Centralization of mammography reporting with mobile trucks: Turkish experience

Abstract

Screening via mammography is a complex process to be implemented. Objective: To report the initial results and the effectiveness of newly implemented Turkey's population based breast cancer screening program performed for 40–69 years old women; and effectiveness of the newly implemented out-sourcing mobile trucks and national central report center. The study is conducted prospectively in one year (March 2016–March 2017) in all 81 provinces of Turkey. Mammography images were transferred via on-line web based system to the central reporting center. BI-RADS Scores and KETEM models (Mobile vs. Stationary) were the parameters were compared. In total mammography images of 414.802 patients were transferred from 155 KETEMs to the central reporting center. From these patients; 95.872 (23,1%) were aged between 40 and 44. Among all images, 21.999 (5,3%) were BI-RADS 0-4-5, 391.123 (94,3%) were BI-RADS 1–2. Totally recall rate of the national reporting center was 5.3%. Number of patients screened per day were significantly higher in out-sourcing mobile trucks compared to stationary KETEMs (31.8 vs. 8.9; p < 0.05). This is the first and the largest breast cancer screening study which results of a population based mammography screening for 40–69 years old women are evaluated at the same time with the evaluation of the efficacy of newly implemented centralized reporting center and the mobile screening trucks in comparison with stationary cancer screening centers. According to the initial results; Turkey's newly implemented population based breast cancer screening system seems to be feasible and effective.

BI-RADS Outcome Assessment of Mammography Screening; Medical Audit of a Breast Imaging Center

“…The women with dense breast ratios were high in our study group with 58.94% of women having BI-RADS type C and D breast density. This rate was higher than the Turkish data from the national screening program which showed 38.5% (C type 34%, D type 4.5%) dense breast (14). However, it was closer to the findings of an organized screening program in a county of Istanbul which was 52.7% (C type 36.8%, D type 15.9%) (15).…”

Re-Envisioning Pharmaceutical Manufacturing: Increasing Agility for Global Patient Access

“…If multiple mobile units are managed by a single mammography provider, all must be deployed for inspection at the host facility at the time of inspection. In the EU, mobile mammography is a relatively widespread practice across member states [42,43].…”

Breast Imaging for Non-radiologists

“…The benefit of screening MG in the early diagnosis of breast carcinoma has been demonstrated by randomized controlled studies. In Turkey, the breast carcinoma screening program has started in the early 2000s within the specialized carcinoma screening centers (Cancer Early Diagnosis, Screening, and Education Centers-KETEMs) (30).…”