence they save more lives, investigation shows.\u201d The investigation was carried out on behalf of\u00a0<a href=\"https:\/\/khn.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Kaiser Health News<\/a>\u00a0and poses a number of ethical questions. Should a manufacturer promote a technology for which the efficacy has not yet been definitively proven? Who should pay for the clinical trials? And, should doctors accept funding from manufacturers to test the new technology?<\/p>\n<p>The first manufacturer to receive FDA clearance for its digital breast tomosynthesis (DBT) system was\u00a0<a href=\"https:\/\/www.hologic.com\/hologic-products\/breast-skeletal\/3dimensionstm-mammography-system\" target=\"_blank\" rel=\"noopener noreferrer\">Hologic<\/a>\u00a0in 2011, and in the intervening period GE Healthcare, Siemens and Fujifilm have brought DBT systems to market in the USA. More than 63% of mammography facilities in the country now offer the technology, with\u00a0<a href=\"https:\/\/www.fda.gov\/radiation-emitting-products\/mqsa-insights\/mqsa-national-statistics\" target=\"_blank\" rel=\"noopener noreferrer\">a total<\/a>\u00a0of 8,059 DBT machines installed. Research published in the past decade\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30777808\" target=\"_blank\" rel=\"noopener noreferrer\">has shown<\/a>\u00a0that DBT \u2013 also known as 3D mammography \u2013 detects more cancers than standard 2D mammography, but that still does not answer the question posed by Szabo: Does 3D mammography save more lives?<\/p>\n<p><a href=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Worta_McCaskill-Stevens.jpg\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"alignleft wp-image-7888 size-full\" src=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Worta_McCaskill-Stevens.jpg\" alt=\"\" width=\"250\" srcset=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Worta_McCaskill-Stevens.jpg 384w, https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Worta_McCaskill-Stevens-300x259.jpg 300w\" sizes=\"(max-width: 384px) 100vw, 384px\" \/><\/a>Last year Dr Worta McCaskill-Stevens (seen left) went to have her annual mammogram and\u00a0<a href=\"https:\/\/www.usatoday.com\/story\/news\/health\/2019\/10\/18\/3-d-mammograms-marketing-makes-women-feel-pressured-do-screenings\/3999864002\/\" target=\"_blank\" rel=\"noopener noreferrer\">was asked<\/a>, first by the receptionist and then by the radiographer, whether she wanted a free upgrade to a 3D mammogram because the new approach is \u201cmuch better, and it finds all cancer.\u201d She declined the offer. What the staff at the breast clinic did not know is that McCaskill-Stevens is\u00a0<a href=\"https:\/\/prevention.cancer.gov\/about-dcp\/staff-search\/worta-mccaskill-stevens-md-ms\" target=\"_blank\" rel=\"noopener noreferrer\">a senior researcher<\/a>\u00a0at the National Cancer Institute and has helped to design a federally-funded\u00a0<a href=\"https:\/\/www.cancer.gov\/about-cancer\/treatment\/clinical-trials\/nci-supported\/tmist\" target=\"_blank\" rel=\"noopener noreferrer\">research project<\/a>, costing $100 million, that has been designed to answer definitively the question about DBT\u2019s efficacy.<\/p>\n<p>Szabo\u00a0<a href=\"https:\/\/www.auntminnie.com\/index.aspx?sec=sup&amp;sub=wom&amp;pag=dis&amp;ItemID=126878\" target=\"_blank\" rel=\"noopener noreferrer\">argued<\/a>\u00a0that money from industry has shaped policy, public opinion and patient care by: paying influential doctors; marketing directly to consumers; lobbying state lawmakers; and funding experts and advocates. She named some of the radiologists such as\u00a0<a href=\"https:\/\/medicine.yale.edu\/profile\/liane_philpotts\/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr Liane Philpotts<\/a>\u00a0of Yale who defended her position by countering that funding from Hologic has not influenced her medical practice, and that DBT is \u201cjust so much better for patients.\u201d<\/p>\n<p><a href=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Hologic_DBT_system.jpg\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"alignright wp-image-7891 size-full\" src=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Hologic_DBT_system.jpg\" alt=\"\" width=\"200\" srcset=\"https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Hologic_DBT_system.jpg 964w, https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Hologic_DBT_system-243x300.jpg 243w, https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Hologic_DBT_system-768x946.jpg 768w, https:\/\/www.caperay.com\/blog\/wp-content\/uploads\/2019\/10\/Hologic_DBT_system-831x1024.jpg 831w\" sizes=\"(max-width: 964px) 100vw, 964px\" \/><\/a>Also interviewed for\u00a0<a href=\"https:\/\/www.usatoday.com\/story\/news\/health\/2019\/10\/18\/3-d-mammograms-marketing-makes-women-feel-pressured-do-screenings\/3999864002\/\" target=\"_blank\" rel=\"noopener noreferrer\">the article<\/a>\u00a0was Pete Valenti, a\u00a0<a href=\"https:\/\/investors.hologic.com\/governance\/board-of-directors\/person-details\/default.aspx?ItemId=b445046e-0155-4cea-84b8-36e006eea9fe\" target=\"_blank\" rel=\"noopener noreferrer\">senior executive<\/a>\u00a0at Hologic, who said that although his company is a for-profit organisation, their <em>raison d&#8217;\u00eatre<\/em> is to improve healthcare for women globally. And he highlighted a challenge for Hologic, whose DBT system is seen at right: Would it not be considered\u00a0 \u201cirresponsible and unethical\u201d for a manufacturer to withhold technology that has been shown to detect more breast cancers? Now that\u2019s an interesting dilemma. Not surprisingly, Hologic <a href=\"https:\/\/www.businesswire.com\/news\/home\/20191024005999\/en\/USA-Today-Article-Confuses-Patients-Benefits-3D\" target=\"_blank\" rel=\"noopener noreferrer\">has objected<\/a> to the thrust of the <em>USA Today<\/em> article.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A week ago, USA Today published\u00a0an article\u00a0written by Liz Szabo (seen right) with the provocative headline, \u201cMassive marketing muscle pushes [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_s2mail":"yes","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[1],"tags":[4,16,28,32,40,43,44,57,58,65,74,75,76,80,93],"class_list":["post-7880","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-3d","tag-breast_cancer","tag-cost","tag-diagnosis","tag-ethics","tag-fad","tag-ffdm","tag-legislation","tag-mammography","tag-nih","tag-radiologist","tag-regulatory_affairs","tag-research_grant","tag-screening","tag-tomosynthesis"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"A week ago, USA Today published an article written by Liz Szabo (seen right) with the provocative headline, \u201cMassive marketing muscle pushes 3D mammograms, despite no evidence they save more lives, investigation shows.\u201d The investigation was carried out on behalf of Kaiser Health News and poses a number of ethical questions. 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