Scintimammography
Ontario Ministry of Health and Long-Term Care
Record ID 32004000735
English
Authors' objectives:
The aims of this study were: 1. To identify clinical indications and effectiveness of scintimammography (SMM) in breast cancer detection. 2. To compare SMM with ultrasound (US), the routinely used technique, through an analysis of studies in which SMM, US and x-ray mammography (XMM) were compared and assessed to improve patient selection for biopsy.
Authors' recommendations:
- In the light of the meta-regression analysis, it appears that SMM technique in association with XMM is a promising technique.
- Overall, the meta-analysis showed no convincing difference between SMM and US in differentiating malignant from benign changes while there may be a sub-set of patients for whom SMM could add further benefit. This includes patients in whom XMM and US are inconclusive and particularly in patients with dense breasts, architectural distortion and with implants.
- The data accumulated so far suggests that there may be a role for SMM as an adjunctive technique in the evaluation of breast abnormalities. This role may become clearer once additional data based on newer generation gamma cameras specifically designed to image the breast becomes available.
- Further improvement in the design of the cameras suitable for breast imaging will be tracked and will be added to this document.
- Once the role of breast MRI is closely defined, the relative merits of MRI, SMM andultrasound as second and third line investigations will need to be re-examined.
Authors' methods:
Systematic review
Details
Project Status:
Completed
Year Published:
2003
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Diagnostic Imaging
- Ultrasonography
- X-Rays
- Breast Neoplasms
- Mammography
Contact
Organisation Name:
Medical Advisory Secretariat
Contact Address:
Medical Advisory Secretariat, 20 Dundas Street West, 10th Floor, Toronto, ON M5G 2N6 CANADA. Tel: 416-314-1092l; Fax: 416-325-2364;
Contact Name:
MASinfo.moh@ontario.ca
Contact Email:
MASinfo.moh@ontario.ca
Copyright:
Medical Advisory Secretariat, Ontario Ministry of Health and Long-Term Care
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