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As a radiologist, I regret Dr. Johnson's comment that the ACR has a potential conflict of interest in opposing these recommendations.  Unfortunately, this represents one of the highest area litigation within the specialty of radiology and mammography does not reimburse well.  Were it not for the beneficial service it provides, I'm sure many radiologists would love to drop it from their practice.   While not a perfect test, it is the best screening tool we have for breast cancer and I trust in the credible, peer-reviewd scientific studies that show it's benefit. 

Oh, by the way, most of us do actually care about our patients.

posted 3 years, 6 months ago
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These recommendations presume that the "harms" of screening (none of which are life-threatening) outway the benefit of lives saved.

The task force does not look at the benefit of less invasive and less disfiguring therapy that be achieved with early diagnosis.

These recommendations are dangerous and ill-advised.  Please refer to the ACR statement regarding these recommendations.

posted 3 years, 6 months ago
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Your guest (Dr. Nelson) keeps incorrectly referring to call-back mammograms as false positives.

Call-back mammograms do NOT represent false positives.  They are incomplete examinations that require additional films for completion.  These are more common in dense breasts.  However, a relatively small percentage go on to biopsy.

False positives results actually call a "cancer" or "suspicious abnormality" (ACR category 4 or 5) that is proven not to be there (typically by biopsy).

posted 3 years, 6 months ago
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