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Mammography and Beyond: Developing Technologies for the Early Detection of Breast Cancer: A Non-Technical Summary (2001)

Chapter: Committee on Technologies for the Early Detection of Breast Cancer

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Suggested Citation:"Committee on Technologies for the Early Detection of Breast Cancer." Institute of Medicine and National Research Council. 2001. Mammography and Beyond: Developing Technologies for the Early Detection of Breast Cancer: A Non-Technical Summary. Washington, DC: The National Academies Press. doi: 10.17226/10107.
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COMMITTEE ON TECHNOLOGIES FOR THE EARLY DETECTIONOF BREAST CANCER

JOYCE C. LASHOF, M.D., FACP, CHAIR, Professor Emerita, School of Public Health, University of California at Berkeley, Berkeley, CA

I. CRAIG HENDERSON, M.D., VICE CHAIR, Adjunct Professor of Medicine, University of California at San Francisco, San Francisco, CA

D. CRAIG ALLRED, M.D., Professor of Pathology, Baylor College of Medicine, Houston, TX

WADE M. AUBRY, M.D., Vice President, The Lewin Group, Associate Clinical Professor of Medicine, University of California at San Francisco, San Francisco, CA

JANET K. BAUM, M.D., FACR, Associate Professor of Radiology, Harvard Medical School, Director, Breast Imaging, Beth Israel Deaconess Medical Center, Boston, MA

SUZANNE W. FLETCHER, M.D., M.Sc., Professor of Ambulatory Care and Prevention, Harvard School of Medicine, Harvard Pilgrim Health Care, Professor of Epidemiology, Harvard School of Public Health, Boston, MA

MARTHE R. GOLD, M.D., M.P.H., Chair, Department of Community; Health and Social Medicine, City University of New York Medical School, New York, NY

LEON GORDIS, M.D., D.P.H., Professor of Epidemiology, Johns Hopkins School of Public Health & Hygiene, Baltimore, MD

DANIEL F. HAYES, M.D., Clinical Director, Breast Cancer Program, Lombardi Cancer Center, Georgetown University Medical Center, Washington, DC

CAROLINA HINESTROSA, M.A., Cofounder and Executive Director, Nueva Vida, Silver Spring, MD

JEAN J. LATIMER, Ph.D., Investigator, Magee-Womens Research Institute, Assistant Professor, Department. of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, PA

RICHARD R. NELSON, Ph.D., George Blumenthal Professor, School of International and Public Affairs, Columbia University, New York, NY

KENNETH OFFIT, M.D., M.P.H., Chief, Clinical Genetics Service, Department of Human Genetics, Memorial Sloan-Kettering Cancer Center, New York, NY

FAINA SHTERN, M.D., Director, Office of Research Affairs, Department of Radiology, Beth Israel-Deaconess Medical Center, Harvard Medical School, Boston, MA

MICHAEL W. VANNIER, M.D., Professor and Head, Department of Radiology, University of Iowa College of Medicine, Iowa City, Iowa

DEREK VAN AMERONGEN, M.D., M.S., FACOG, Chief Medical Officer, Humana/Choice Care, Cincinnati, OH

Liaison for the National Cancer Policy Board

ROBERT DAY, M.D., M.P.H., Ph.D., Emeritus President and Director, Fred Hutchinson Cancer Research Center, Seattle, WA

Consultants

LARRY NORTON, M.D., Chief, Solid Tumors, Memorial Sloan-Kettering, New York, NY

BARRON LERNER, M.D., Ph.D, Assistant Professor of Medicine and Public Health (in the Center for the Study of Society and Medicine), Columbia University, New York, NY

IOM Staff

SHARYL NASS, Ph.D., Study Director

ROBERT COOK-DEEGAN, M.D., Director, National Cancer Policy Board (through August 2000)

ROGER HERDMAN, M.D., Director, National Cancer Policy Board (from September 2000)

CARMIE CHAN, Research Assistant (through August 2000)

MARYJOY BALLANTYNE, Research Assistant (from August 2000)

BIANCA TAYLOR, Project Assistant

JOHN KUCEWICZ, Intern

KEVIN COLLINS, Intern

ELLEN JOHNSON, Administrative Assistant (through June 2000)

NICCI DOWN, Administrative Assistant (from August 2000)

GARY WALKER, Financial Associate (through September 2000)

JENNIFER CANGCO, Financial Associate (from September 2000)

Suggested Citation:"Committee on Technologies for the Early Detection of Breast Cancer." Institute of Medicine and National Research Council. 2001. Mammography and Beyond: Developing Technologies for the Early Detection of Breast Cancer: A Non-Technical Summary. Washington, DC: The National Academies Press. doi: 10.17226/10107.
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Page 30
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X-ray mammography screening is the current mainstay for early breast cancer detection. It has been proven to detect breast cancer at an earlier stage and to reduce the number of women dying from the disease. However, it has a number of limitations.

These current limitations in early breast cancer detection technology are driving a surge of new technological developments, from modifications of x-ray mammography such as computer programs that can indicate suspicious areas, to newer methods of detection such as magnetic resonance imaging (MRI) or biochemical tests on breast fluids. To explore the merits and drawbacks of these new breast cancer detection techniques, the Institute of Medicine of the National Academy of Sciences convened a committee of experts. During its year of operation, the committee examined the peer-reviewed literature, consulted with other experts in the field, and held two public workshops.

In addition to identifying promising new technologies for early detection, the committee explored potential barriers that might prevent the development of new detection methods and their common usage. Such barriers could include lack of funding from agencies that support research and lack of investment in the commercial sector; complicated, inconsistent, or unpredictable federal regulations; inadequate insurance reimbursement; and limited access to or unacceptability of breast cancer detection technology for women and their doctors. Based on the findings of their study, the committee prepared a report entitled Mammography and Beyond: Developing Technology for Early Detection of Breast Cancer, which was published in the spring of 2001. This is a non-technical summary of that report.

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