NOTICE: The project that is the subject of this report was approved by the Institute of Medicine and the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

Support for this project was provided by the Breast Cancer Research Foundation, the Carl J. Herzog Foundation, Mr. John K. Castle, the Jewish Healthcare Foundation (Pittsburgh, PA), the Josiah Macy, Jr., Foundation, the Kansas Health Foundation, and the New York Community Trust. The views presented in this report are those of the Committee on Technologies for Early Detection of Breast Cancer and are not necessarily those of the sponsors.

Library of Congress Cataloging-in-Publication Data

Mammography and beyond : developing technologies for the early detection of breast cancer / Committee on the Early Detection of Breast Cancer ; Sharyl J. Nass, I. Craig Henderson, and Joyce C. Lashof, editors ; National Cancer Policy Board, Institute of Medicine and Commission on Life Sciences, National Research Council.

p. ; cm.

Includes bibliographical references and index.

1. Breast—Cancer—Diagnosis. 2. Breast—Imaging. 3. Medical screening. I. Nass, Sharyl J. II. Henderson, I. Craig. III. Lashof, Joyce C. IV. Institute of Medicine (U.S.). Committee on the Early Detection of Breast Cancer. V. National Cancer Policy Board (U.S.).

[DNLM: 1. Breast Neoplasms—diagnosis. 2. Mammography. 3. Mass Screening. WP 870 M2649 2001]

RC280.B8 M29 2001

616.99′449075—dc21

2001030885

For more information about the Institute of Medicine, visit the IOM home page at www.iom.edu.

Copyright 2001 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America.

COVER: Rosalie Ann Cassell, Waiting for the Biopsy, 1998. 18″ x 22″. Watercolor and ink. http:/www.breastcancerfund.org/gallery_6.html. Art. Rage. Us. The Art and Outrage of Breast Cancer.