The one day symposium reported here was designed by a planning group that relied on the experience and wisdom of the staff of the Breast Cancer Screening Consortium at NCI, the American Cancer Society’s Cancer Screening staff, the CDC, the medical leadership of The Breast Cancer Research Foundation, and members of the Board. The morning of the symposium featured an overview plenary session introduced by Evelyn Lauder, Founder and Chairman of The BCRF; and Dr. Edward Penhoet, Chairman of the Committee, with presentations from senior experts in cancer research and care, breast cancer screening and epidemiology, radiology and breast imaging, basic cancer research, and national payment policy.

The afternoon consisted of invited panel and group discussions on two major topics important to breast cancer detection, delivery of screening services and technology development and deployment. A brief wrap-up session at the end of the day allowed two rapporteurs of the group discussions to summarize the information and recommendations presented during those sessions. They were followed by a final commentary from a representative of cancer survivors. The agenda identifying the morning speakers, their titles, affiliations, and topics, and the afternoon panelists with their titles and affiliations, can be found in the appendix. The speakers in each group discussion were assembled from different governmental, academic, and private sector organizations to provide a wide range of perspectives. The participants in discussions, questions, and answers during the morning and afternoon are also reported.

Following this Introduction, Chapter 2 opens with introductions from Mrs. Lauder and Dr. Penhoet and presents the remarks of the morning plenary speakers in order of appearance along with the question and answer sessions, Chapter 3 presents the speakers and discussions from the afternoon, and Chapter 4 concludes the symposium with summing up from the rapporteurs and a survivor representative and some further discussion. All the presentations and discussions were edited for easier reading and to add graphic material in the form of figures numbered sequentially from PowerPoints used during each speaker’s presentation. This dissemination report contains only what was said and displayed at the symposium. It is, therefore, a less formal forum than a Board or IOM report. Much interesting information and analysis and provocative ideas and suggestions can emerge during such an event from the experts, officials, and opinion leaders assembled. The Board and The Breast Cancer Research Foundation hope that this record of the day will provide continuing food for thought and ideas for actions in support of breast cancer detection and diagnosis and saving women’s lives.

Roger Herdman and Larry Norton

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