WorldWideScience

Sample records for charter national mammography

  1. National Transuranic Program Charter

    International Nuclear Information System (INIS)

    The National Transuranic Program Plan and Charter describes the functional elements of the National TRU Program, organizational relationships, programmatic responsibilities, division of work scope among the various DOE organizations that comprise the program, and program baselines against which overall progress will be measured. The charter defines the authorities and responsibilities of various organizations involved in the management of TRU waste throughout the DOE complex

  2. On the Charter Question: Black Marxism and Black Nationalism

    Science.gov (United States)

    Stern, Mark; Hussain, Khuram

    2015-01-01

    This article brings two black intellectual traditions to bear on the question of charter schools: black Marxism and black nationalism. The authors examine the theoretical and rhetorical devices used to talk about charters schools by focusing on how notions of "black liberation" are deployed by the charter movement, and to what end. The…

  3. 75 FR 24367 - National Charter Schools Week, 2010

    Science.gov (United States)

    2010-05-05

    ... have a chance to realize the American Dream. Principals, teachers, parents, school boards, and.... NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority... 8, 2010, as National Charter Schools Week. I commend our Nation's charter schools, teachers,...

  4. The United Nations Charter as Constitution of the International Community

    OpenAIRE

    Fassbender, Bardo

    1998-01-01

    The Charter of the United Nations was brought into existence in the form of an international treaty. In the course of the last fifty years, however, the "constitutional predisposition" of the Charter has been confirmed and strengthened in such a way that today the Instrument must be referred to as the constitution of the international community. In this article, the author suggests that the Charter is the constitution of the international community in ist entirety, i.e., for all subjects of i...

  5. Mammography

    Science.gov (United States)

    ... Human Services (HHS) and the American College of Radiology (ACR) recommend screening mammography every year for women, ... a physician specifically trained to supervise and interpret radiology examinations, will analyze the images and send a ...

  6. 78 FR 66964 - International Space Station National Laboratory Advisory Committee; Charter Renewal

    Science.gov (United States)

    2013-11-07

    ... SPACE ADMINISTRATION International Space Station National Laboratory Advisory Committee; Charter Renewal AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of renewal of the charter of the International Space Station National Laboratory Advisory Committee. SUMMARY: Pursuant to...

  7. 78 FR 79005 - Charter Renewal for the National Park System Advisory Board

    Science.gov (United States)

    2013-12-27

    ... National Park Service Charter Renewal for the National Park System Advisory Board AGENCY: National Park... charter for the National Park System Advisory Board, in accordance with section 14(b) of the Federal... reauthorized legislatively within 2 years of the date of the renewal charter, the Board will revert to...

  8. 77 FR 131 - Charter Renewal for the National Park System Advisory Board

    Science.gov (United States)

    2012-01-03

    ... National Park Service Charter Renewal for the National Park System Advisory Board AGENCY: Department of the... renew the charter for the National Park System Advisory Board, in accordance with section 14(b) of the... reauthorized legislatively within 2 years of the date of the renewal charter, the Board will revert to...

  9. Using Lotteries to Evaluate Schools of Choice: Evidence from a National Study of Charter Schools

    Science.gov (United States)

    Tuttle, Christina Clark; Gleason, Philip; Clark, Melissa

    2012-01-01

    This paper draws on data and experiences observing and analyzing school lotteries from the National Evaluation of Charter School Impacts (Gleason et al., 2010) to describe the challenges associated with lottery-based research. In that study, covering 36 charter middle schools in 15 states, we found that charter schools did not affect student…

  10. 76 FR 65752 - International Space Station (ISS) National Laboratory Advisory Committee; Charter Renewal

    Science.gov (United States)

    2011-10-24

    ... SPACE ADMINISTRATION International Space Station (ISS) National Laboratory Advisory Committee; Charter Renewal AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of renewal and... Relations, (202) 358-0550, National Aeronautics and Space Administration, Washington, DC 20546-0001....

  11. 75 FR 43492 - Federal Advisory Committee; National Security Education Board; Charter Renewal

    Science.gov (United States)

    2010-07-26

    ... of the Secretary Federal Advisory Committee; National Security Education Board; Charter Renewal... notice that it is renewing the charter for the National Security Education Board (hereafter referred to as the Board). FOR FURTHER INFORMATION CONTACT: Jim Freeman, Deputy Committee Management Officer...

  12. Charter of the United Nations and statute of the International Court of Justice

    CERN Document Server

    United Nations. New York. Department of Public Information

    1993-01-01

    The Charter of the United Nations was signed on 26 June 1945, in San Francisco, at the conclusion of the United Nations Conference on International Organization, and came into force on 24 October 1945. The Statute of the International Court of Justice is an integral part of the Charter.

  13. 78 FR 26995 - National Charter Schools Week, 2013

    Science.gov (United States)

    2013-05-08

    ... expect high standards and accountability, and make tough decisions to close charter schools that are... thriving middle class. Achieving that vision means making sure our education system provides ladders of.... Many charter schools choose to locate in communities with few high- quality educational options,...

  14. 75 FR 29533 - National Advisory Council for Environmental Policy and Technology Notice of Charter Renewal

    Science.gov (United States)

    2010-05-26

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY National Advisory Council for Environmental Policy and Technology Notice of Charter Renewal AGENCY... to the ] Administrator of EPA on a broad range of environmental policy, technology and...

  15. 75 FR 26258 - Office of the Director; Notice of Charter Renewal for the National Science Advisory Board for...

    Science.gov (United States)

    2010-05-11

    ... HUMAN SERVICES National Institutes of Health Office of the Director; Notice of Charter Renewal for the National Science Advisory Board for Biosecurity In accordance with Title 41 of the U.S. Code of Federal Regulations, Section 102-3.65(a), notice is hereby given that the Charter for the National Science...

  16. 78 FR 6328 - Board of Scientific Counselors, National Center for Health Statistics: Notice of Charter Renewal

    Science.gov (United States)

    2013-01-30

    ... HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, National Center for Health Statistics: Notice of Charter Renewal This gives notice under the Federal Advisory Committee Act (Pub. L. 92-463) of October 6, 1972, that the Board of Scientific Counselors, National...

  17. 77 FR 39705 - National Advisory Council for Environmental Policy and Technology; Charter Renewal

    Science.gov (United States)

    2012-07-05

    ... AGENCY National Advisory Council for Environmental Policy and Technology; Charter Renewal AGENCY... (FACA), 5 U.S.C. App. 2, the National Advisory Council for Environmental Policy and Technology (NACEPT... Administrator of EPA on a broad range of environmental policy, technology and management issues. Inquiries...

  18. 76 FR 60848 - National Mammography Quality Assurance Advisory Committee; Notice of Meeting

    Science.gov (United States)

    2011-09-30

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration National Mammography Quality Assurance Advisory Committee; Notice of Meeting AGENCY: Food and Drug Administration, HHS. ACTION: Notice. This notice announces a forthcoming meeting of a public...

  19. 76 FR 7217 - Board of Scientific Counselors, National Center for Health Statistics: Notice of Charter Renewal

    Science.gov (United States)

    2011-02-09

    ... HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, National Center for Health Statistics: Notice of Charter Renewal This gives notice under the Federal Advisory Committee Act (Public Law 92-463) of October 6, 1972, that the Board of Scientific Counselors,...

  20. The Ark of Hope: Carrying the Earth Charter toward United Nations.

    Science.gov (United States)

    Linder, Sally

    2002-01-01

    Thousands of people from 51 countries created the Earth Charter, which heralds humankind's respectful recognition of life's interdependence and our shared responsibility for the world's well-being. A Vermont group put it in an "Ark of Hope" and walked it through four states to the United Nations. Related art workshops held in Vermont schools and…

  1. Charter of the United Nations and Statute of the International Court of Justice.

    Science.gov (United States)

    United Nations, New York, NY. Office of Public Information.

    The Charter of the United Nations is divided into 19 chapters. Following a preamble, Chapter I outlines the purposes and principles of the organization; Chapter II, the membership; and Chapter III, organization. Chapter IV describes the composition, functions, powers, and voting procedure of the General Assembly. Chapter V outlines the functioning…

  2. 77 FR 15997 - National Medal of Technology and Innovation Nomination Evaluation Committee Charter Renewal

    Science.gov (United States)

    2012-03-19

    ... Technology and Innovation Nomination Evaluation Committee on March 1, 2012. DATES: The Charter for the National Medal of Technology and Innovation Nomination Evaluation Committee was renewed on March 1, 2012... Nomination Evaluation Committee (NMTI Committee) on March 1, 2012. This Notice is published in...

  3. Digital information management: a progress report on the National Digital Mammography Archive

    Science.gov (United States)

    Beckerman, Barbara G.; Schnall, Mitchell D.

    2002-05-01

    Digital mammography creates very large images, which require new approaches to storage, retrieval, management, and security. The National Digital Mammography Archive (NDMA) project, funded by the National Library of Medicine (NLM), is developing a limited testbed that demonstrates the feasibility of a national breast imaging archive, with access to prior exams; patient information; computer aids for image processing, teaching, and testing tools; and security components to ensure confidentiality of patient information. There will be significant benefits to patients and clinicians in terms of accessible data with which to make a diagnosis and to researchers performing studies on breast cancer. Mammography was chosen for the project, because standards were already available for digital images, report formats, and structures. New standards have been created for communications protocols between devices, front- end portal and archive. NDMA is a distributed computing concept that provides for sharing and access across corporate entities. Privacy, auditing, and patient consent are all integrated into the system. Five sites, Universities of Pennsylvania, Chicago, North Carolina and Toronto, and BWXT Y12, are connected through high-speed networks to demonstrate functionality. We will review progress, including technical challenges, innovative research and development activities, standards and protocols being implemented, and potential benefits to healthcare systems.

  4. A virtual repository approach to clinical and utilization studies: application in mammography as alternative to a national database.

    OpenAIRE

    Ohno-Machado, L.; Boxwala, A. A.; Ehresman, J.; Smith, D N; Greenes, R. A.

    1997-01-01

    A national mammography database was proposed, based on a centralized architecture for collecting, monitoring, and auditing mammography data. We have developed an alternative architecture relying on Internet-based distributed queries to heterogeneous databases. This architecture creates a "virtual repository", or a federated database which is constructed dynamically, for each query and makes use of data available in legacy systems. It allows the construction of custom-tailored databases at ind...

  5. A virtual repository approach to clinical and utilization studies: application in mammography as alternative to a national database.

    Science.gov (United States)

    Ohno-Machado, L; Boxwala, A A; Ehresman, J; Smith, D N; Greenes, R A

    1997-01-01

    A national mammography database was proposed, based on a centralized architecture for collecting, monitoring, and auditing mammography data. We have developed an alternative architecture relying on Internet-based distributed queries to heterogeneous databases. This architecture creates a "virtual repository", or a federated database which is constructed dynamically, for each query and makes use of data available in legacy systems. It allows the construction of custom-tailored databases at individual sites that can serve the dual purposes of providing data (a) to researchers through a common mammography repository and (b) to clinicians and administrators at participating institutions. We implemented this architecture in a prototype system at the Brigham and Women's Hospital to show its feasibility. Common queries are translated dynamically into database-specific queries, and the results are aggregated for immediate display or download by the user. Data reside in two different databases and consist of structured mammography reports, coded per BIRADS Standardized Mammography Lexicon, as well as pathology results. We prospectively collected data on 213 patients, and showed that our system can perform distributed queries effectively. We also implemented graphical exploratory analysis tools to allow visualization of results. Our findings indicate that the architecture is not only feasible, but also flexible and scaleable, constituting a good alternative to a national mammography database. PMID:9357650

  6. Results of a 2011 national questionnaire for investigation of mean glandular dose from mammography in Japan

    International Nuclear Information System (INIS)

    Diagnostic reference levels (DRLs) for mammography have yet to be created in Japan. A national questionnaire investigation into radiographic conditions in Japan was carried out for the purpose of creating DRLs. Items investigated included the following: tube voltage; tube current; current–time product; source–image distance; craniocaudal view; automatic exposure control (AEC) settings; name of mammography unit; image receptor system (computed radiography (CR), flat panel detector (FPD), or film/screen (F/S)); and supported or unsupported monitor diagnosis (including monitor resolution). Estimation of the mean glandular dose (MGD) for mammography was performed and compared with previous investigations. The MGD was 1.58(0.48) mGy, which did not significantly differ from a 2007 investigation. In relation to image receptors, although no difference in average MGD values was observed between CR and FPD systems, F/S systems had a significantly decreased value compared to both CR and FPDs. Concerning digital systems (FPDs), the MGD value of the direct conversion system was significantly higher than the indirect conversion system. No significant difference in MGD value was evident concerning type of monitor diagnosis for either the CR or the FPD digital systems; however, hard copies were used more often in CR. No significant difference in the MGD value was found in relation to monitor resolution. This report suggests ways to lower the doses patients undergoing mammography receive in Japan, and serves as reference data for 4.2 cm compressed breast tissue of 50% composition DRLs. Furthermore, our findings suggest that further optimisation of FPD settings can promote a reduction in the MGD value. (paper)

  7. Transition from film to digital mammography: Impact for breast cancer screening through the national breast and cervical cancer early detection program

    NARCIS (Netherlands)

    N.T. van Ravesteyn (Nicolien); L. Van Lier (Lisanne); C.B. Schechter (Clyde); D.U. Ekwueme (Donatus U.); J. Royalty (Janet); J.W. Miller (Jacqueline W.); A.M. Near (Aimee); K.A. Cronin (Kathleen); E.A.M. Heijnsdijk (Eveline); J.S. Mandelblatt (Jeanne); H.J. de Koning (Harry)

    2015-01-01

    textabstractIntroduction The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides mammograms and diagnostic services for low-income, uninsured women aged 40-64 years. Mammography facilities within the NBCCEDP gradually shifted from plain-film to digital mammography. The pur

  8. Inconsistent self-reported mammography history: Findings from the National Population Health Survey longitudinal cohort

    Directory of Open Access Journals (Sweden)

    Snider Judy

    2004-11-01

    Full Text Available Abstract Background Self-reported information has commonly been used to monitor mammography utilization across populations and time periods. However, longitudinal investigations regarding the prevalence and determinants of inconsistent responses over time and the impact of such responses on population screening estimates are lacking. Methods Based on longitudinal panel data for a representative cohort of Canadian women aged 40+ years (n = 3,537 assessed in the 1994–95 (baseline and 1996–97 (follow-up National Population Health Survey (NPHS, we examined the prevalence of inconsistent self-reports of mammography utilization. Logistic regression models were used to estimate the associations between women's baseline sociodemographic and health characteristics and 2 types of inconsistent responses: (i baseline reports of ever use which were subsequently contradicted by follow-up reports of never use; and (ii baseline reports of never use which were contradicted by follow-up reports of use prior to 1994–95. Results Among women who reported having a mammogram at baseline, 5.9% (95% confidence interval (CI: 4.6–7.3% reported at follow-up that they had never had one. Multivariate logistic regression analyses showed that women with such inconsistent responses were more often outside target age groups, from low income households and less likely to report hormone replacement therapy and Pap smear use. Among women reporting never use at baseline and ever use at follow-up, 17.4% (95%CI: 11.7–23.1% reported their most recent mammogram as occurring prior to 1994–95 (baseline and such responses were more common among women aged 70+ years and those in poorer health. Conclusions Women with inconsistent responses of type (i, i.e., ever users at baseline but never users at follow-up, appeared to exhibit characteristics typical of never users of mammography screening. Although limited by sample size, our preliminary analyses suggest that type (ii

  9. Charter School Contracts. Policy Guide

    Science.gov (United States)

    Cass, Rebecca

    2009-01-01

    The charter school concept was first introduced in 1991 when the Minnesota Legislature passed the nation's first charter school law. As of this writing in 2009, 40 states and the District of Columbia have charter school legislation. While the specific characteristics and nuances of these laws vary from state to state, almost every state law…

  10. Charter Schools as Nation Builders: Democracy Prep and Civic Education. Policy Brief 4

    Science.gov (United States)

    Lautzenheiser, Daniel; Kelly, Andrew P.

    2013-01-01

    This policy brief is the first in a series of in-depth case studies exploring how top-performing charter schools have incorporated civic learning in their school curriculum and school culture. This paper introduces Democracy Prep, a network of seven public charter schools with a civic mission at its core. Democracy Prep's founder and…

  11. MedlinePlus: Mammography

    Science.gov (United States)

    ... you have a lump or other sign of breast cancer. Screening mammography is the type of mammogram that checks ... Have Increased Risk of Death (National Cancer Institute) Breast Cancer Screening Rates (Centers for Disease Control and Prevention) Experimental ...

  12. Integrated Forest Management Charter

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, Leslie A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-08-24

    The purpose of this charter is to establish, maintain, and implement programs for the protection, preservation, and enhancement of the land and water resources of Los Alamos National Laboratory in a changing climate.

  13. Pelagic Charter Boat Patrons (1999-2001)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This study describes several aspects of the charter fishing experience, including patrons' motivations for coming to Hawaii and going charter fishing, their related...

  14. Growing Pains: Scaling up the Nation's Best Charter Schools. Education Sector Reports

    Science.gov (United States)

    Education Sector, 2009

    2009-01-01

    Amistad Academy is a bright shining star in public school reform. Founded in 1999 in a renovated warehouse in a blighted New Haven, Connecticut, neighborhood by a group of Yale law school students, the 289-student charter school has won the praise of the last two federal education secretaries. Educators throughout the country have traveled to the…

  15. Screening mammography. A missed clinical opportunity? Results of the NCI [National Cancer Institute] Breast Cancer Screening Consortium and national health interview survey studies

    International Nuclear Information System (INIS)

    Data from seven studies sponsored by the National Cancer Institute (NCI) were used to determine current rates of breast cancer screening and to identify the characteristics of and reasons for women not being screened. All seven studies were population-based surveys of women aged 50 to 74 years without breast cancer. While over 90% of non-Hispanic white respondents had regular sources of medical care, 46% to 76% had a clinical breast examination within the previous year, and only 25% to 41% had a mammogram. Less educated and poorer women had fewer mammograms. The two most common reasons women gave for never having had a mammogram were that they did not known they needed it and that their physician had not recommended it. Many physicians may have overlooked the opportunity to recommend mammography for older women when performing a clinical breast examination and to educate their patients about the benefit of screening mammography

  16. Heterogeneity in mammography use across the nation: separating evidence of disparities from the disproportionate effects of geography

    Directory of Open Access Journals (Sweden)

    Clayton Laurel

    2008-06-01

    Full Text Available Abstract Background Mammography is essential for early detection of breast cancer and both reduced morbidity and increased survival among breast cancer victims. Utilization is lower than national guidelines, and evidence of a recent decline in mammography use has sparked concern. We demonstrate that regression models estimated over pooled samples of heterogeneous states may provide misleading information regarding predictors of health care utilization and that comprehensive cancer control efforts should focus on understanding these differences and underlying causal factors. Our study population includes all women over age 64 with breast cancer in the Surveillance Epidemiology and End Results (SEER cancer registries, linked to a nationally representative 5% reference sample of Medicare-eligible women located in 11 states that span all census regions and are heterogeneous in racial and ethnic mix. Combining women with and without cancer in the sample allows assessment of previous cancer diagnosis on propensity to use mammography. Our conceptual model recognizes the interplay between individual, social, cultural, and physical environments along the pathways to health care utilization, while delineating local and more distant levels of influence among contextual variables. In regression modeling, we assess individual-level effects, direct effects of contextual factors, and interaction effects between individual and contextual factors. Results Pooling all women across states leads to quite different conclusions than state-specific models. Commuter intensity, community acculturation, and community elderly impoverishment have significant direct impacts on mammography use which vary across states. Minorities living in isolated enclaves with others of the same race/ethnicity may be either advantaged or disadvantaged, depending upon the place studied. Conclusion Careful analysis of place-specific context is essential for understanding differences across

  17. Ultrasonic mammography

    International Nuclear Information System (INIS)

    608 women are examined by means of ultrasonic mammography during the period of 1 year. 432 patients were examined with the compound method with the U.I. Octoson, a water tank scanner, and 176 patients with the real time method with a directly connected linear-array-scanner. The following results were obtained at the end of the examination period: In the ultrasonic and also in the X-ray mammogram tumour diameters can be determined with an error rate of +- 30%. In the diagnosing of carcinomas, a significant dependence of the exactness on the sice of the tumour is found for the combination of the five methods tested (clinical examination, X-ray mammography, ultrasonic mammography, thermography, cytology). Classifying the individual methods with regard to their exactness, X-ray mammography ranks in front of ultrasonic mammography. Mastopathic changes in the breast can be screened by means of ultrasonic mammography. The structure of the changes can be determined more exactly than with an X-ray picture which is due to the possibility of differentiating solid and cystic structures. In diagnosing fibro-adenomas and establishing diagnoses on young women with dense gland bodies, ultrasonic mammography is superior to radiology both in the ability of screening a finding of a fibro-adenoma (US=88%, X-ray=75%) and in the possibility of classifying it as ''more benign than malignant''. (orig./MG)

  18. Mammography Facilities

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Mammography Facility Database is updated periodically based on information received from the four FDA-approved accreditation bodies: the American College of...

  19. Details from the Dashboard: Charter Schools by Geographic Region

    Science.gov (United States)

    National Alliance for Public Charter Schools, 2012

    2012-01-01

    While a majority of charter schools nationwide operate in urban and suburban areas, charter schools exist in all corners of the nation, and are expanding into all types of communities. This "Details from the Dashboard" report presents statistics on the number of charter schools and students enrolled in charter schools by the four geographic…

  20. Experience with the European quality assurance guidelines for digital mammography systems in a national screening programme.

    Science.gov (United States)

    McCullagh, J; Keavey, E; Egan, G; Phelan, N

    2013-02-01

    The transition to a fully digital breast screening programme, utilising three different full-field digital mammography (FFDM) systems has presented many challenges to the implementation of the European guidelines for physico-technical quality assurance (QA) testing. An analysis of the QA results collected from the FFDM systems in the screening programme over a 2-y period indicates that the three different systems have similar QA performances. Generally, the same tests were failed by all systems and failure rates were low. The findings provide some assurance that the QA guidelines are being correctly implemented. They also suggest that there is more scope for the development of the relevance of the guidelines with respect to modern FFDM systems. This study has also shown that a summary review of the QA data can be achieved by simple organisation of the QA data storage and by automation of data query and retrieval using commonly available software.

  1. Charter Halibut Limited Access Program

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This limited access system limits the number of charter vessels that may participate in the guided sport fishery for halibut in area 2C and 3A. NMFS issues a...

  2. CADx Mammography

    Science.gov (United States)

    Costaridou, Lena

    Although a wide variety of Computer-Aided Diagnosis (CADx) schemes have been proposed across breast imaging modalities, and especially in mammography, research is still ongoing to meet the high performance CADx requirements. In this chapter, methodological contributions to CADx in mammography and adjunct breast imaging modalities are reviewed, as they play a major role in early detection, diagnosis and clinical management of breast cancer. At first, basic terms and definitions are provided. Then, emphasis is given to lesion content derivation, both anatomical and functional, considering only quantitative image features of micro-calcification clusters and masses across modalities. Additionally, two CADx application examples are provided. The first example investigates the effect of segmentation accuracy on micro-calcification cluster morphology derivation in X-ray mammography. The second one demonstrates the efficiency of texture analysis in quantification of enhancement kinetics, related to vascular heterogeneity, for mass classification in dynamic contrast-enhanced magnetic resonance imaging.

  3. 78 FR 49756 - Renewal of Charter for the National Vaccine Advisory Committee

    Science.gov (United States)

    2013-08-15

    ... under Section 2105 (42 U.S.C. Section 300aa-5) of the Public Health Service (PHS) Act, as amended. The... amended (5 U.S.C. App.). NVAC advises and makes recommendations to the Director, National Vaccine Program (NVP), on matters related to the Program's responsibilities. The Assistant Secretary for Health...

  4. Charter Schools and Race: A Lost Opportunity for Integrated Education

    Directory of Open Access Journals (Sweden)

    Erica Frankenberg

    2003-09-01

    Full Text Available Segregation patterns in the nation's charter schools are studied. After reviewing state charter legislation that directly addresses issues of racial and ethnic balance of student enrollment, we briefly examine the racial composition and segregation of the charter school population nationally. School-level analyses, aggregated by state constitute the primary method of studying segregation in charter schools. First, we look at racial composition and segregation of charter schools by state. Then, we consider the differences in segregation between non-charter public schools (or simply "public schools" for convenience and charter schools, as well as segregation within the charter school sector. We conclude with a discussion of the article's findings and recommendations to promote further racial equity in this growing sector of public schools.

  5. Books or Guards? Charter School Security Costs

    Science.gov (United States)

    DeAngelis, Karen J.; Brent, Brian O.

    2012-01-01

    Little is known about the costs charter schools incur to foster security--a vexing phenomenon when one considers policymakers' and parents' seemingly high and growing want for school safety. Using data from the National Center for Education Statistics and Texas, we reveal how much charter schools spend on security, how they put these resources to…

  6. Charter Schools, Civil Rights and School Discipline: A Comprehensive Review

    Science.gov (United States)

    Losen, Daniel J.; Keith, Michael A., II; Hodson, Cheri L.; Martinez, Tia E.

    2016-01-01

    This report, along with the companion spreadsheet, provides the first comprehensive description ever compiled of charter school discipline. In 2011-12, every one of the nation's 95,000 public schools was required to report its school discipline data, including charter schools. This analysis, which includes more than 5,250 charter schools, focuses…

  7. Academic Achievement of Students in a Charter Homeschool

    Science.gov (United States)

    Leeds, Mary A.

    2009-01-01

    A recent development in education is the public charter school as a homeschool model. In several states across the nation, a child may enroll in an independent study program of a public charter school and base his or her studies in the home. This model in the realm of education is called charter homeschool. The state of California has over 120…

  8. Charter School Parents and Their Perceptions of Independent Schools

    Science.gov (United States)

    Torres, Amada

    2014-01-01

    Given that independent schools have started to face competition from charter schools, the National Association of Independent Schools (NAIS) commissioned a study with current and prospective charter school parents to determine their perceptions of charter vs. independent schools, assess the relative impact of the variables that affect their school…

  9. Resource Allocation and Performance Management in Charter Schools: Connections to Student Success. Research Brief

    Science.gov (United States)

    Wong, Kenneth K.; Shen, Francis X.; Purvis, Elizabeth D.

    2010-01-01

    A consensus is emerging among researchers who study charter schools that general conclusions about whether or not charter schools nationally perform better than traditional public schools are difficult to achieve (Buddin & Zimmer, 2005). Rather than asking, "Are charter schools working?" the better questions to ask might be, "Which charter schools…

  10. FDA Certified Mammography Facilities

    Science.gov (United States)

    ... Products Radiation-Emitting Products Home Radiation-Emitting Products Mammography Quality Standards Act and Program Consumer Information (MQSA) ... it Email Print This list of FDA Certified Mammography Facilities is updated weekly. If you click on ...

  11. 29 CFR 1912a.12 - Charter.

    Science.gov (United States)

    2010-07-01

    ... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) NATIONAL ADVISORY COMMITTEE ON OCCUPATIONAL SAFETY AND HEALTH § 1912a.12 Charter. The Committee shall... enactment of the Occupational Safety and Health Act....

  12. Hawaii Charter Fishing Cost Earnings Survey 2012

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These data represent a cost-earnings study of the main Hawaiian Island Charter fishing fleet in 2012. Data collected include fisher classification, vessel...

  13. Experience with digital mammography

    Directory of Open Access Journals (Sweden)

    G. P. Korzhenkova

    2011-01-01

    Full Text Available The use of digital techniques in mammography has become a last step for completing the process of digitization in diagnostic imaging. It is assumed that such a spatial decision will be required for digital mammography, as well as for high-resolution intensifying screen-film systems used in conventional mammography and that the digital techniques will be limited by the digitizer pixel size on detecting minor structures, such as microcalcifications. The introduction of digital technologies in mammography involves a tight control over an image and assures its high quality.

  14. Comparison of standard reading and computer aided detection (CAD) on a national proficiency test of screening mammography

    International Nuclear Information System (INIS)

    Objective: To evaluate the role of computer aided detection (CAD) in improving the interpretation of screening mammograms Material and methods: Ten radiologists underwent a proficiency test of screening mammography first by conventional reading and then with the help of CAD. Radiologists were blinded to test results for the whole study duration. Results of conventional and CAD reading were compared in terms of sensitivity and recall rate. Double reading was simulated combining conventional readings of four expert radiologists and compared with CAD reading. Results: Considering all ten readings, cancer was identified in 146 or 153 of 170 cases (85.8 vs. 90.0%; χ2=0.99, df=1, P=0.31) and recalls were 106 or 152 of 1330 cases (7.9 vs. 11.4%; χ2=8.69, df=1, P=0.003) at conventional or CAD reading, respectively. CAD reading was essentially the same (sensitivity 97.0 vs. 96.0%; χ2=7.1, df=1, P=0.93; recall rate 10.7 vs. 10.6%; χ2=1.5, df=1, P=0.96) as compared with simulated conventional double reading. Conclusion: CAD reading seems to improve the sensitivity of conventional reading while reducing specificity, both effects being of limited size. CAD reading had almost the same performance of simulated conventional double reading, suggesting a possible use of CAD which needs to be confirmed by further studies inclusive of cost-effective analysis

  15. Charter Schools and the Risk of Increased Segregation

    Science.gov (United States)

    Rotberg, Iris C.

    2014-01-01

    This article examines a wide array of research on the link between school choice programs and student segregation and draws implications for the Obama Administration's policy promoting the national expansion of charter schools. The research demonstrates how the proliferation of charter schools risks increasing current levels of segregation…

  16. 78 FR 66964 - International Space Station Advisory Committee; Charter Renewal

    Science.gov (United States)

    2013-11-07

    ... SPACE ADMINISTRATION International Space Station Advisory Committee; Charter Renewal AGENCY: National... International Space Station Advisory Committee. SUMMARY: Pursuant to sections 14(b)(1) and 9(c) of the Federal... charter of the International Space Station Advisory Committee is in the public interest in connection......

  17. 78 FR 57903 - Aerospace Safety Advisory Panel; Charter Renewal

    Science.gov (United States)

    2013-09-20

    ... SPACE ADMINISTRATION Aerospace Safety Advisory Panel; Charter Renewal AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of renewal and amendment of the charter of the Aerospace... the Aerospace Safety Advisory Panel is in the public interest in connection with the performance...

  18. Teacher Turnover in Charter Schools. Research Brief

    Science.gov (United States)

    Stuit, David; Smith, Thomas M.

    2010-01-01

    The current study aimed to contribute to a deeper understanding of the organizational conditions of charter schools by examining teacher turnover. Using data from the National Center for Education Statistics (NCES) 2003-04 Schools and Staffing Survey (SASS) and the Teacher Follow-Up Survey (TFS), researchers from the National Center on School…

  19. Frequently Asked Questions about Digital Mammography

    Science.gov (United States)

    ... Consumer Information (MQSA) Frequently Asked Questions About Digital Mammography Share Tweet Linkedin Pin it More sharing options ... mammography exams, such as DBT? What is digital mammography? Full field digital mammography (FFDM, also known simply ...

  20. Regulatory Compliance in Mammography.

    Science.gov (United States)

    Loesch, Jennifer

    2016-01-01

    Although the Mammography Quality Standards Act (MQSA) passed when analog mammography and film processors were used across the United States, now most health care facilities have full-field digital mammography. This article reviews MQSA requirements including qualifications for personnel, the clinical image evaluation process, and components of a quality control program. In light of technological advances, the U.S. Food and Drug Administration's extension certificate for digital breast tomosynthesis is discussed, along with the American College of Radiology's Breast Imaging Center of Excellence designation and laws regarding density notification. PMID:26952076

  1. Studies Spotlight Charter Schools Aimed at Diversity

    Science.gov (United States)

    Zubrzycki, Jaclyn

    2012-01-01

    Nearly six decades after "Brown" v. "Board of Education," the landmark U.S. Supreme Court decision that ushered in an era of efforts to integrate public schools, charter school advocates and researchers are shining a light on a number of those independent public schools that are integrated by design. Two new reports--one from the National Alliance…

  2. AFSC/REFM: Alaska Saltwater Sport Fishing Charter Business Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The purpose of this project was to collect cost, earning, and employment information from the Alaska saltwater sport fishing charter business sector during the...

  3. Mammography and radiation risk

    International Nuclear Information System (INIS)

    Breast cancer is the most frequent malignant neoplasia among women in Germany. The use of mammography as the most relevant diagnostic procedure has increased rapidly over the last decade. Radiation risks associated with mammography may be estimated from the results of numerous epidemiological studies providing risk coefficients for breast cancer in relation to age at exposure. Various calculations can be performed using the risk coefficients. For instance, a single mammography examination (bilateral, two views of each breast) of a women aged 45 may enhance the risk of developing breast cancer during her lifetime numerically from about 12% of 12.0036%. This increase in risk is lower by a factor of 3,300 as compared to the risk of developing breast cancer in the absence of radiation exposure. At the age of 40 or more, the benefit of mammography exceeds the radiation risk by a factor of about 100. At higher ages this factor increases further. Finally, the dualism of individual risk and collective risk is considered. It is shown that the individual risk of a patient, even after multiple mammography examinations, is vanishingly small. Nevertheless, the basic principle of minimising radiation exposure must be followed to keep the collective risk in the total population as low as reasonably achievable. (orig.)

  4. Charter Schools: Experiments in Reform.

    Science.gov (United States)

    Dunn, David

    By March 1994, eight states had adopted charter-school legislation. This report defines the charter-school concept and describes its advantages and disadvantages. Proponents argue that charter schools offer flexibility, decentralized decision making, a performance accountability, and school choice, and increased pressure for change. Opponents…

  5. Charter Schools and Market Segmentation

    Science.gov (United States)

    Batie, Michael

    2009-01-01

    This dissertation was undertaken to examine the effect(s) of charter school marketing on the Los Angeles Unified School District (LAUSD) education landscape with respect to the stratification of charter schools. Information from four sources: school websites, a survey of charter school parents, existing online statistics and data, and various…

  6. Performance Management in Portfolio School Districts. A Report from the Doing School Choice Right Project and the National Charter School Research Project

    Science.gov (United States)

    Lake, Robin J.; Hill, Paul T.

    2009-01-01

    The search continues for effective ways to educate disadvantaged children in big cities. Different cities have tried varied approaches--intensive work on the professional skills of teachers and administrators in Boston, standardized approaches to instruction in San Diego, and extensive use of vouchers and chartering in Washington, D.C., and…

  7. CJS debate: Is mammography useful in average-risk screening for breast cancer?

    Science.gov (United States)

    Brackstone, Muriel; Latosinsky, Steven; Saettler, Elizabeth; George, Ralph

    2016-01-01

    Summary Given the recent debate over breast cancer screening that was reignited by the 25-year follow-up data from the Canadian National Breast Screening Study, the Canadian Journal of Surgery commissioned a group of Canadian experts to debate the value of screening mammography. We discuss the Canadian study and summarize the arguments in favour of and against screening mammography for average-risk patients. We also provide summary recommendations for the use of mammography. PMID:26574707

  8. Mammography screening in denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse Merete Munk; Mikkelsen, Ellen Margrethe; Garne, Jens Peter;

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality...

  9. Mammography screening in Denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter;

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality...

  10. Mammography: What You Need to Know

    Science.gov (United States)

    ... Products For Consumers Home For Consumers Consumer Updates Mammography: What You Need to Know Share Tweet Linkedin ... Lerner, FDA medical officer in the Division of Mammography Quality Standards, discusses the importance of mammography and ...

  11. Positron Emission Mammography imaging

    Energy Technology Data Exchange (ETDEWEB)

    Moses, W.W. E-mail: wwmoses@lbl.gov

    2004-06-01

    This paper examines current trends in Positron Emission Mammography (PEM) instrumentation and the performance tradeoffs inherent in them. The most common geometry is a pair of parallel planes of detector modules. They subtend a larger solid angle around the breast than conventional PET cameras, and so have both higher efficiency and lower cost. Extensions to this geometry include encircling the breast, measuring the depth of interaction (DOI), and dual-modality imaging (PEM and X-ray mammography, as well as PEM and X-ray guided biopsy). The ultimate utility of PEM may not be decided by instrument performance, but by biological and medical factors, such as the patient to patient variation in radiotracer uptake or the as yet undetermined role of PEM in breast cancer diagnosis and treatment.

  12. Positron emission mammography imaging

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.

    2003-10-02

    This paper examines current trends in Positron Emission Mammography (PEM) instrumentation and the performance tradeoffs inherent in them. The most common geometry is a pair of parallel planes of detector modules. They subtend a larger solid angle around the breast than conventional PET cameras, and so have both higher efficiency and lower cost. Extensions to this geometry include encircling the breast, measuring the depth of interaction (DOI), and dual-modality imaging (PEM and x-ray mammography, as well as PEM and x-ray guided biopsy). The ultimate utility of PEM may not be decided by instrument performance, but by biological and medical factors, such as the patient to patient variation in radiotracer uptake or the as yet undetermined role of PEM in breast cancer diagnosis and treatment.

  13. Does Distance Matter? Distance to Mammography Facilities and Stage at Diagnosis of Breast Cancer in Kentucky

    Science.gov (United States)

    Huang, Bin; Dignan, Mark; Han, Daikwon; Johnson, Owen

    2009-01-01

    Background: National and regional data indicate that breast cancer early detection is low in Kentucky, especially rural regions, perhaps because access to mammography services can be problematic. Objective: This study examined the distance between residences of women diagnosed with breast cancer and the nearest mammography facility, as a risk…

  14. Mammography accreditation program

    Energy Technology Data Exchange (ETDEWEB)

    Wilcox, P.

    1993-12-31

    In the mid-1980`s, the movement toward the use of dedicated mammography equipment provided significant improvement in breast cancer detection. However, several studies demonstrated that this change was not sufficient to ensure optimal image quality at a low radiation dose. In particular, the 1985 Nationwide Evaluation of X-ray Trends identified the wide variations in image quality and radiation dose, even from dedicated units. During this time period, the American Cancer Society (ACS) launched its Breast Cancer Awareness Screening Campaign. However, there were concerns about the ability of radiology to respond to the increased demand for optimal screening examinations that would result from the ACS program. To respond to these concerns, the ACS and the American College of Radiology (ACR) established a joint committee on mammography screening in 1986. After much discussion, it was decided to use the ACR Diagnostic Practice Accreditation Program as a model for the development of a mammography accreditation program. However, some constraints were required in order to make the program meet the needs of the ACS. This voluntary, peer review program had to be timely and cost effective. It was determined that the best way to address these needs would be to conduct the program by mail. Finally, by placing emphasis on the educational nature of the program, it would provide an even greater opportunity for improving mammographic quality. The result of this effort was that, almost six years ago, in May 1987, the pilot study for the ACR Mammography Accreditation Program (MAP) began, and in August of that year, the first applications were received. In November 1987, the first 3-year accreditation certificates were awarded.

  15. Charter School Replication. Policy Guide

    Science.gov (United States)

    Rhim, Lauren Morando

    2009-01-01

    "Replication" is the practice of a single charter school board or management organization opening several more schools that are each based on the same school model. The most rapid strategy to increase the number of new high-quality charter schools available to children is to encourage the replication of existing quality schools. This policy guide…

  16. Boot Camps for Charter Boards

    Science.gov (United States)

    Kronholz, June

    2015-01-01

    This article addresses the question of who owns the responsibility when a charter school gets into trouble--when its students aren't learning, or it misses its enrollment targets, or money runs short, or it closes. Upon presenting this question to a director of a charter school, a board member, and a Massachusetts-based education consultant and…

  17. Dangers Facing the Earth Charter

    Science.gov (United States)

    Ruiz, Javier Reyes

    2010-01-01

    The article explores social and educational processes that could undermine the Earth Charter's promise. It points out that the meaning of the Charter would be affected if it is used in a doctrinaire manner, if individuals or groups assume the role of its legitimate and expert emissaries, if it takes on a messianic tone in its central ideas, if it…

  18. Mammography screening in Denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter;

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality, but it...... is not possible to evaluate the effect on mortality until several years later, and continuously monitoring of the quality of all aspects of a screening programme is necessary. Based on other European guidelines, 11 quality indicators have been defined, and guidelines concerning organizational...... requirements for a Danish screening programme as well as recommendations for the radiographic and radiological work have been drawn up....

  19. Charter High Schools' Effects on Long-Term Attainment and Earnings

    Science.gov (United States)

    Sass, Tim R.; Zimmer, Ron W.; Gill, Brian P.; Booker, T. Kevin

    2016-01-01

    Since their inception in 1992, the number of charter schools has grown to more than 6,800 nationally, serving nearly three million students. Various studies have examined charter schools' impacts on test scores, and a few have begun to examine longer-term outcomes including graduation and college attendance. This paper is the first to estimate…

  20. Patient's rights charter in Iran.

    Directory of Open Access Journals (Sweden)

    Alireza Parsapoor

    2014-01-01

    Full Text Available Given the importance of patient's rights in healthcare, special attention has been given to the concept of patient's rights by the Ministry of Health and Medical Education in Iran. Iranian patient's rights charter has been compiled with a novel and comprehensive approach. This charter aims to elucidate rights of recipients of health services as well as observing ethical standards in medicine. This paper presents the Iranian patient's rights charter. Based on a study done from 2007 to 2009, the charter has been finalized through an extensive consultation involving all stakeholders, patients, physicians, nurses, lawyers, patient associations and health policy makers. The developed charter was adopted by the Ministry of Health in December 2009. Iranian patient's rights charter has been formulated in the framework of 5 chapters and 37 articles including vision and an explanatory note. The five chapters concern right to receiving appropriate services, right to access desired and enough information, right to choose and decide freely about receiving healthcare, right to privacy and confidentiality, and finally right to access an efficient system of dealing with complaints which have been explained in 14, 9, 7, 4 and 3 articles, respectively.  The paper concludes that, adopting the patient's rights charter is a valuable measure to meet patient's rights; however, a serious challenge is how to implement and acculturate observing patient's rights in practice in our healthcare system in Iran.

  1. Response costs of mammography adherence: Iranian women’s perceptions

    Science.gov (United States)

    Khodayarian, Mahsa; Mazloomi-Mahmoodabad, Seyed Saied; Lamyian, Minoor; Morowatisharifabad, Mohammad Ali; Tavangar, Hossein

    2016-01-01

    Background: Mammography as the most common secondary prevention method has known to be helpful in detecting breast cancer at the early stages. Low level of participation among women toward mammography uptake due to cultural beliefs is a great concern. This study aimed at exploring the perceptions of women about response costs of mammography adherence (MA) in Yazd, Iran. Methods: A qualitative study using semi-structured interviews was performed. Fourteen women,one oncology nurse, and a breast cancer survivor were purposefully interviewed. Interviews were transcribed verbatim and analyzed by directed content analysis method based on protection motivation theory (PMT). Results: One main theme was emerged from the analysis namely called "response costs".Two main categories were also emerged from the data; (1) psychological barriers with six subcategories including "embarrassment," "worry about being diagnosed with cancer," "preoccupation with underlying disease," "misconception about mammography," "need for an accompanying person," and "internalizing the experiences of the others," and (2) maladaptive coping modes which encompassed three subcategories: "religious faith," "fatalism," and"avoidance and denial." Conclusion: Useful information was provided about the response costs of mammography utilization based on the perceptions of women. Cognitive barriers may be decreased by conducting modifications in women’s awareness and attitude toward MA as well as changing the national health system infrastructures. Incorporating religious and cultural belief systems into MA educational programs through motivational messages is recommended. PMID:27386423

  2. Mobility Charters and Manifestos

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2010-01-01

    This paper explore a number of different cases of articulating notions of ‘correct’ mobility behavior and practice by looking into charters, manifestos and codes of mobility regulation. Within such discourses of ‘correct mobility’ more or less subtle expressions of power as well as normative...... and ethical positions on mobility prevail. Such ‘imagined correct mobility behavior’ are drawing on larger issues of societal change that need to be brought out in a critical analysis and discussion reflecting the attempts to control, design and orchestrate mobility patterns. The paper therefore argues within...... the ‘mobility turn’ that mobility is much more than movement from A to B. Seeing the cultural dimension as well as the underpinning power plays of normative mobility discourses opens up the reflection about imagined futures and imagined mobile subjects. Theoretically the paper bridges discourse studies...

  3. Earth Charter and nuclear energy

    International Nuclear Information System (INIS)

    The chapter presents Earth Charter, where are listed the principles in 4 sections: 1) respect and take care of the life community; 2) environmental integrity; social and economic welfare; 4) democracy, no-violence and peace

  4. Visualization of mocrocalcifications on mammographies obtained by digital fullfield mammography in comparison to conventional film-screen mammography

    International Nuclear Information System (INIS)

    Purpose: To evaluate the visualization of microcalcifications on mammographies obtained by full-field digital mammography (FFDM) in comparison to conventional film-screen mammography (FSM). Material and Methods: Forty-seven digital and film-screen mammographies depicting histologically proven lesions (27 benign, 20 malignant) were assessed by 4 readers. The images obtained with the different systems were comparable in terms of positioning. Maximum time interval between film-screen mammography and digital mammography was three months. Using a questionnaire, the readers evaluated the number of microcalcifications and their subjective conspicuity for FFDM (Senographe 2000D, GE Medical Systems, Milwaukee, USA) and FSM. A 7-point scale based on the BIRADS classification was used to characterize the calcifications by means of ROC analysis. Results: No statistically significant differences were seen between the two types of mammography among the readers in assessing the number of microcalcifications. The subjective conspicuity of microcalcifications was found to be significantly better for digital mammographies. The diagnosis assigned by the readers did not show significant differences between the two systems. Conclusion: Although the subjective conspicuity of microcalcifications was found to be significantly better on digital mammography compared to film-screen mammography, there was no significant advantage of digital mammography resulting from the higher contrast resolution nor a disadvantage in terms of characterization of microcalcifications resulting from the lower spacial resolution. The advantages of digital mammography (e.g. CAD-systems, archiving, dose reduction) can be used without a loss of diagnostic quality. (orig.)

  5. Results of radiation protection programmes on mammography

    International Nuclear Information System (INIS)

    In this paper, we present the results of mammography quality control tests related to the work with Portuguese mammography equipment, either in conventional or in digital mammography computed radiography, showing the main differences in the tested equipments. Quality control in mammography is a very special area of quality control in radiology, which demands relatively high knowledge on physics. Digital imaging is changing the standards of the radiographic imaging. Regarding mammography, this is yet a controversial issue owing to some limitations of the digital detectors, like the resolution for instance. A complete set of results regarding radiation protection of the patients submitted to mammography diagnosis is presented. A discussion of the quality image parameters and its interpretation in conventional and digital mammography is presented. In conclusion, we present a sample of results that can be considered as characteristics of mammography equipment in Portugal. (authors)

  6. FastStats: Mammography/Breast Cancer

    Science.gov (United States)

    ... this? Submit What's this? Submit Button NCHS Home Mammography and Breast Cancer Recommend on Facebook Tweet Share Compartir Data are for the U.S. Mammography use Percent of women 40 years of age ...

  7. Overdiagnosis in screening mammography in Denmark

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Olsen, Anne Helene; Blichert-Toft, Mogens;

    2013-01-01

    To use data from two longstanding, population based screening programmes to study overdiagnosis in screening mammography.......To use data from two longstanding, population based screening programmes to study overdiagnosis in screening mammography....

  8. Health insurance and household income associated with mammography utilization among American women, 2000-2008

    Institute of Scientific and Technical Information of China (English)

    ZHAO Da-hai; ZHANG Zhi-ruo; RAO Ke-qin

    2011-01-01

    Background National Breast and Cervical Cancer Early Detection Program (NBCCEDP) has provided free or low-costmammograms to low-income or no health insurance women in all of the states of the United States (US) since 1997.The objective of this study was to understand whether health insurance and annual household income impacted the mammography utilization since the implementation of NBCCEDP,in order to evaluate how the implementation of NBCCEDP impacted mammography utilization among American women.Methods Data were from the database of Behavioral Risk Factor Surveillance System (BRFSS) of the CDC in US.Mammography utilization was measured by whether the American woman aged 40 to 64 years had the mammography within the last two years.The chi square test and multivariate Logistic regression were used to evaluate the associations between mammography utilization and health insurance,annual household income,and other factors for any given year.Results From 2000 to 2008,the rate of mammography utilization among participants had a steady decrease on the whole from 86.7% to 83.8%.The results showed that the mammography utilization correlated significantly with health insurance and annual household income for any given year.The results also showed that compared with participants who were uninsured,those who were insured had a greater times higher rate of mammography in 2008 than any other year from 2000 to 2008,and compared with participants whose annual household income was below $15 000,those whose annual household income was above $50 000 had a greater times higher rate of mammography in 2008 than in 2004 and 2006.Conclusions Health insurance and annual household income impacted the mammography utilization for any given year from 2000 to 2008,and the implementation of NBCCEDP has not achieved its original goal on breast cancer screening.

  9. Students with Disabilities in Charter Schools: What We Now Know

    Science.gov (United States)

    Rhim, Lauren Morando; McLaughlin, Margaret

    2007-01-01

    This article provides an overview of the charter school movement in the United States and a synthesis of the findings of the studies that have been conducted for nearly a decade by the University of Maryland in collaboration with the National Association of State Directors of Special Education (NASDSE). The research documents the evolution of…

  10. 76 FR 65750 - Aerospace Safety Advisory Panel; Charter Renewal

    Science.gov (United States)

    2011-10-24

    ... SPACE ADMINISTRATION Aerospace Safety Advisory Panel; Charter Renewal AGENCY: National Aeronautics and... Aerospace Safety Advisory Panel. SUMMARY: Pursuant to sections 14(b)(1) and 9(c) of the Federal Advisory... of the NASA Aerospace Safety Advisory Panel is in the public interest in connection with...

  11. Evaluating women's attitudes and perceptions in developing mammography promotion messages.

    Science.gov (United States)

    Schechter, C; Vanchieri, C F; Crofton, C

    1990-01-01

    Breast cancer is a leading cause of cancer deaths in women. Although mammography is recognized as the most effective early detection method for breast cancer, it remains underutilized. Communications theory and practice, with its emphasis on formative research, can provide a basis for developing strategies effective in changing mammography-related behaviors. Formative research, an important component of communications planning, can offer information useful in developing suitable messages and materials. The National Cancer Institute conducted small group discussions with white and black women, ages 40 to 75, to explore their attitudes, knowledge, and beliefs about mammography. Findings reinforced the results from quantitative surveys indicating that a perceived lack of their own need for the examination, lack of a physician referral, and procrastination were the main reasons that the women reported for not having mammograms. The discussions provided detailed information about the factors that can be used to guide development of messages and materials to promote mammography use. The results indicate that strategies for messages directed to either black or white women ages 40 years and older need to stress the same key message points. The points are that all women ages 40 and older are at risk for breast cancer; breast cancer can be treated successfully if it is detected early enough; mammography can detect breast cancer before a lump can be felt by a woman or her physician; women need to follow screening guidelines for age and frequency for screening; and mammography is a low-risk, quick, and painless procedure. Communication channels to reach women should include television, newspapers, magazines, and information available in physicians' offices. PMID:2113683

  12. Implementation of QA into daily practice of the mammography departments in Slovakia

    International Nuclear Information System (INIS)

    Because of the widespread use of mammography the implementation of optimization of image quality has been initiated in Slovakia. On the basis of EC Directive 97/43 the new Slovak legislation improved the national system of acceptability of radiological examinations by implementation of guidance levels, system of education and necessity of introduction of quality assurance (QA) and quality control (QC) programmes in radiological departments. For the achievement of the good practice, experienced staff and close collaboration between radiologist, medical physicist and radiographers are required. For this reason the IAEA established during 1999 to 2001 a coordinated research programme (CRP) for optimization of image quality in mammography in some Eastern European countries. Our institute took part in this CRP with the aim to implement the European QA/QC protocol in a sample of mammography departments and to achieve improvement of the image quality and patient dose reduction. In our contribution the results and experiences of a national mammography audit are presented. On the national level 42 mammography units were chosen in accordance with equipment performance for quality control programme at these departments, for two parts of the mammography audit in the years 2002-2005. The obtained results indicate that the pilot mammography audit in Slovakia is a very important tool for correcting actions at the involved departments. In the six month period, results of measurements were collected of: 1. object thickness compensation (measured weekly) 2. long time reproducibility (measured daily) 3. phantom image quality on the standard RMI 156 phantom (measured weekly) 4. ESD on phantom with TLD (once during the audit). For the evaluation of the quality of clinical images each mammography department lent four images of ten patients (2 CC and 2 MLO). These images were evaluated by a group of independent experts nominated by the Slovak Health Ministry. The results of the pilot

  13. 78 FR 69823 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2013-11-21

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... Permits (EFPs), Scientific Research Permits (SRPs), Display Permits, Letters of Acknowledgment (LOAs), and... and scientific research to exempt them from regulations (e.g., fishing seasons, prohibited...

  14. 75 FR 75458 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2010-12-03

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... Permits (EFPs), Scientific Research Permits (SRPs), Display Permits, Letters of Acknowledgment (LOAs), and... and scientific research that is exempt from regulations (e.g., seasons, prohibited species,...

  15. 76 FR 72678 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2011-11-25

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... Permits (EFPs), Scientific Research Permits (SRPs), Display Permits, Letters of Acknowledgment (LOAs), and... and scientific research that is exempt from regulations (e.g., seasons, prohibited species,...

  16. 76 FR 64122 - NASA Advisory Committee; Renewal of NASA's International Space Station Advisory Committee Charter

    Science.gov (United States)

    2011-10-17

    ... SPACE ADMINISTRATION NASA Advisory Committee; Renewal of NASA's International Space Station Advisory... and amendment of the Charter of the International Space Station Advisory Committee. SUMMARY: Pursuant... the National ] Aeronautics and Space Administration has determined that a renewal of the...

  17. Leading Charters: How Charter School Administrators Define Their Roles and Their Ability to Lead

    Science.gov (United States)

    Carpenter, Dick Michael, II; Peak, Charity

    2013-01-01

    Charter schools have been studied from numerous perspectives. One topic that remains under-researched, however, is charter school leadership. Therefore, we examine how charter administrators define their leadership roles and their ability to lead. Results indicate that charter principals see three primary functions in their leadership--building…

  18. Protecting Geoheritage - Geodiversity Charter for England

    Science.gov (United States)

    Dunlop, Lesley

    2016-04-01

    The Geodiversity Charter for England, launched in 2014, sets out the clear vision that England's 'geodiversity is recognised as an integral and vital part of our environment, economy and heritage that must be safeguarded and managed for current and future generations'. England is privileged to be among the most geodiverse places in the world with 700 million years of geological history revealed by our rocks. The white cliffs of Dover, honey coloured Cotswold limestone, granite Dartmoor Tors, are examples of this geodiversity. To maintain and enhance our geodiversity it is important to recognise its role in: • the understanding of England's geological history and global geosciences • natural heritage, both terrestrial and marine, and landscapes in all their diversity • supporting habitats and species and the many essential benefits they provide for society • adaptation to changes in climate and sea-level through sustainable management of land and water and working with natural processes • sustainable economic development • the history, character and cultural development of our society through intellectual growth and creative expression alongside industrial and technological development • public health, quality of life and national well-being and connecting people with the natural environment including active promotion of geotourism. Geodiversity, however, is an often overlooked environmental asset. The vision of the Charter and the work of the English Geodiversity Forum is to encourage good practice and to act as a focus in order to: • raise awareness of the importance, value and relevance of geodiversity to our economic prosperity and comfort and its wider links with the natural environment, landscape, cultural and historical heritage and sense of place • encourage a sense of pride through education and learning, promotion and interpretation • promote careful management of geodiversity through conservation and enhancement of its special

  19. Pain and discomfort during mammography

    DEFF Research Database (Denmark)

    Aro, A R; Absetz-Ylöstalo, P; Eerola, T;

    1996-01-01

    The aim of this prospective study was to investigate associations of mammography pain and discomfort with sociodemographics, personal history and psychological and situational factors. Subjects were women with a negative screening finding (n = 883) from a random sample of 50-year-old Finnish women...... was the most powerful factor explaining pain and discomfort among women with earlier mammography. However, it had no effect among women without earlier mammography, for whom screening-related nervousness and perceptions of staff were crucial. Suggested interventions include better information before screening...... attending their first breast cancer screening. Questionnaires were sent 1 month before the screening invitation and 2 months after screening. Sixty-one per cent reported painful and 59% uncomfortable mammograms (4% severely). Linear regression analyses showed that anticipation of pain and discomfort...

  20. Determinants of mammography screening behavior in Iranian women: A population-based study

    Directory of Open Access Journals (Sweden)

    Mitra Moodi

    2012-01-01

    Full Text Available Background: Breast cancer remains a substantial health concern in Iran due to delay and late stage at diagnosis and treatment. Despite the potential benefits of mammography screening for early detection of breast cancer, the performance of this screening among Iranian women is low. For planning appropriate intervention, this study was carried out to identify mammography rates and explore determinants of mammography screening behavior in females of Isfahan, Iran. Materials and Methods: In this population-based study, 384 women of 40 years and older were interviewed by telephone. The Farsi version of Champion′s Health Belief Model scale (CHBMS was used to examine factors associated with mammography screening. The obtained data were analyzed by SPSS (version 16.0 using statistical Chi-square, Fisher Exact test, t-test and multiple logistic regression model to identify the importance rate of socio-demographic and Health Belief Model (HBM variables to predict mammography screening behavior. In all of tests, the level of significant was considered a = 0.05. Results: Mean age ΁ SD of women was 52.24 ΁ 8.2 years. Of the 384 participants, 44.3% reported at least one mammogram in their lifetime. Logistic regression analysis indicated that women were more likely to have mammography if they heard/read about breast cancer (OR = 4.17, 95% CI 2.09, 8.34, menopause in lower age (OR = 0.2, 95% CI 0.87, 0.99 and history of breast problem (OR = 0.9, 95% CI 0.12, 0.32. Also, women who perceived more benefits of mammography (OR = 1.84, 95% CI 1.63, 2.09, fewer barriers of mammography (OR = 0.91, 95% CI 0.86, 0.96 and had more motivation for health (OR = 0.94, 95% CI 0.89, 1 were more likely to have mammography. Conclusion: The findings indicated that the rate of mammography screening among women in Isfahan province is low and highlights the need for developing a comprehensive national breast cancer control program, which should be considered as the first

  1. Comparison of written reports of mammography, sonography and magnetic resonance mammography for preoperative evaluation of breast lesions, with special emphasis on magnetic resonance mammography

    OpenAIRE

    Malur, Sabine; Wurdinger, Susanne; Moritz, Andreas; Michels, Wolfgang; Schneider, Achim

    2000-01-01

    Patients with abnormal breast findings (n = 413) were examined by mammography, sonography and magnetic resonance (MR) mammography; 185 invasive cancers, 38 carcinoma in situ and 254 benign tumours were confirmed histologically. Sensitivity for mammography was 83.7%, for sonography it was 89.1% and for MR mammography it was 94.6% for invasive cancers. In 42 patients with multifocal invasive cancers, multifocality had been detected by mammography and sonography in 26.2%, and by MR mammography i...

  2. Is Racial Segregation Changing in Charter Schools?

    Science.gov (United States)

    Lee, Jin; Lubienski, Christopher

    2011-01-01

    Charter schools embody the theoretical potential to promote integration since they can draw students from across district boundaries that often reflect segregated residential patterns. While a number of studies have examined overall racial composition of charter schools, virtually no attention has been paid to how charter school enrollment…

  3. Are Charter School Unions Worth the Bargain?

    Science.gov (United States)

    Price, Mitch

    2011-01-01

    About 12 percent of all charter schools have bargaining agreements. Why do charter schools unionize? What is in these charter school contracts? Can they be considered innovative or models for union reform? And how do they compare to traditional district/union teacher contracts? Center on Reinventing Public Education legal analyst Mitch Price…

  4. New Mexico Charter Schools Annual Report

    Science.gov (United States)

    New Mexico Public Education Department, 2013

    2013-01-01

    In 2011, the New Mexico legislature passed changes to the Charter School Act that provided more accountability for both charters and authorizers in New Mexico. As part of that law, the Public Education Department (PED) is asked to submit an annual report on the status of charter schools in New Mexico. This is the first report submitted under that…

  5. New Hampshire Charter Schools Parent Study 2011

    Science.gov (United States)

    Julius, Tom

    2011-01-01

    This study was conducted in Spring 2011 with the purpose of better understanding the nature and experiences of New Hampshire charter school parents. Nine out of ten operating NH charter schools participated. Parents were invited to participate in an on-line survey and on-site focus group interviews. Results provide a profile of NH charter school…

  6. Is Short-Interval Mammography Necessary After Breast Conservation Surgery and Radiation Treatment in Breast Cancer Patients?

    International Nuclear Information System (INIS)

    Purpose: The optimum timing and frequency of mammography in breast cancer patients after breast-conserving therapy (BCT) are controversial. The American Society of Clinical Oncology recommends the first posttreatment mammogram 1 year after diagnosis but no earlier than 6 months after completion of radiotherapy. The National Comprehensive Cancer Network recommends annual mammography. Intermountain Healthcare currently follows a more frequent mammography schedule during the first 2 years in BCT patients. This retrospective study was undertaken to determine the cancer yield mammography during the first 2 years after BCT. Methods and Materials: 1,435 patients received BCT at Intermountain Healthcare between 2003 and 2007, inclusive. Twenty-three patients had bilateral breast cancer (1,458 total breasts). Patients were followed up for 24 months after diagnosis. The 1- and 2-year mammography yields were determined and compared with those of the general screening population. Results: 1,079 breasts had mammography at less than 1 year, and two ipsilateral recurrences (both noninvasive) were identified; 1,219 breasts had mammography during the second year, and nine recurrences (three invasive, six noninvasive) were identified. Of the 11 ipsilateral recurrences during the study, three presented with symptoms and eight were identified by mammography alone. The mammography yield was 1.9 cancers per 1,000 breasts the first year and 4.9 per 1,000 the second year. Conclusions: These data demonstrate that the mammography yield during the first 2 years after BCT is not greater than that in the general population, and they support the policy for initiating followup mammography at 1 year after BCT.

  7. Is Short-Interval Mammography Necessary After Breast Conservation Surgery and Radiation Treatment in Breast Cancer Patients?

    Energy Technology Data Exchange (ETDEWEB)

    Hymas, Richard V.; Gaffney, David K. [Department of Radiation Oncology, University of Utah, Salt Lake City, UT (United States); Parkinson, Brett T.; Belnap, Thomas W. [Intermountain Medical Center, Salt Lake City, UT (United States); Sause, William T., E-mail: william.sause@imail.org [Intermountain Medical Center, Salt Lake City, UT (United States)

    2012-06-01

    Purpose: The optimum timing and frequency of mammography in breast cancer patients after breast-conserving therapy (BCT) are controversial. The American Society of Clinical Oncology recommends the first posttreatment mammogram 1 year after diagnosis but no earlier than 6 months after completion of radiotherapy. The National Comprehensive Cancer Network recommends annual mammography. Intermountain Healthcare currently follows a more frequent mammography schedule during the first 2 years in BCT patients. This retrospective study was undertaken to determine the cancer yield mammography during the first 2 years after BCT. Methods and Materials: 1,435 patients received BCT at Intermountain Healthcare between 2003 and 2007, inclusive. Twenty-three patients had bilateral breast cancer (1,458 total breasts). Patients were followed up for 24 months after diagnosis. The 1- and 2-year mammography yields were determined and compared with those of the general screening population. Results: 1,079 breasts had mammography at less than 1 year, and two ipsilateral recurrences (both noninvasive) were identified; 1,219 breasts had mammography during the second year, and nine recurrences (three invasive, six noninvasive) were identified. Of the 11 ipsilateral recurrences during the study, three presented with symptoms and eight were identified by mammography alone. The mammography yield was 1.9 cancers per 1,000 breasts the first year and 4.9 per 1,000 the second year. Conclusions: These data demonstrate that the mammography yield during the first 2 years after BCT is not greater than that in the general population, and they support the policy for initiating followup mammography at 1 year after BCT.

  8. Mammography in women under 35

    International Nuclear Information System (INIS)

    The detection of breast cancer in women under 35 is quite an uncommon event, accounting only for 3.2-3.4% of all breast cancers. To determine the indications for mammography in women under 35, the authors correlated clinical, mammographic, and US findings with fine-needle aspiration/surgical biopsy and follow-up results in 1040 symptomatic women examined at the Center of Senology of the Istitute of Radiology - University of Perugia, Italy, from 1984 to June 1990. Of 1040 women, 482 (41.6%) had normal findings; benign disease was diagnosed in 558 (53.7%) cases, and malignant disease in 49 (4.7%). Mammography was very useful to diagnose malignancy in palpable breast lesions, as well as to suggest the need for biopsy, to detect metachronous cancer and to define lesion sizes. In inflammatory process - e.g., mastitis and abscesses - both mammography and US were capable as its remission after therapy. Galactography had a specific role in the evaluation of the mammary duct and demonstrated intraductal pathologic conditions. In the authors'experiences, mammography never showed occult breast cancers in women with no palpable breast lesions or hematic nipple discharge

  9. Comparison of standard mammography with digital mammography and digital infrared thermal imaging for breast cancer screening

    OpenAIRE

    2010-01-01

    Breast cancer is the most common malignancy in women. Screen-film mammography (SFM) has been considered the gold standard for breast cancer screening and detection. Despite its recognized value in detecting and characterizing breast disease, mammography has important limitations and its false-negative rate ranges from 4% to 34%. Given these limitations, development of imaging modalities that would enhance, complement, or replace mammography has been a priority. Digital mammography (FFDM) and ...

  10. Establishment of qualities mammography according to the standard IEC-61267 in the laboratory of metrology of ionizing radiation of the National Center of Dosimetry and enlargement of the accreditation by ENAC; Establecimiento de las calidades de mamografia segun la norma IEC-61267 en el laboratorio de metrologia de radiaciones ionizantes del centro nacional de dosimetria (CND) y proceso de ampliacion de su acreditacion por ENAC

    Energy Technology Data Exchange (ETDEWEB)

    Roig Petit, F.; Mestre de Juan, V.; Alabau Albors, J.; Palma Copete, J.; Ruiz Rodriguez, J. C.; Pons Mocholi, S.

    2013-07-01

    The extension of the accreditation of the laboratory of the National Center Dosimetry (No. 58/LC10.036) by the national accreditation entity (ENAC), according to the ISO 17025 standard [2], for the standard qualities of mammography by the IEC 61267 comes to meet part of the needs that demand our health care environment in terms of radiation measuring instruments calibration. This work intends to publicize this enlargement commenting on the different phases of the process to get the accreditation. (Author)

  11. Digital mammography: Experiences in clinical application

    International Nuclear Information System (INIS)

    Target: In 1989 in the Kantonal Hospital of Lucerne conventional film-screen mammography was replaced by digital mammography. With the support of a retrospective study, it was checked whether or not digital mammography represents an equally valid diagnostic procedure in daily routine. Methods: 1204 patients were examined using digital mammography. A reevaluation of these patients was carried out using clinical and r[iological routine controls. [ditionally a r[iological and histological examination was performed in 127 cases in which excisional biopsies h[ been done, paying particular attention to detail perception. Results: The sensitivity of digital mammography achieved a total of 85%, whereas the accuracy was 81%. With [ditional use of ultrasound and galactography the sensitivity attained 91%. By reevaluation the sensitivity amounted to 87%, the accuracy remaining at 81%. The positive predictive value was especially high with 76% and 77%. Conclusion: Digital mammography offers satisfactory diagnostic performance. (orig.)

  12. QA of all mammography facilities in Cyprus

    International Nuclear Information System (INIS)

    The objective of this study was to investigate the quality status of all the mammography facilities in the Republic of Cyprus, in relation with the European guidelines for quality assurance in mammography screening, for the purpose of choosing a number of them to participate in a national screening programme for breast cancer. Processing and reading conditions, as well as image quality and patient dose were recorded at twenty seven (27) centres (23 private and 4 public) in the presence of the Radiologist in charge of each facility. Processing and reading conditions included the condition and performance of the: dark room, cassettes, processor, view box and reading area. From the mammography system, the Mean Glandular Dose (MGD), the Optical Density (OD), the contrast, the High and Low Contrast Resolution (HCR and LCR) and the number of microcalcification groups visible, were recorded. Quality Control checks were performed using a CIRS phantom, 4.5 cm compressed thickness with a 50/50 composition. Measurements of OD and luminance of view boxes were performed with calibrated instruments. It was also noted whether or not the facility was equipped with a phantom for quality assurance and a densitometer. A breakdown of the problems found at the 27 facilities inspected is shown. Fifty five percent of the facilities were using view boxes that did not comply with the EC guidelines. The next most frequent problem was the mammography unit itself. The main problems were with collimation mis-alignment, filtration and more than 10% difference between set and actual values. Fourteen percent of the darkrooms were not light proof, resulting in foggy images. Wrong developer temperature, wrong film speed or wrong chemical mixing caused 6% of the processors to need further attention. Finally 3% of the screens used in the cassettes examined, were not clean enough causing many artefacts visible on the mammogram. Results are summarized, with the help of data collected with the phantom

  13. Screening for breast cancer with mammography

    DEFF Research Database (Denmark)

    Gøtzsche, Peter C; Nielsen, Margrethe

    2009-01-01

    BACKGROUND: A variety of estimates of the benefits and harms of mammographic screening for breast cancer have been published and national policies vary. OBJECTIVES: To assess the effect of screening for breast cancer with mammography on mortality and morbidity. SEARCH STRATEGY: We searched Pub...... excluded a biased trial and included 600,000 women in the analyses. Three trials with adequate randomisation did not show a significant reduction in breast cancer mortality at 13 years (relative risk (RR) 0.90, 95% confidence interval (CI) 0.79 to 1.02); four trials with suboptimal randomisation showed...... a significant reduction in breast cancer mortality with an RR of 0.75 (95% CI 0.67 to 0.83). The RR for all seven trials combined was 0.81 (95% CI 0.74 to 0.87). We found that breast cancer mortality was an unreliable outcome that was biased in favour of screening, mainly because of differential...

  14. Update on new technologies in digital mammography

    Directory of Open Access Journals (Sweden)

    Patterson SK

    2014-08-01

    Full Text Available Stephanie K Patterson, Marilyn A Roubidoux Division of Breast Imaging, Department of Radiology, University of Michigan Health System, Ann Arbor, MI, USA Abstract: Despite controversy regarding mammography's efficacy, it continues to be the most commonly used breast cancer-screening modality. With the development of digital mammography, some improved benefit has been shown in women with dense breast tissue. However, the density of breast tissue continues to limit the sensitivity of conventional mammography. We discuss the development of some derivative digital technologies, primarily digital breast tomosynthesis, and their strengths, weaknesses, and potential patient impact. Keywords: screening mammography, breast cancer, contrast media, digital breast tomosynthesis

  15. Comparison of written reports of mammography, sonography and magnetic resonance mammography for preoperative evaluation of breast lesions, with special emphasis on magnetic resonance mammography

    International Nuclear Information System (INIS)

    Patients with abnormal breast findings (n = 413) were examined by mammography, sonography and magnetic resonance (MR) mammography; 185 invasive cancers, 38 carcinoma in situ and 254 benign tumours were confirmed histologically. Sensitivity for mammography was 83.7%, for sonography it was 89.1% and for MR mammography it was 94.6% for invasive cancers. In 42 patients with multifocal invasive cancers, multifocality had been detected by mammography and sonography in 26.2%, and by MR mammography in 66.7%. In nine patients with multicentric cancers, detection rates were 55.5, 55.5 and 88.8%, respectively. Carcinoma in situ was diagnosed by mammography in 78.9% and by MR mammography in 68.4% of patients. Combination of all three diagnostic methods lead to the best results for detection of invasive cancer and multifocal disease. However, sensitivity of mammography and sonography combined was identical to that of MR mammography (ie 94.6%)

  16. Ethnic Segregation in Arizona Charter Schools

    Directory of Open Access Journals (Sweden)

    Casey D. Cobb

    1999-01-01

    Full Text Available Among the criticisms of charter schools is their potential to further stratify schools along ethnic and class lines. This study addressed whether Arizona charter schools are more ethnically segregated than traditional public schools. In 1996-97, Arizona had nearly one in four of all charter schools in the United States. The analysis involved a series of comparisons between the ethnic compositions of adjacent charter and public schools in Arizona's most populated region and its rural towns. This methodology differed from the approach of many evaluations of charter schools and ethnic stratification in that it incorporated the use of geographic maps to compare schools' ethnic make-ups. The ethnic compositions of 55 urban and 57 rural charter schools were inspected relative to their traditional public school neighbors.

  17. Rayleigh imaging in spectral mammography

    Science.gov (United States)

    Berggren, Karl; Danielsson, Mats; Fredenberg, Erik

    2016-03-01

    Spectral imaging is the acquisition of multiple images of an object at different energy spectra. In mammography, dual-energy imaging (spectral imaging with two energy levels) has been investigated for several applications, in particular material decomposition, which allows for quantitative analysis of breast composition and quantitative contrast-enhanced imaging. Material decomposition with dual-energy imaging is based on the assumption that there are two dominant photon interaction effects that determine linear attenuation: the photoelectric effect and Compton scattering. This assumption limits the number of basis materials, i.e. the number of materials that are possible to differentiate between, to two. However, Rayleigh scattering may account for more than 10% of the linear attenuation in the mammography energy range. In this work, we show that a modified version of a scanning multi-slit spectral photon-counting mammography system is able to acquire three images at different spectra and can be used for triple-energy imaging. We further show that triple-energy imaging in combination with the efficient scatter rejection of the system enables measurement of Rayleigh scattering, which adds an additional energy dependency to the linear attenuation and enables material decomposition with three basis materials. Three available basis materials have the potential to improve virtually all applications of spectral imaging.

  18. Control of quality in mammography

    International Nuclear Information System (INIS)

    The present protocol of quality control/quality assurance in mammography is the result of the work of two regional projects realised in Latin America within the frame of ARCAL with the support of the IAEA. The first is ARCAL LV (RLA/6/043) project on quality assurance/quality control in mammography studies which analysed the present situation of the mammography in the member countries of the project which include: Bolivia, Colombia, Costa Rica, Cuba, El Salvador, Guatemala, Nicaragua, Panama, Paraguay, Peru, Dominican Republic and Republic of Venezuela and the second is ARCAL XLIX (RLA/9/035) project, whose members were Brazil, Colombia, Cuba, Chile, Mexico, and Peru, worked the application of Basic Safety Standards for the protection against ionising radiation with the aim to improve radiation protection in X-ray diagnosis medical practices through the implementation of the Basic Safety Standards (BSS) related to x-ray diagnosis in selected hospitals located in each country involved in the project. The work of both projects had been consolidated and harmonized in the present publication

  19. Demystifying Special Education in Virtual Charter Schools. Special Report. Primers on Special Education in Charter Schools

    Science.gov (United States)

    Rhim, Lauren Morando; Kowal, Julie

    2008-01-01

    This special report is a supplement to a series of special education primers created to inform state officials, authorizers and charter school operators about special education in the charter sector. The primer series also provides tools to help these stakeholders build charter school capacity to provide special education and related services. In…

  20. Understanding Charter School Governance: A Case Study of a Conversion Charter School Board of Directors

    Science.gov (United States)

    Silver, David Mark

    2010-01-01

    The charter school movement has been at the forefront of educational reform since the 1990s. The majority of charter school research has focused on academic achievement and issues of access, equity, and funding. Less attention has focused on charter school governance, yet evidence suggests that governance challenges represent a significant…

  1. 77 FR 59137 - Chartering and Field of Membership Manual for Federal Credit Unions

    Science.gov (United States)

    2012-09-26

    ...; ] NATIONAL CREDIT UNION ADMINISTRATION 12 CFR Part 701 RIN 3133-AE02 Chartering and Field of Membership Manual for Federal Credit Unions AGENCY: National Credit Union Administration (NCUA). ACTION: Proposed... Board, National Credit Union Administration, 1775 Duke Street, Alexandria, Virginia 22314-3428....

  2. 75 FR 57249 - Fisheries of the Northeastern United States; Northeast (NE) Multispecies Fishery; Charter/Party...

    Science.gov (United States)

    2010-09-20

    ... National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648-BA09 Fisheries of the Northeastern United States; Northeast (NE) Multispecies Fishery; Charter/Party Fishery Control Date AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce....

  3. Mammography equipment performance, image quality and mean glandular dose in Malta.

    Science.gov (United States)

    Borg, M; Badr, I; Royle, G J

    2013-09-01

    In this first Maltese national mammography survey, the effectiveness of direct digital (DR) mammography in breast cancer screening has been confirmed. Patient data were made available from three clinics out of the participating nine. A dose survey of mean glandular dose (MGD) calculated for 759 patients examined in the state-owned mammography facilities was performed. An MGD national diagnostic reference level was set at 1.87 mGy for patients with breast compression thicknesses (BCT) between 5.0 and 7.0 cm. This range was selected since patient data were retrieved from three clinics only and the results showed that other international BCT reference levels may be unsuitable for the Maltese population. In fact, the overall average BCT was 5.75 ± 1.4 cm. The survey results have shown that the technical standard of mammographic equipment in the Malta National Breast Screening Programme is on a par with other countries, including its Western European counterparts.

  4. Barriers to Mammography among Inadequately Screened Women

    Science.gov (United States)

    Stoll, Carolyn R. T.; Roberts, Summer; Cheng, Meng-Ru; Crayton, Eloise V.; Jackson, Sherrill; Politi, Mary C.

    2015-01-01

    Mammography use has increased over the past 20 years, yet more than 30% of women remain inadequately screened. Structural barriers can deter individuals from screening, however, cognitive, emotional, and communication barriers may also prevent mammography use. This study sought to identify the impact of number and type of barriers on mammography…

  5. Physical aspects of digital mammography technology

    International Nuclear Information System (INIS)

    The establishment of digital mammography systems constitutes a slow process, the reason for this being the general need of particular image quality in mammography. This article provides an overview of the physical basis of digital mammography with high image quality and dose as low as reasonably achievable. The trade-off of high contrast resolution and effective quantum efficiency of the imaging system on the one hand, and the demand of high spatial resolution or very small pixel size on the other hand is discussed. The actual status of the available digital detector technology for mammography is described. The digital systems presently available are superior to conventional screen-film mammographic systems with respect to contrast resolution. An outlook on possible further developments in the field of digital mammography is presented. (orig.)

  6. Choice without Equity: Charter School Segregation Selección sin equidad: Segregación escolar en las escuelas charter Escolha sem equidade: Segregação escolar nas escolas charter

    Directory of Open Access Journals (Sweden)

    Erica Frankenberg

    2011-01-01

    Full Text Available

    The political popularity of charter schools is unmistakable. This article explores the relationship between charter schools and segregation across the country, in 40 states, the District of Columbia, and several dozen metropolitan areas with large enrollments of charter school students in 2007-08. The descriptive analysis of the charter school enrollment is aimed at understanding the enrollment and characteristics of charter school students and the extent to which charter school students are segregated, including how charter school segregation compare to students in traditional public schools.  This article examines these questions at different levels, aggregating school-level enrollment to explore patterns among metropolitan areas, states, and the nation using three national datasets.  Our findings suggest that charters currently isolate students by race and class. This analysis of recent data finds that charter schools are more racially isolated than traditional public schools in

  7. Charters, K-12 Aid Roiling Wash. State

    Science.gov (United States)

    Ujifusa, Andrew

    2012-01-01

    A tight race for governor, the heavy burden of rebuilding a school funding system recently declared unconstitutional, and a fourth ballot measure in two decades on charter schools has placed Washington state on an intense--and unpredictable--road for education this year. Washington is one of nine states that do not allow charter schools, and the…

  8. Help for Charters in Race for Space

    Science.gov (United States)

    Robelen, Erik W.

    2008-01-01

    The world of charter school facilities is sometimes strange. Many charter operators have had to show considerable creativity and resourcefulness in finding a place to educate their students, whether it's a former K-Mart or car dealership, a church facility, or space in an office complex. Obtaining and paying for adequate facilities are often big…

  9. Earth Charter, ESD and Chinese Philosophies

    Science.gov (United States)

    Liu, Yunhua; Constable, Alicia

    2010-01-01

    This article examines the relationship between the Earth Charter and education for sustainable development (ESD), as part of the UN Decade of Education for Sustainable Development. The areas of shared interest between the two are assessed and the invaluable nature of the Earth Charter as a resource outlining global values and principles for a…

  10. A Cost Estimation Tool for Charter Schools

    Science.gov (United States)

    Hayes, Cheryl D.; Keller, Eric

    2009-01-01

    To align their financing strategies and fundraising efforts with their fiscal needs, charter school leaders need to know how much funding they need and what that funding will support. This cost estimation tool offers a simple set of worksheets to help start-up charter school operators identify and estimate the range of costs and timing of…

  11. State Policy Regimes and Charter School Performance

    Science.gov (United States)

    Pelz, Mikael L.

    2015-01-01

    The policy diffusion framework is critical to understanding the spread of policy innovations such as charter schools in the United States. This framework, however, is less instructive in explaining the state-by-state configuration of these policies. What explains the wide variation in charter school policy among states? This study addresses this…

  12. The Uneven Performance of Arizona's Charter Schools

    Science.gov (United States)

    Chingos, Matthew M.; West, Martin R.

    2015-01-01

    Arizona enrolls a larger share of its students in charter schools than any other state in the country, but no comprehensive examination exists of the impact of those schools on student achievement. Using student-level data covering all Arizona students from 2006 to 2012, we find that the performance of charter schools in Arizona in improving…

  13. Charter Schools and the Teacher Job Search

    Science.gov (United States)

    Cannata, Marisa

    2011-01-01

    This article examines the position of charter schools in prospective elementary teachers' job search decisions. Using a labor market segmentation framework, it explores teacher applicants' decisions to apply to charter schools. The data come from a mixed-methods longitudinal study of prospective teachers looking for their first job. This article…

  14. Building an intranet digital mammography case library

    Science.gov (United States)

    Zhang, Hong; Lou, Shyhliang A.; Fan, Yu; Sickles, Edward A.; Huang, H. K.

    2000-05-01

    To practice mammography diagnosis effectively, radiologists expect convenient access to well-organized and authoritative mammography related information, especially when there is case in question. The purpose of this study is to build infrastructural diagnosis support by incorporating various clinical information into a digital mammography case library, and allow user to search the library based on mammographic findings. The digital mammography case library has a three- tier architecture: (1) Back-end mammography databases integrate multimedia clinical information from various operational systems, including RIS and PACS. Cases are stored in a finding index database powered by an object-relational database with finding-coded reports, which are modeled around the ACR BI-RADS (American College of Radiology, Breast Imaging Report and Data System) standard. (2) The middle-end application controllers process application logic, such as user authorization, HTTP request handling, database connection and dynamic HTML page generation. (3) Web-based user interface is developed for authorized Intranet personnel to formulate query based on radiological finding (such as mass, calcification and architectural distortion), shape and assessment, using ACR BI-RADS specified lexicon. The case library so far has 103 cases selected from over 800 digital mammography studies carried out at the Mt. Zion hospital, UCSF, during an on-going digital telemammography project. We believe that an Intranet based digital mammography case library with mammographic finding search capability facilitates continuous medical education and online decision support, by providing exemplary study to compare with case in question.

  15. The Diagnostic Accuracy of Digitized Mammography

    Directory of Open Access Journals (Sweden)

    M. Guiti

    2008-06-01

    Full Text Available Background/Objective: Digitized mammography has several advantages over screen-film radiography in data storage and retrieval, making it a useful alternative to screen-film mammography in screening programs. The purpose of this study was to determine the diagnostic accuracy of digitized mammography in detecting breast cancer. "nPatients and Methods: 185 women (845 Images were digitized at 600 dpi. All images were reviewed by an expert radiologist. The mammograms were scored on a scale of breast imaging reporting and data system (BIRADS. The definite diagnosis was made either on the pathologic results of breast biopsy, or upon the follow-up of at least one year. The overall diagnostic accuracy of digitized mammography was calculated by the area under receiver operating characteristic curve."nResults: 242 sets of mammograms had no lesions. The total counts of masses, microcalcifications or both in one breast were 39 (11%, 42 (12%, and 25 (7%, respectively. There were 321 (92% benign and 27 (8% definite malignant lesions. The diagnostic accuracy of digitized images was 96.34% (95% CI: 94%-98%."nConclusion: The diagnostic accuracy of digitized mammography is comparably good or even better than the published results. The digitized mammography is a good substitute modality for screen-film mammography in screening programs.

  16. Study on patient exposure from mammography, 3

    International Nuclear Information System (INIS)

    Risks and benefits of the patient from mammography performed in Japan were estimated, and the indication of mammography were discussed. 1) Breast cancers induced by mammography were estimated based on the average breast dose, the average life span, risks of radiation-induced breast cancer and the breast cancer significant factor. 2) The breast cancer significant factor was calculated, similar to those of leukemia significant factor by Hashizume, from latent periods of radiation-induced breast cancer and the excess breast cancer induction rate in female A-bomb survivors. 3) Numbers of the deaths and Lost-years were calculated from risks of radiation-induced breast cancer, incidence of breast cancer by mammography, cure rate of breast cancer, average life span and latent period of radiation-induced breast cancer. 4) Numbers of the increased life and years saved were calculated from the improved rate of the ability of diagnosis, frequency of mammography, the average life span and cure rate of breast cancer. 5) Induction of leukemia, lung cancer and thyroid cancer by mammography also were investigated. Its contribution was not significant, compared to the induction of breast cancer. 6) Comparing risk and benefit, the latter was much higher than the former by factors of 71-76. This was suggested the efficacy of mammography. 7) From a pointview of risk and benefit, routine mammography is contraindicative for 10-19 years old women because of large risk, the indication must be scrutinized for 20-29 years old ones, and the benefit increases with age for over 30 years old ones so that mammography was positively admitted for the symptomatic women. (author)

  17. Digital Mammography and Digital Breast Tomosynthesis.

    Science.gov (United States)

    Moseley, Tanya W

    2016-06-01

    Breast imaging technology has advanced significantly from the 1930s until the present. American women have a 1 in 8 chance of developing breast cancer. Mammography has been proven in multiple clinical trials to reduce breast cancer mortality. Although a mainstay of breast imaging and improved from film-screen mammography, digital mammography is not a perfect examination. Overlapping obscuring breast tissue limits mammographic interpretation. Breast digital tomosynthesis reduces and/or eliminates overlapping obscuring breast tissue. Although there are some disadvantages with digital breast tomosynthesis, this relatively lost-cost technology may be used effectively in the screening and diagnostic settings. PMID:27101241

  18. An evaluation of musculoskeletal discomfort experience by radiographers performing mammography

    International Nuclear Information System (INIS)

    The aim of this study was to establish whether breast screening radiographers experience any problems of musculoskeletal discomfort, and if so the nature and extent of these problems. The study was then further extended to investigate and determine possible occupational, causal or contributory factors, and to suggest recommendations to help alleviate any discomfort. To investigate this problem five main approaches were undertaken. These consisted of; a national survey, an observational study, the comparison of the physical measurements of the mammography units with anthropometric data, a detailed task analysis, and a body mapping study. The national survey set out to determine if the nature and frequency of such problems were higher in mammography than in other areas of radiography or in the general population. Additionally, comparisons were made with non-radiographic staff working at the same breast screening centres. Video recordings of radiographers performing breast screening were also made and posture analysis performed on these data. A detailed task analysis was conducted to identify interaction points and possible problems between the radiographer and the equipment which she is required to use. Physical measurements of the mammography units were made and compared with anthropometric measurements and guidelines. The body mapping study measured the build up of discomfort throughout the working day on several different mammography units. The results from the survey questionnaire indicated that some breast screening radiographers do experience musculoskeletal problems, and that these are different in nature and prevalence from the musculoskeletal discomfort reported by the two control groups. The prevalence of back pain reported by radiographers undertaking mammography was higher than that present in the normal population. No comparison could be made with other body areas as data regarding other types of musculoskeletal discomfort in the general population are

  19. Implementation of the European protocol for quality control of the technical aspects of mammography screening in Bulgaria

    International Nuclear Information System (INIS)

    The results from the national pilot project on implementation of the European protocol for the quality control (QC) of the technical aspects of mammography screening as well as the European protocol for dosimetry in mammography in Bulgaria are presented. A QC programme for mammography equipment and a standardised measurement protocol were created. The full QC programme was tested on four mammography units of different types and ages. A national survey was performed for entrance surface air kerma (ESAK) on 20 units using a 45 mm PMMA standard phantom. Average glandular dose (AGD) was calculated using the conversion coefficients from the European dosimetry protocol. The survey demonstrated considerable differences in the technical condition of the mammography units that resulted in varying image quality. The measured values of ESAK showed significant variations. Doses for ∼45% of the units were found to be below the European reference level. The values for AGD ranged from 0.35 to 3.47 mGy. The main problems found were film processing, optical density (OD) control settings and AEC adjustment. The results showed the importance of film OD measurements parallel to dose measurements. The X-ray mammography in the country needs optimisation. Comprehensive quality assurance programme should be adopted in all departments covering permanent QC of the equipment, image quality and breast dose. (authors)

  20. Cost-effective mammography screening in Korea. High incidence of breast cancer in young women

    International Nuclear Information System (INIS)

    The epidemiological characteristics of breast cancer in Korean women are different from the characteristics reported in Western women. The highest incidence rate occurs in Korean women in their 40s. The purpose of this study was to determine the most cost-effective screening interval and target age range for Korean women from the perspective of the national healthcare system. A stochastic model was used to simulate breast cancer screenings by varying both the screening intervals and the age ranges. The effectiveness of mammography screening was defined as the probability of detecting breast cancer in the preclinical state and the cost was based on the direct cost of mammography screening and the confirmative tests. The age-specific mean sojourn times and the sensitivity of the mammography were applied in the stochastic model. An optimal cost-effectiveness was determined by the incremental cost-effectiveness ratio and lifetime schedule sensitivity. Sensitivity analyses were undertaken to assess parameter uncertainty. The selected cost-effective strategies were: the current biennial mammography screenings for women who are at least 40 years old; biennial screening for women between the ages of 35 and 75 years; and a combination strategy consisting of biennial screening for women aged between 45 and 54 years, and 3-year interval screening for women aged between 40 and 44 years and 55 and 65 years. Further studies should follow to investigate the effectiveness of mammography screening in women younger than 40 years in Asia as well as in Korea. (author)

  1. CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY (CESM (REVIEW

    Directory of Open Access Journals (Sweden)

    N. I. Rozhkova

    2015-01-01

    Full Text Available The problem of early diagnosis of a breast cancer is extremely actual. Growth of incidence at women from 19 to 39 years increased for 34% over the last 10 years. It defines need of acceleration of development and deployment of the latest technologies of identification of the earliest symptoms of diseases. The x-ray mammography is the conducting method among of all radiological methods of diagnostics. Nevertheless a number of restrictions of method reduces its efficiency. The technologies increasing informational content of x-ray mammography – the leading method of screening – due to use of artificial contrasting and advantages of digital technologies are constantly developed. In this review it is described works, in which the authors having clinical experience of application of CESM – contrastenhanced spectral mammography on representative group of women. Positive sides and restrictions of new technology in comparison with mammography, ultrasonography and MRT are shown in this article.

  2. Problems in film processing for mammography

    International Nuclear Information System (INIS)

    It had not been surveyed in Japan how film processors influenced on the mammographic image quality. Film processors in 43 mammography facilities in Kinki area, mainly Osaka prefecture, were surveyed in this study. Technical indicators of mammography quality such as contrast and maximum density were examined together with processing speed and temperature. Contrast (mean ±SD) was 3.23±0.28 (UM-MA film, Fuji) or 3.24±0.15 (Min-R2000 film, Kodak). Maximum density (mean±SD) was 3.86±0.11 (UM-MA) or 3.77±0.08 (Min-R2000). Processing speed and temperature were varied in the facilities. It can be considered that the difference on mammography quality depends on own processing condition in each facility. In order to perform quality assurance for mammography, it is important and needed to stabilize and standardize their processing conditions. (author)

  3. Update on new technologies in digital mammography

    OpenAIRE

    Patterson SK; Roubidoux MA

    2014-01-01

    Stephanie K Patterson, Marilyn A Roubidoux Division of Breast Imaging, Department of Radiology, University of Michigan Health System, Ann Arbor, MI, USA Abstract: Despite controversy regarding mammography's efficacy, it continues to be the most commonly used breast cancer-screening modality. With the development of digital mammography, some improved benefit has been shown in women with dense breast tissue. However, the density of breast tissue continues to limit the sensitivity of conven...

  4. Mammography and breast sonography in transsexual women.

    Science.gov (United States)

    Weyers, S; Villeirs, G; Vanherreweghe, E; Verstraelen, H; Monstrey, S; Van den Broecke, R; Gerris, J

    2010-06-01

    Data on the necessity of performing screening mammographies in transsexual women are lacking. The main objective of this study was to assess the possibility to perform mammography and breast sonography in transsexual women. Fifty Dutch-speaking transsexual women were interviewed about the following: attitude towards mammography and breast sonography, importance attributed to and satisfaction with breast appearance, opinion about the necessity of breast check-up, expectations regarding discomfort during the exams and knowledge about the breast surgery. A fasting blood sample, clinical breast exam, mammography and breast sonography were performed. At mammography the following parameters were noted: density, technical quality, location of the prostheses, presence of any abnormalities and painfulness. At sonography the following parameters were recorded: density, presence of cysts, visualisation of retro-areolar ducts or any abnormalities. Twenty-three percent of patients are not aware of the type of breast implants and 79% do not know their position to the pectoral muscles. Patient satisfaction with the appearance of their breasts was rather high (7.94 on a scale of 0-10). Mean expected and experienced pain from mammography was low (4.37 and 2.00 respectively). There was no statistically significant difference in expected pain between those who already had mammography and those who did not. There was a significant positive correlation between the expected and the experienced pain. Mammography and breast sonography were technically feasible and no gross anomalies were detected. Since both exams were judged as nearly painless, 98% of transsexual women intended to come back if they would be invited. Since breast cancer risk in transsexual women is largely unknown and breast exams are very well accepted, breast screening habits in this population should not differ from those of biological women.

  5. Mammography and breast sonography in transsexual women

    Energy Technology Data Exchange (ETDEWEB)

    Weyers, S., E-mail: steven.weyers@ugent.b [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium); Villeirs, G.; Vanherreweghe, E. [Department of Radiology, Ghent University Hospital, Ghent (Belgium); Verstraelen, H. [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium); Monstrey, S. [Department of Plastic Surgery, Ghent University Hospital, Ghent (Belgium); Van den Broecke, R.; Gerris, J. [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium)

    2010-06-15

    Data on the necessity of performing screening mammographies in transsexual women are lacking. The main objective of this study was to assess the possibility to perform mammography and breast sonography in transsexual women. Fifty Dutch-speaking transsexual women were interviewed about the following: attitude towards mammography and breast sonography, importance attributed to and satisfaction with breast appearance, opinion about the necessity of breast check-up, expectations regarding discomfort during the exams and knowledge about the breast surgery. A fasting blood sample, clinical breast exam, mammography and breast sonography were performed. At mammography the following parameters were noted: density, technical quality, location of the prostheses, presence of any abnormalities and painfulness. At sonography the following parameters were recorded: density, presence of cysts, visualisation of retro-areolar ducts or any abnormalities. Twenty-three percent of patients are not aware of the type of breast implants and 79% do not know their position to the pectoral muscles. Patient satisfaction with the appearance of their breasts was rather high (7.94 on a scale of 0-10). Mean expected and experienced pain from mammography was low (4.37 and 2.00 respectively). There was no statistically significant difference in expected pain between those who already had mammography and those who did not. There was a significant positive correlation between the expected and the experienced pain. Mammography and breast sonography were technically feasible and no gross anomalies were detected. Since both exams were judged as nearly painless, 98% of transsexual women intended to come back if they would be invited. Since breast cancer risk in transsexual women is largely unknown and breast exams are very well accepted, breast screening habits in this population should not differ from those of biological women.

  6. Effects of mammography screening under different screening schedules: Model estimates of potential benefits and harms

    NARCIS (Netherlands)

    J.S. Mandelblatt (Jeanne); K.A. Cronin (Kathleen); S. Bailey (Stephanie); D.A. Berry (Donald); H.J. de Koning (Harry); G. Draisma (Gerrit); H. Huang (Hailiang); S.J. Lee (Stephanie Joi); M.F. Munsell (Mark); S.K. Plevritis (Sylvia); P.M. Ravdin (P.); C.B. Schechter (Clyde); B. Sigal (Bronislava); M.A. Stoto (Michael); N.K. Stout (Natasha); N.T. van Ravesteyn (Nicolien); J. Venier (John); M. Zelen (Marvin); E. Feuer (Eric)

    2009-01-01

    textabstractBackground: Despite trials of mammography and widespread use, optimal screening policy is controversial. Objective: To evaluate U.S. breast cancer screening strategies. Design: 6 models using common data elements. Data Sources: National data on age-specific incidence, competing mortality

  7. Community Partnerships, Food Pantries, and an Evidence-Based Intervention to Increase Mammography among Rural Women

    Science.gov (United States)

    Bencivenga, Marcyann; DeRubis, Susan; Leach, Patricia; Lotito, Lisa; Shoemaker, Charles; Lengerich, Eugene J.

    2008-01-01

    Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

  8. Inequalities in the use of mammography in Spain : effect of caring for disabled family

    NARCIS (Netherlands)

    Sanz-Barbero, Belen; Sopacua, Maurice; Otero-Garcia, Laura; Borda-Olivas, Alfredo; Zunzunegui, Maria Victoria

    2012-01-01

    To examine the association between caring for disabled household members and the use of mammography in Spain during the 2 years before the interview. Weighted cross-sectional data from the 2006 National Health Survey in Spain. Using logistic regression models we analyzed the association between the

  9. Quality assurance in X-ray mammography

    International Nuclear Information System (INIS)

    Full text: Introduction: Breast Cancer (BC) is the most common cancer in the country, with a smooth upward trend. X-ray mammography is the gold standard in the diagnosis of breast cancer. The study was carried out with X-ray radiation with certain degree of risk of radiation carcinogenesis in a patient. There are international recommendations setting high requirements for the quality of mammography. What you will learn: In 2006 the fourth edition of the European recommendations for ensuring quality in screening and diagnosis of breast cancer was published. It stipulates the requirements to both technical and physical aspects of mammography screening and the quality of work of the radiologist, technologist, pathologist and surgeon. Some multidisciplinary aspects of quality assurance in the diagnostic process are discussed. Discussion: Some often neglected aspects in quality are discussed. A standard plexiglas phantom for each mammography system for daily tests holding of image quality and dose evaluation is necessary. In the dark room appropriate equipment for assessment of the developing process has be available, as often it is the main reason for the poor quality of the mammographic images. In digital mammography the conditions for mammograms reading - light and brightness of the room and equipment and monitor quality are neglected. Conclusion: One of the basic principles of radiation protection in diagnostic radiology required to obtain images with the necessary diagnostic information with minimal exposure to the patient. This is possible only in compliance with all aspects of quality assurance in X-ray mammography

  10. Study on knowledge, experiences and barriers to mammography among working women from Delhi

    Directory of Open Access Journals (Sweden)

    A Khokhar

    2015-01-01

    230 (83.5% women over 40 years of age had never got a mammogram done. Main reason 74 (38.5% cited for this was that they did not know/were not aware they were supposed to go for mammography. CONCLUSION: As knowledge and utilization of mammography is low among women, there is a need to have a multipronged strategy to inform women about mammography and bring about a behavioral change along with having a formal national level screening guidelines for breast cancer early detection.

  11. Media glandular dose in mammography

    International Nuclear Information System (INIS)

    The objective of this work was to determine the media glandular dose of the patients group who most frequently are exposed at mammographic studies in the General Hospital of Zone No. 1 of IMSS in Zacatecas, later to compare this dose with the value that establishes the Mexican Official Standard and to know risk-benefit that a patient is exposed when it is realized studies of this nature. This with the purpose of to know if the patients who are realized this type of studies are exhibited to irradiations of unnecessary way. In order to obtain the media glandular dose, first it was choose the age group of feminine population that is predominant to this suffering. Of the classification of the age group it was determine the frequency of each thickness of mamma, and on the basis of the thickness of the compressed mamma the conditions were registered with it radiates the patient. When having the age and compressed mamma thickness of patient and the voltage, current, anode/filter that uses the mammography equipment for to radiate it was calculated the media glandular dose. The media glandular dose was calculated using two algorithms proposed in literature and thermoluminescent dosemeters. For the case of the thermoluminescent dosemeters were used two phantoms. In this study was detected that the limits, with that they radiate the patients who are exposed at mammographic studies it is by underneath of 3 mGy. Finally, it was detected that the Mexican Official Standard lacks of elements to offer radiological limits for the mammography area, because in this standard they are excluded the radiological limits for anode and filter of Mo/Rh and Rh/Rh. To know the dose applying these anodes and filters is of extreme importance because 85% of the population that is exposed to this studies type was radiated with anode and filter of Mo/Rh and Rh/Rh. (Author)

  12. Characterization of microcalcification: can digital monitor zooming replace magnification mammography in full-field digital mammography?

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Min Jung; Kim, Eun-Kyung; Kwak, Jin Young; Son, Eun Ju; Youk, Ji Hyun; Choi, Seon Hyeong; Oh, Ki Keun [Yonsei University Health System, Department of Radiology, Research Institute of Radiological Science, Seoul (Korea); Han, Mooyoung [Yonsei University Health System, Department of Biostatistics, Seoul (Korea)

    2009-02-15

    The aim of this study was to compare the diagnostic accuracy and image quality of microcalcifications in zoomed digital contact mammography with digital magnification mammography. Three radiologists with different levels of experience in mammography reviewed 120 microcalcification clusters in 111 patients with a full-field digital mammography system relying on digital magnification mammogram (MAG) images and zoomed images from contact mammography (ZOOM) using commercially available zooming systems on monitors. Each radiologist estimated the probability of malignancy and rated the image quality and confidence rate. Performance was evaluated by sensitivity, specificity, positive predictive value, negative predictive value, and receiver operating characteristic (ROC) analysis. All three radiologists rated MAG images higher than ZOOM images for sensitivity with statistical significance (average value, 92% vs. 87%, P<0.05) and performance by ROC analysis improved with MAG imaging. The confidence rate for diagnosis decision and the assessment of lesion characteristics were also better in MAG images than in ZOOM images with statistical significance (P<0.0001). Digital magnification mammography can enhance diagnostic performance when characterizing microcalcifications. Images zoomed from digital contact mammography cannot serve as an alternative to direct magnification digital mammography. (orig.)

  13. Family/Friend Recommendations and Mammography Intentions: The Roles of Perceived Mammography Norms and Support

    Science.gov (United States)

    Molina, Yamile; Ornelas, India J.; Doty, Sarah L.; Bishop, Sonia; Beresford, Shirley A. A.; Coronado, Gloria D.

    2015-01-01

    Identifying factors that increase mammography use among Latinas is an important public health priority. Latinas are more likely to report mammography intentions and use, if a family member or friend recommends that they get a mammogram. Little is known about the mechanisms underlying the relationship between social interactions and mammography…

  14. Charterer's Liability Insurance : A Type of Marine Insurance

    OpenAIRE

    2007-01-01

    The “charterer’s liability insurance” is a type of marine insurance. Most ships are chartered either on a time charter or voyage charter contract. In both cases the charterer assumes liabilities towards the shipowner because of damage caused to the ship in the course of cargo-handling or because of damage resulting from an unsafe port or berth. And also, the charterer becomes liable similarly to the shipowner, with P&I liability to cargo, pollution claims and etc. All charterers require cover...

  15. Does Charter Status Determine Preferences? Comparing the Hiring Preferences of Charter and Traditional Public School Principals

    Science.gov (United States)

    Cannata, Marisa; Engel, Mimi

    2012-01-01

    The academic success of any school depends on its teachers. However, relatively little research exists on the qualities principals value in teacher hiring, and we know almost nothing about charter school principals' preferences. This article addresses this gap in the literature using survey results for a matched sample of charter and traditional…

  16. Mammography calibration qualities establishment in a Mo- Mo clinical system

    Science.gov (United States)

    Corrêa, E. L.; dos Santos, L. R.; Vivolo, V.; Potiens, M. P. A.

    2016-07-01

    In this study the mammography calibration qualities were established in a clinical mammography system. The objective is to provide the IPEN instruments calibration laboratory with both mammography calibration methods (using a clinical and an industrial system). The results showed a good behavior of mammography equipment, in terms of kVp, PPV and exposure time. The additional filtration of molybdenum is adequate, air-kerma rates were determined and spectra were obtained.

  17. THE ROLE OF THE EUROPEAN UNION CHARTER OF FUNDAMENTAL RIGHTS IN THE NEW EUROPEAN CONTEXT

    Directory of Open Access Journals (Sweden)

    Oana-Mihaela SALOMIA

    2012-11-01

    Full Text Available The Charter of fundamental rights of the European Union was proclaimed by the European Commission, the European Parliament, and the Council of the European Union at the European Council held at Nice on the 7 December 2000, was modified on 12 December 2007 at Strasbourg, and, today, according to article 6 in the Treaty on European Union, the Charter gained the juridical value of an constitutive European treaty. The way it has been conceived, the content of the Charter reflects the Union’s desire for the autonomy of the juridical order. The Charter clearly states the fact that it solely seeks to protect the fundamental rights of the individuals with regard to acts undertaken by the EU institutions and by the member states in applying of the Union treaties. A protocol to Lisbon Treaty introduces specific measures for the United Kingdom and Poland seeking to establish national exceptions to the application of the Charter. The new treaty provides a new legal basis for accessing of the Union to the European Convention on the Protection of Human Rights and Fundamental Freedoms.

  18. Digital mammography in breast cancer screening: Evaluation and innovation

    NARCIS (Netherlands)

    A.M.J. Bluekens

    2015-01-01

    With all other imaging modalities in radiology being digitised and conventional mammography being ready to phase out the transition to digital mammography was inevitable. This thesis describes the performance of digital screening mammography and the consequences of implementation in a population-bas

  19. Explaining the Gap in Charter and Traditional Public School Teacher Turnover Rates

    Science.gov (United States)

    Stuit, David A.; Smith, Thomas M.

    2012-01-01

    This study uses national survey data to examine why charter school teachers are more likely to turnover than their traditional public school counterparts. We test whether the turnover gap is explained by different distributions of factors that are empirically and theoretically linked to turnover risk. We find that the turnover rate of charter…

  20. 77 FR 69593 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2012-11-20

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... Permits (EFPs), Scientific Research Permits (SRPs), Display Permits, Letters of Acknowledgment (LOAs), and... related permits are necessary for the collection of HMS for public display and scientific research that...

  1. 78 FR 13864 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2013-03-01

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... received regarding our intent to issue Exempted Fishing Permits (EFPs), Scientific Research Permits (SRPs... prohibited by the regulations contained in this part for the conduct of scientific research, the...

  2. Planning and Implementing Virtual Charter Schools in Wisconsin: A Case Study

    Science.gov (United States)

    Lee, Juanita Joyce

    2010-01-01

    The long-term concern relative to education inequity indicates that the nation's youth will not be adequately prepared for the global and highly competitive marketplace of the 21st century (Casner-Lotto & Barrington, 2006). Initiatives to address this concern persist, including the creation of the virtual charter school (Vanourek, 2006;…

  3. 76 FR 4281 - Recreation Resource Advisory Committees Charter Reestablishment

    Science.gov (United States)

    2011-01-25

    ... Forest Service Recreation Resource Advisory Committees Charter Reestablishment AGENCY: Forest Service, USDA. ACTION: Notice of intent to reestablish the Recreation Resource Advisory Committees. SUMMARY: The Secretary of Agriculture intends to reestablish the charter for 5 Forest Service Recreation...

  4. Sustainable development - the ICC business charter

    International Nuclear Information System (INIS)

    The International Chamber of Commerce (ICC) prepared and approved, in November 1990, the ''Business Charter for Sustainable Development; a set of principles for environmental management''. Environmental protection is a necessary part of sustainable development but, too often, the performance of business is seen by society as inadequate. Improved environmental performance is essential if business is to regain public trust, reduce the pressures on governments to over-legislate, and strengthen the business voice in debate on public policy. The Charter has been prepared as a major pro-active business initiative by enterprises around the world. This is timely in view of the extensive international debate on environmental issues and the widespread acceptance of the ''Sustainable Development'' concept. Sustainable development involves meeting the needs of the present without compromising the ability of future generations to meet their own needs. Although the objective of the Charter is that the widest range of enterprises as organizations commit themselves to improving their environmental performance in accordance with the Principles of the Charter, an individual branch of industry may also meet the goals of the Charter. The paper evaluates how the practices implemented in the field of nuclear energy are in harmony with the principles. The conclusion is that nuclear is in the avant garde within the wide spectrum of industrial activities. This conclusion should assist nuclear energy to improve its public acceptance. (author)

  5. Quality control tests for conventional mammography

    International Nuclear Information System (INIS)

    Mammography is this the test that allows the radiologist to look at images of the inside of the breasts. Mammograms help detect breast cancer early successful treatment of breast cancer depends on that early diagnosis. Breast cancer is a very common condition. About one in every nine women develops breast cancer by the age of eighty. In addition to the clinical examination and self-examination, mammography plays important role in the detection of breast cancer before they become clinically visible tumors. The mammography is the most common test for early detection of breast cancer. Quality control techniques that done ensured importance of this programme to produce images with good diagnostic values and help radiologist to diagnose breast discase easily and avoid exposing patient to radiation hazards.(Author)

  6. Mammography activity in Norway 1983 to 2008

    DEFF Research Database (Denmark)

    Lynge, Elsebeth; Braaten, Tonje; Njor, Sisse H;

    2011-01-01

    In Norway, an organized screening mammography program, the Norwegian Breast Cancer Screening Program (NBCSP) started in four counties in 1996 and became nationwide in 2004. We collected data on pre-program screening activity, and in view of this activity we evaluated the potential impact of the p......In Norway, an organized screening mammography program, the Norwegian Breast Cancer Screening Program (NBCSP) started in four counties in 1996 and became nationwide in 2004. We collected data on pre-program screening activity, and in view of this activity we evaluated the potential impact...

  7. 22 CFR 8.8 - Chartering of committees.

    Science.gov (United States)

    2010-04-01

    ... information set forth in the charter of the parent committee. (3) Informal subgroups may not require a charter; however, the charter of the parent committee must cover this aspect of its organization. (4) The Advisory... other committees; the committee organization, composition of membership and officers'...

  8. Charter School Autonomy: The Mismatch between Theory and Practice

    Science.gov (United States)

    Finnigan, Kara S.

    2007-01-01

    In theory, the charter school concept is based on a trade-off or exchange: greater autonomy for increased accountability. Although charter schools have been operating for more than 10 years, little is known about charter school autonomy in practice. This mixed-methods study used survey and case study data to examine the degree of autonomy of…

  9. 75 FR 28849 - Renewal of Cultural Property Advisory Committee Charter

    Science.gov (United States)

    2010-05-24

    ... of Cultural Property Advisory Committee Charter SUMMARY: The Charter of the Department of State's Cultural Property Advisory Committee (CPAC) has been renewed for an additional two years. The Charter of the Cultural Property Advisory Committee is being renewed for a two-year period. The Committee...

  10. 77 FR 31682 - Renewal of Cultural Property Advisory Committee Charter

    Science.gov (United States)

    2012-05-29

    ... of Cultural Property Advisory Committee Charter SUMMARY: The Charter of the Department of State's Cultural Property Advisory Committee (CPAC) has been renewed for an additional two years. The Charter of the Cultural Property Advisory Committee is being renewed for a two-year period. The Committee...

  11. Not Just Urban Policy: Suburbs, Segregation, and Charter Schools

    Science.gov (United States)

    Frankenberg, Erica; Siegel-Hawley, Genevieve

    2012-01-01

    As the charter school sector expands rapidly with federal support amid on-going diversification and growing segregation among traditional public school students, this article examines existing patterns of segregation in charter schools. Prior research has demonstrated that charter schools are substantially more segregated than our already…

  12. 12 CFR 747.406 - Cancellation of charter.

    Science.gov (United States)

    2010-01-01

    ... the Federal credit union has been completed, the NCUA Board shall cancel the charter of the Federal... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Cancellation of charter. 747.406 Section 747... and Procedures Applicable to Proceedings Relating to the Suspension or Revocation of Charters and...

  13. 50 CFR 300.67 - Charter halibut limited access program.

    Science.gov (United States)

    2010-10-01

    ... of a vessel with one or more charter vessel anglers catching and retaining Pacific halibut on board a vessel must have on board the vessel an original valid charter halibut permit or permits endorsed for the... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Charter halibut limited access...

  14. Equity Overlooked: Charter Schools and Civil Rights Policy

    Science.gov (United States)

    Frankenberg, Erica; Siegel-Hawley, Genevieve

    2009-01-01

    The Civil Rights Project (CRP) is in the midst of an analysis of rapidly growing charter school enrollment, which the authors anticipate releasing next month. Similar to trends described in their 2003 report and in other research on racial isolation in charter schools, they find higher levels of segregation for black students in charter schools…

  15. 41 CFR 105-54.203-2 - Active charters file.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Active charters file. 105-54.203-2 Section 105-54.203-2 Public Contracts and Property Management Federal Property Management... charters file. The GSA Committee Management Officer retains each original signed charter in a file...

  16. Performance-Based Accountability: Newarks Charter School Experience.

    Science.gov (United States)

    Callahan, Kathe; Sadovnik, Alan; Visconti, Louisa

    This study assessed how New Jersey's state accountability system encouraged or thwarted charter school success, how effectively performance standards were defined and enacted by authorizing agents, and how individual charter schools were developing accountability processes that made them more or less successful than their charter school…

  17. 76 FR 16597 - Forestry Research Advisory Council Charter Renewal

    Science.gov (United States)

    2011-03-24

    ... Office of the Secretary Forestry Research Advisory Council Charter Renewal AGENCY: Office of the Secretary, USDA. ACTION: Notice of the Forestry Research Advisory Council charter renewal. SUMMARY: The Secretary of Agriculture has renewed the charter of the Forestry Research Advisory Council (FRAC),...

  18. Yacht charter in Portugal- developing a business model for a sailing charter company

    OpenAIRE

    Kalcic, Natasa

    2016-01-01

    Given the signals that Portugal can be a great destination for charter sailing, the purpose of this work is to disprove this. Thereby the model of Porter’s five forces has been used to analyze the Portuguese yacht charter market, whereas a SWOT analysis should give an overview and compare the Portuguese market with the well running charter market of Croatia. The research outcome on the supply side as well as on the demand side should then serve as a foundation for establishing a ...

  19. Access to Mammography Facilities and Detection of Breast Cancer by Screening Mammography: A GIS Approach.

    Science.gov (United States)

    Rahman, Selina; Price, James H; Dignan, Mark; Rahman, Saleh; Lindquist, Peter S; Jordan, Timothy R

    2009-01-01

    OBJECTIVES: The objective of the study was to examine the association between access to mammography facilities and utilization of screening mammography in an urban population. METHODS: Data on female breast cancer cases were obtained from an extensive mammography surveillance project. Distance to mammography facilities was measured by using GIS, which was followed by measuring geographical access to mammography facilities using Floating Catchment Area (FCA) method (considering all available facilities within an arbitrary radius from the woman's residence by using Arc GIS 9.0 software). RESULTS: Of 2,024 women, 91.4% were Caucasian; age ranged from 25 to 98 years; most (95%) were non-Hispanic in origin. Logistic regression found age, family history, hormone replacement therapy, physician recommendation, and breast cancer stage at diagnosis to be significant predictors of having had a previous mammogram. Women having higher access to mammography facilities were less likely to have had a previous mammogram compared to women who had low access, considering all the facilities within 10 miles (OR=0.41, CI=0.22-0.76), 30 miles (OR=0.52, CI=0.29-0.91) and 40 miles (OR=0.51, CI=0.28-0.92) radiuses. CONCLUSIONS: Physical distance to mammography facilities does not necessarily predict utilization of mammogram and greater access does not assure greater utilizations, due to constraints imposed by socio economic and cultural barriers. Future studies should focus on measuring access to mammography facilities capturing a broader dimension of access considering qualitative aspect of facilities, as well as other travel impedances. PMID:20628557

  20. Investigating Leadership in Charter Schools: An Examination of the Leadership Traits of Executive Directors in Successful Charter Schools

    Science.gov (United States)

    Bloomfield, Brian D.

    2013-01-01

    This study was a qualitative exploration of educational leadership within charter schools in an attempt to identify traits demonstrated by executive directors of successful charter schools. Because much research has been conducted to identify trends in educational leadership, but comparable little within the unique context of charter schools, and…

  1. Optimization of exposure parameters in full field digital mammography using figure of merit

    International Nuclear Information System (INIS)

    Mammography is used as a screening tool for early detection of breast cancer. However, the radiation dose used should be as low as possible to minimize any effects on asymptomatic woman while maintaining the diagnostic value of the image as mammography is done annually. This study was done to determine the optimum exposure parameter in exposure control mode (AEC) for two combinations of anode/ filter which were molybdenum/ molybdenum (Mo/ Mo) and molybdenum/ rhodium (Mo/ Rh) using the Lorad Selenia digital mammography system at the Women's Breast Clinic, National Cancer Society (NCS). A CIRS012A mammography research of phantom 4 cm thickness with 50 % glandularity was exposed in the cranio-caudal projection. TLD 100H was used to measure the entrance surface air kerma (ESAK). The AGD values were then calculated from the ESAK values, incorporating three correction factors (g, c and s) according to Euref protocol. Image quality was evaluated using signal to noise ratio (SNR). Figure of Merit (FOM) which is the ratio of the square of SNR to the AGD shows that 30 kVp is the optimum exposure parameter for a 4 cm thickness phantom with the use of Mo/ Rh and Mo/ Mo anode/ filter combination. Non-parametric Spearman correlation test showed a negative linear relationship between AGD and SNR with increasing tube voltage for both anode/ filters. (author)

  2. Optimisation of X-ray examinations in Lithuania: Start of implementation in mammography

    International Nuclear Information System (INIS)

    Optimisation of medical X-ray examinations is very important for the enhancement of the reliability of the examination and for the reduction of the radiation dose to patients. Results of investigations of doses to patients during mammography using thermoluminescence dosemeters at different hospitals are presented together with a brief overview of the situation for mammography in Lithuania. It is shown that the entrance surface air kerma varies in a broad range and differed from hospital to hospital. Nevertheless the calculated values of average glandular dose (AGD) for a 'standard' breast being relatively high were comparable with those (3.2 mGy per exposure at net optical density 1.4) currently accepted by international authorities. Differences in AGD values evaluated at different hospitals demonstrate the existing potential for optimisation of the mammography screening procedures. The results of this investigation will be included in a database for patient doses in Lithuania and used for establishing a national reference dose level for mammography. Currently, reference levels recommended by international authorities are used in Lithuania. (authors)

  3. Fields of application of the Charter of Fundamental Rights and constitutional dialogues in the European Union

    OpenAIRE

    SAFJAN, Marek

    2014-01-01

    This article is an extended version of a speech delivered during the Conference on Judicial Cooperation Techniques for the Protection of European Fundamental Rights: Past and Future Prospectives held in EUI on 9-10 May 2014. It deals with the possibility of maintaining coexisting national and Charter standards of fundamental rights and with the importance of cooperation between the ECJ and the national courts when fundamental rights protection is at stake. In this article, possible approaches...

  4. Benefits of visualization in the mammography problem

    DEFF Research Database (Denmark)

    Khan, Azam; Breslav, Simon; Glueck, Michael;

    2015-01-01

    condition and a text-legend condition where all nested-set problem values were given to eliminate the need for participants to estimate or calculate values. Seven hundred participants evaluated these seven conditions on the classic Mammography Problem in a crowdsourcing system, where micro-interaction data...

  5. Physical methods for dose determinations in mammography

    International Nuclear Information System (INIS)

    There is small but significant risk of radiation induced carcinogenesis associated with mammography. High quality mammography is the best method of early breast cancer detection. Besides, image as a basic requirement for an effective diagnosis, radiation protection principles require the radiation dose to the imaged tissue to be as low as compatible with required image quality. Glandular tissues is the most radiosensitive, thus the evaluation of Mean Glandular Dose (MGD) is the most relevant factor for estimation of radiation risk as well as the comparison of performance at different mammographic machines. MGD was estimated using Entrance Surface Air KERMA at the breast surface Kf measured free in air and appropriate conversation factors. Under evaluation were eight mammographic machines at institute of radiology, Skopje and mammographic machines at the Health's centers in Vevchani, Bitola, Prilep, Negotino and Shtip. Estimated values of MGD do not exceed the European reference level (<2mGy), but it can not be generally concluded for all mammography units in Macedonia, until their examination. In the near future all mammography units will be subject of Q C tests and dose measurements. (Author)

  6. Mammography: reviewing the evidence. Epidemiology aspect.

    OpenAIRE

    Miller, A B

    1993-01-01

    The role of mammography as a screening test for breast cancer is still being evaluated. Screening does not seem to reduce breast cancer mortality in women age 40 to 49. However, for women age 50 to 69, a 40% reduction in breast cancer mortality can be anticipated after 5 years, providing high compliance to screening is obtained.

  7. Body weight and sensitivity of screening mammography

    DEFF Research Database (Denmark)

    Njor, Sisse H.; von Euler-Chelpin, My; Tjønneland, Anne;

    2016-01-01

    Aim: Obese women tend to participate less in breast cancer screening than normal weight women. However, obese women have fattier breast than normal weight women, and screening mammography works better in fatty than in dense breasts. One might, therefore, hypothesise that obese women would actuall...

  8. Classification of findings in mammography screening

    DEFF Research Database (Denmark)

    Pamilo, M; Lönnqvist, J; Halttunen, A;

    1991-01-01

    survey of mammography screening in Helsinki and surroundings in Finland. PATIENTS--21,417 women (aged 50-59 years) were invited to be screened, 18,012 (84.10%) participated. Of these 579 (3.21% of those screened) were recalled for further studies; 124 of these were referred for surgical biopsy and 82 had...

  9. Why Do Charter Schools Fail? - An Analysis of Charter School Survival in New Jersey

    OpenAIRE

    Julia Schwenkenberg; James VanderHoff

    2013-01-01

    The reasons for charter school failure may determine if charter school competition improves public education. We estimate survival regressions to assess the effects of various factors on the probability of school failure. We find that students’ test scores are the most important determinant of survival: a one standard deviation increase reduces the probability of failure by at least 72%. Higher expenditures on facilities and a longer waitlist result in smaller but significant reductions in th...

  10. Thermoluminescence dosimetry in quality imaging in CR mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Franco E, J.G. [UAM-Xochimilco, 04960 Mexico D.F. (Mexico); Azorin N, J. [UAM-Iztapalapa, 09340 Mexico D.F. (Mexico); Diaz G, J.A.I. [CICATA, Unidad Legaria, Av. Legaria 694, 11599 mexico D.F. (Mexico); Arreola, M. [Department of Radiology, Shands Hospital at UF, PO Box 100374, Gainesville, FL 32610-0374 (United States)

    2006-07-01

    The aim of this work is to estimate the average glandular dose with Thermoluminescence Dosimetry (TLD) and comparison with quality imaging in CR mammography. For measuring dose, FDA and ACR use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, Full Field Digital Mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one CR mammography system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium fluoro halide. We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated x-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose that overcomes 3.0 mGy and it doesn't improve the image quality and dose to the breast will be excessive. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement. (Author)

  11. Charter Schools and Student Compositions of Traditional Public Schools

    Directory of Open Access Journals (Sweden)

    Nevbahar Ertas

    2013-06-01

    Full Text Available One of the most contentious urban education policy issues in the United States today is the expansion of charter schools and its repercussions. Does the expansion of charter schools affect the racial and socioeconomic composition of traditional public schools in the United States? This study provides empirical evidence on this question by relying on a panel design that uses school-level data from two states that have experimented with charter schools for more than 15 years: Ohio and Texas. Using county-level, spatial, and enrollment-based measures of charter exposure, the changes from pre- to post-charter-legislation stages in the student compositions of public schools that do and do not face competition from charters are examined. The results suggest that charter school presence contributes to aggregate-level changes in the share of non-Hispanic White and free-lunch-eligible students in traditional public schools in both states in different ways.

  12. Radiology Residents' Performance in Screening Mammography Interpretation

    International Nuclear Information System (INIS)

    To evaluate radiology residents' performance in screening mammography interpretation and to analyze the factors affecting performance. We enrolled 203 residents from 21 institutions and performed mammography interpretation tests. Between the trainee and non-trainee groups, we compared the interpretation score, recall rate, sensitivity, positive predictive value (PPV) and false-positive rate (FPR). We estimated the training effect using the score differences between trainee and non-trainee groups. We analyzed the factors affecting performance between training-effective and non-effective groups. Trainees were superior to non-trainees regarding interpretation score (43.1 vs. 37.1), recall rate (11.0 vs. 15.5%), sensitivity (83.6 vs. 72.0%), PPV (53.0 vs. 32.4%) and FPR (13.5 vs. 25.5). The longer the training period, the better were the interpretation score, recall rate, sensitivity, PPV and FPR (rho = 0.486, -0.375, 0.343, 0.504, -0.446, respectively). The training affected an increase by an average of 6 points; however, 31.6% of institutions showed no effect. A difference was noted in the volume of mammography interpretation during a month (594.0 vs. 476.9) and dedication of breast staff (61.5 vs. 0%) between training-effective and non-effective groups. Trainees showed better performance in mammography interpretation compared to non-trainees. Moreover, performance was correlated with the training period. The factors affecting performance were the volume of mammography interpretation and the dedication of the breast staff.

  13. Improving Dispute Resolution: Student Contracts and Charters

    Science.gov (United States)

    Evans, G. R.

    2011-01-01

    The sector is entering a climate of future funding cuts and fee rises, which are likely to prompt a growing number and widening range of disputes. This article describes the launch of a new Improving Dispute Resolution Advisory Service. The particular questions raised in this context by the introduction of student charters and the relationship of…

  14. 12 CFR 552.4 - Charter amendments.

    Science.gov (United States)

    2010-01-01

    ... charter by substituting a new corporate title in section 1. (2) Home office. A Federal savings association... performed for the association, or any combination of the foregoing. In the absence of actual fraud in the... any corporate action (other than the removal of directors) the affirmative vote of a larger...

  15. 34 CFR 300.7 - Charter school.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Charter school. 300.7 Section 300.7 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN...

  16. Charter School Innovations: A Teacher Growth Model

    Science.gov (United States)

    Radoslovich, Julie; Roberts, Shelley; Plaza, Andres

    2014-01-01

    Committed to being a charter school with a professional learning community that empowers teachers, New Mexico's South Valley Academy (SVA) staff transformed its state evaluation process into a practitioner action research process (Anderson, Herr, & Nihlen, 2007). While teachers self-diagnose growth needs and play active roles in improving…

  17. Exploring the Competitive Effects of Charter Schools

    Science.gov (United States)

    Carpenter, Dick M., II; Medina, Paul M.

    2011-01-01

    Central to the debate over school choice has been the question of how public schools respond to market-based competition. Many choice advocates suggest that competition can spur public schools to become more effective and efficient, but the evidence regarding the effect of competition from charters is comparably sparse and mixed. This article…

  18. 44 CFR 12.7 - Charter.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Charter. 12.7 Section 12.7 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... also be furnished at the time of filing to the Library of Congress, Exchange and Gift Division,...

  19. Measuring Charter School Efficiency: An Early Appraisal

    Science.gov (United States)

    Carpenter, Dick M., II; Noller, Scott L.

    2010-01-01

    In an era of increased accountability and challenging times for public finance, charter schools built on decentralization, grassroots accountability, and market forces may provide, in the spirit of "educational laboratories," lessons for increasing student achievement more efficiently through diverse and innovative management, organization,…

  20. Effectiveness of Cyber Charter Schools: A Review of Research on Learnings

    Science.gov (United States)

    Cavanaugh, Cathy

    2009-01-01

    Cyber charter schools in the United States have attracted considerable interest for students and families as alternatives to other public schools, as well as from policymakers. As charter school laws are enacted state-by-state, the climate for charter schools, including cyber charters grows more favorable. As of 2008, over 4500 charter schools…

  1. Perspectives of the digital mammography platform; Perspektiven der digitalen Mammographieplattform

    Energy Technology Data Exchange (ETDEWEB)

    Gruber, R.; Riedl, C.C.; Reisegger, M.; Pinker, K.; Sturm, E.; Semturs, F.; Helbich, T.H. [Medizinische Universitaet Wien, Abteilung fuer Allgemeine Radiologie und Kinderradiologie, Division fuer Molekulare und Gender-Bildgebung, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria)

    2010-11-15

    In Europe one out of every nine women suffers from breast cancer during her lifetime. Since the introduction of mammography screening programs more breast cancers are being diagnosed when they are still small and early stage cancers with a favourable prognosis. The introduction of digital mammography systems has led to a continuous reduction of breast cancer mortality especially in specific patient subgroups. Furthermore, the digital mammography platform enables the development of new, innovative breast imaging methods to increase sensitivity and decrease breast cancer mortality. This digital mammography platform includes digital breast tomosynthesis, digital contrast medium mammography and digital contrast medium breast tomosynthesis as well as fused data sets from digital mammography with ultrasound or MRI. The following article summarizes these new applications, describes the strengths of the digital platform and illustrates the potential advantages of an improved breast cancer diagnosis by digital mammography. (orig.) [German] Etwa jede neunte Frau in Europa erkrankt im Laufe ihres Lebens an Brustkrebs. Durch die Einfuehrung von Mammographiescreeningprogrammen werden immer mehr kleine Brustkarzinome in einem fruehen Stadium entdeckt. Die Einfuehrung der digitalen Mammographie erzielt insbesondere bei bestimmten Patientinnengruppen eine weitere kontinuierliche Senkung der Brustkrebsmortalitaet. Zusaetzlich ermoeglicht die digitale Mammographie die Entwicklung neuer und Fusion bereits existierender bildgebender Methoden. Zu dieser ''digitalen Mammographieplattform'' gehoeren die digitale Brusttomosynthese, die digitale Kontrastmittelmammographie und die digitale Kontrastmittel-Brusttomosynthese sowie fusionierte Datensaetze der digitalen Mammographie mit dem Ultraschall oder der MRT. Diese innovativen Techniken bieten die Moeglichkeit, die Sensitivitaet der Mammographie zu steigern und die Brustkrebsmortalitaet weiter zu senken. Der folgende

  2. Digital Mammography Imaging: Breast Tomosynthesis and Advanced Applications

    Science.gov (United States)

    Helvie, Mark A.

    2011-01-01

    Synopsis This article discusses recent developments in advanced derivative technologies associated with digital mammography. Digital breast tomosynthesis – its principles, development, and early clinical trials are reviewed. Contrast enhanced digital mammography and combined imaging systems with digital mammography and ultrasound are also discussed. Although all these methods are currently research programs, they hold promise for improving cancer detection and characterization if early results are confirmed by clinical trials. PMID:20868894

  3. Mammography-oncogenecity at low doses

    International Nuclear Information System (INIS)

    Controversy exists regarding the biological effectiveness of low energy x-rays used for mammography breast screening. Recent radiobiology studies have provided compelling evidence that these low energy x-rays may be 4.42 ± 2.02 times more effective in causing mutational damage than higher energy x-rays. These data include a study involving in vitro irradiation of a human cell line using a mammography x-ray source and a high energy source which matches the spectrum of radiation observed in survivors from the Hiroshima atomic bomb. Current radiation risk estimates rely heavily on data from the atomic bomb survivors, and a direct comparison between the diagnostic energies used in the UK breast screening programme and those used for risk estimates can now be made. Evidence highlighting the increase in relative biological effectiveness (RBE) of mammography x-rays to a range of x-ray energies implies that the risks of radiation-induced breast cancers for mammography x-rays are potentially underestimated by a factor of four. A pooled analysis of three measurements gives a maximal RBE (for malignant transformation of human cells in vitro) of 4.02 ± 0.72 for 29 kVp (peak accelerating voltage) x-rays compared to high energy electrons and higher energy x-rays. For the majority of women in the UK NHS breast screening programme, it is shown that the benefit safely exceeds the risk of possible cancer induction even when this higher biological effectiveness factor is applied. The risk/benefit analysis, however, implies the need for caution for women screened under the age of 50, and particularly for those with a family history (and therefore a likely genetic susceptibility) of breast cancer. In vitro radiobiological data are generally acquired at high doses, and there are different extrapolation mechanisms to the low doses seen clinically. Recent low dose in vitro data have indicated a potential suppressive effect at very low dose rates and doses. Whilst mammography is a low

  4. Screening mammography interpretation test: more frequent mistakes

    International Nuclear Information System (INIS)

    Purpose: To present the mammographic cases most commonly misinterpreted by the participants in the mammography self-test proposed by the Italian Society of Medical Radiology (SIRM) National Congress in Rimini, Italy, 2002, by analysing the findings responsible for errors, suggesting reasons for the errors, and assessing possible inadequacies in the format of the test. Materials and methods: The self-test was performed on the mammograms of 160 cases (32 positive and 128 negative for cancer as confirmed by histology). The mammograms had been taken in the four standard projections and placed on four multi-panel diaphanoscopes, each displaying a set of 40 cases comprising benign and malignant cases in equal proportions. The participants were given pre-printed forms on which to note down their diagnostic judgement. We evaluated a total of 134 fully-completed forms. Among these, we identified the 23 cases most frequently misread by over 15 participants in percentages varying between 40-90%. Of these cases, 10 were malignancies and 13 were negative mammograms. On review, we also assessed the diagnostic contribution of complementary investigations (not available the participants). The 134 fully-completed forms (all of the 40 cases) yielded a total of 5360 responses, 1180 of which (22.01%) were incorrect. Of these 823 out of the 4288 cases expected to be negative (19.2%) were false positive, and 357 out of the 1072 cases expected to be positive (33.3%) were false negative. As regards the 23 most frequently misread cases, these were 10/32 (31.25%) mammograms positive for malignancy and 13/128 (10.15%) negative mammograms or mammograms showing benign disease. The 10 malignancies included 7 infiltrating ductal carcinomas, 1 infiltrating cribriform carcinoma, 1 infiltrating tubular carcinoma, and 1 carcinoma in situ. The 13 cases of benign disease - as established by histology or long-term follow-up - mistaken for malignancies by the test participants were fibrocystic breast

  5. Technical Quality of Mammography in Slovenia 1995-2000

    International Nuclear Information System (INIS)

    Full text: In the last few years the number of mammography X-ray examinations in Slovenia has rapidly increased. As mammography is technically one of the most demanding radiographic technique, image quality critically depends on the equipment and its performance, as well as on skill of technicians who employ it. The paper presents the statistics of the most important technical parameters of the mammography systems and the results of a quality control performed in the period from 1995 to 1998. The results clearly show the increased quality of technical performance of mammography in Slovenia in the last 5 years. (author)

  6. A comparison of the accuracy of film-screen mammography, full-field digital mammography, and digital breast tomosynthesis

    International Nuclear Information System (INIS)

    Aim: To measure the change in diagnostic accuracy of conventional film-screen mammography and full-field digital mammography (FFDM) with the addition of digital breast tomosynthesis (DBT) in women recalled for assessment following routine screening. Materials and methods: Ethics approval for the study was granted. Women recalled for assessment following routine screening with screen-film mammography were invited to participate. Participants underwent bilateral, two-view FFDM and two-view DBT. Readers scored each lesion separately for probability of malignancy on screen-film mammography, FFDM, and then DBT. The scores were compared with the presence or absence of malignancy based on the final histopathology outcome. Results: Seven hundred and thirty-eight women participated (93.2% recruitment rate). Following assessment 204 (26.8%) were diagnosed as malignant (147 invasive and 57 in-situ tumours), 286 (37.68%) as benign, and 269 (35.4%) as normal. The diagnostic accuracy was evaluated by using receiving operating characteristic (ROC) and measurement of area under the curve (AUC). The AUC values demonstrated a significant (p = 0.0001) improvement in the diagnostic accuracy with the addition of DBT combined with FFDM and film-screen mammography (AUC = 0.9671) when compared to FFDM plus film-screen mammography (AUC = 0.8949) and film-screen mammography alone (AUC = 0.7882). The effect was significantly greater for soft-tissue lesions [AUC was 0.9905 with the addition of DBT and AUC was 0.9201 for FFDM with film-screen mammography combined (p = 0.0001)] compared to microcalcification [with the addition of DBT (AUC = 0.7920) and for FFDM with film-screen mammography combined (AUC = 0.7843; p = 0.3182)]. Conclusion: The addition of DBT increases the accuracy of mammography compared to FFDM and film-screen mammography combined and film-screen mammography alone in the assessment of screen-detected soft-tissue mammographic abnormalities.

  7. Mammography screening. Benefits, harms, and informed choice

    DEFF Research Database (Denmark)

    Jørgensen, Karsten Juhl

    2013-01-01

    . A mortality reduction can never justify a medical intervention in its own right, but must be weighed against the harms. Overdiagnosis is the most important harm of breast screening, but has gained wider recognition only in recent years. Screening leads to the detection and treatment of breast cancers......The rationale for breast cancer screening with mammography is deceptively simple: catch it early and reduce mortality from the disease and the need for mastectomies. But breast cancer is a complex problem, and complex problems rarely have simple solutions. Breast screening brings forward the time...... the justification of breast screening is therefore not a simple question of whether screening reduces breast cancer mortality. This dissertation quantifies the primary benefits and harms of screening mammography. Denmark has an unscreened "control group" because only two geographical regions offered screening over...

  8. Generalized subtraction methods in digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Taibi, Angelo [Dipartimento di Fisica, Universita di Ferrara, via Saragat 1, 44100 Ferrara (Italy)], E-mail: taibi@fe.infn.it

    2009-12-15

    Digital mammography can greatly facilitate new applications, with the potential of further improving early diagnosis of breast cancer. Indeed, early manifestations of breast cancer are often very subtle and are displayed on the variable pattern of normal anatomy that may either obscure or simulate disease. This is particularly important in dense breasts, because of the complexity of overlying fibroglandular structures. The requirement of improved lesion conspicuity has brought to the application of a number of subtraction methods such as the tomographic technique to exploit depth-dependent information or the digital angiography where subtraction in the temporal domain is applied in conjuction with administration of contrast medium. Since there are various parameters that might be used for subtraction, such techniques have to be intended in generalized form. Generalized subtraction methods in mammography are here presented and compared.

  9. Charter School Board Characteristics, Composition and Practices and Charter School Outcomes: An Organizational Effectiveness Approach to Evaluating and Understanding Charter Schools

    Science.gov (United States)

    Frazier, Bernita Maria

    2011-01-01

    Charter schools are "autonomous, publicly funded entities that operate on the basis of a contract between the individual and/or group (e.g., teachers, parents, others) which organizes the school and a sponsor (typically local or state education boards or districts)" (Lavine, 1994, p. 8). Charter schools are responsible to sponsors for their…

  10. Authenticity and integrity of digital mammography images.

    Science.gov (United States)

    Zhou, X Q; Huang, H K; Lou, S L

    2001-08-01

    Data security becomes more and more important in telemammography which uses a public high-speed wide area network connecting the examination site with the mammography expert center. Generally, security is characterized in terms of privacy, authenticity and integrity of digital data. Privacy is a network access issue and is not considered in this paper. We present a method, authenticity and integrity of digital mammography, here which can meet the requirements of authenticity and integrity for mammography image (IM) transmission. The authenticity and integrity for mammography (AIDM) consists of the following four modules. 1) Image preprocessing: To segment breast pixels from background and extract patient information from digital imaging and communication in medicine (DICOM) image header. 2) Image hashing: To compute an image hash value of the mammogram using the MD5 hash algorithm. 3) Data encryption: To produce a digital envelope containing the encrypted image hash value (digital signature) and corresponding patient information. 4) Data embedding: To embed the digital envelope into the image. This is done by replacing the least significant bit of a random pixel of the mammogram by one bit of the digital envelope bit stream and repeating for all bits in the bit stream. Experiments with digital IMs demonstrate the following. 1) In the expert center, only the user who knows the private key can open the digital envelope and read the patient information data and the digital signature of the mammogram transmitted from the examination site. 2) Data integrity can be verified by matching the image hash value decrypted from the digital signature with that computed from the transmitted image. 3) No visual quality degradation is detected in the embedded image compared with the original. Our preliminary results demonstrate that AIDM is an effective method for image authenticity and integrity in telemammography application. PMID:11513029

  11. Introduction of the Mammography unit; SEPIO series

    Energy Technology Data Exchange (ETDEWEB)

    Nanbu, Yukiko; Sasaki, Osamu; Tsuji, Hisao [Shimadzu Corp., Medical Systems Division, Kyoto (Japan)

    2003-06-01

    Mammography unit SEPIO series are designed for the both screening and diagnosis of the breast cancer. SEPIO series have the following features; iso-centric C-arm rotation leads to high throughput, two phase compression method called Twincomp minimizes the blind are near chest wall and the bi-angular X-ray tube contributes to better image quality. Furthermore optional MaxVision system which has a function to pull the breast toward the film is introduced to SEPIO series. (author)

  12. Authenticity and integrity of digital mammography images.

    Science.gov (United States)

    Zhou, X Q; Huang, H K; Lou, S L

    2001-08-01

    Data security becomes more and more important in telemammography which uses a public high-speed wide area network connecting the examination site with the mammography expert center. Generally, security is characterized in terms of privacy, authenticity and integrity of digital data. Privacy is a network access issue and is not considered in this paper. We present a method, authenticity and integrity of digital mammography, here which can meet the requirements of authenticity and integrity for mammography image (IM) transmission. The authenticity and integrity for mammography (AIDM) consists of the following four modules. 1) Image preprocessing: To segment breast pixels from background and extract patient information from digital imaging and communication in medicine (DICOM) image header. 2) Image hashing: To compute an image hash value of the mammogram using the MD5 hash algorithm. 3) Data encryption: To produce a digital envelope containing the encrypted image hash value (digital signature) and corresponding patient information. 4) Data embedding: To embed the digital envelope into the image. This is done by replacing the least significant bit of a random pixel of the mammogram by one bit of the digital envelope bit stream and repeating for all bits in the bit stream. Experiments with digital IMs demonstrate the following. 1) In the expert center, only the user who knows the private key can open the digital envelope and read the patient information data and the digital signature of the mammogram transmitted from the examination site. 2) Data integrity can be verified by matching the image hash value decrypted from the digital signature with that computed from the transmitted image. 3) No visual quality degradation is detected in the embedded image compared with the original. Our preliminary results demonstrate that AIDM is an effective method for image authenticity and integrity in telemammography application.

  13. 76 FR 44324 - Environmental Laboratory Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2011-07-25

    ... AGENCY Environmental Laboratory Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of Charter Renewal. The Charter for the Environmental Protection Agency's (EPA) Environmental Laboratory Advisory Board (ELAB) will be renewed for an additional...

  14. Screening for breast cancer with mammography

    International Nuclear Information System (INIS)

    Mammography is generally accepted as a useful problem-solving clinical tool in characterizing known breast lesions, so that appropriate and timely treatment can be given. However, it remains grossly underutilized at what it does best: screening. The major strengths of mammography are (a) its ability to detect breast cancer at a smaller, potentially more curable stage than any other examination, and (b) its proved efficacy in reducing breast cancer mortality in asymptomatic women aged 40-74. If, as has recently been estimated, screening with mammography and physical examination can be expected to lower breast cancer deaths by 40%-50% among those actually examined (13), then the lives of almost 20,000 U.S. women might be saved each year if screening were to become very widely used. The challenges of the next decade are clear, to mount much more effective campaigns to educate physicians and lay women about the life-saving benefits of breast cancer screening, to devise increasingly effective and lower cost screening strategies, to further improve the current high quality of mammographic imaging despite its increasing proliferation, and to train large numbers of breast imaging specialists to guarantee that the growing case load of screening and problem-solving mammograms is interpreted with a very high level of skill

  15. Optimized exposure control in digital mammography

    Science.gov (United States)

    Shramchenko, Nataliya; Blin, Philippe; Mathey, Claude; Klausz, Remy

    2004-05-01

    A method for the determination of optimal operating points of digital mammography systems is described. The digital mammography equipment uses a flat panel detector and a bi-metal molybdenum/rhodium x-ray tube. An operating point is defined by the selection of the x-ray tube target material, x-ray filtration, kVp and detector entrance dose. Breast thickness and composition are estimated from a low dose pre-exposure, then used to index tables containing sets of operating points. The operating points are determined using a model of the image chain, which computes contrast to noise ratio (CNR) and average glandular dose (AGD) for all possible exposure conditions and breast thickness and composition combinations. The selected operating points are those which provide the required CNR for the lowest AGD. An AGD reduction of 30% to 50% can be achieved for comparable Image Quality, relative to current operating points. Resulting from the optimization process, the rhodium target is used in more than 75% of cases. Measurements of CNR and AGD have been performed on various tissue equivalent materials with good agreement between calculated and measured values. The proposed method provides full Image Quality benefit of digital mammography while minimizing dose to patients in a controlled and predictive way.

  16. Charter school tax credit: Investing in human capital

    OpenAIRE

    Ian Galloway

    2010-01-01

    This working paper considers how two existing policy tools--investment tax credits and charter schools--could be combined to raise operating funds for charter schools that successfully close the poverty-related academic achievement gap. Some charter schools have succeeded in dramatically improving low-income student performance (those run by KIPP, Achievement First, and the Harlem Children's Zone, for example). However, these successful schools differ significantly in type and approach. As a ...

  17. Latest on Laser Mammography in the Diagnosis of Breast Cancer

    Directory of Open Access Journals (Sweden)

    M.Sh. Arshad

    2007-05-01

    Full Text Available Background and Objective: Breast compression and radiation fears/dangers are the most prevalent causes reported by women avoiding mammography, rou-tinely or otherwise. This study was carried out to find out the accuracy/precision and quality of laser mam-mography in diagnosing breast cancer amongst women and compared the results with routine meth-ods of mammography. Materials and Methods: Eighty patients with the di-agnosis of breast cancer by routine/ordinary mam-mography were also studied by laser mammography in two hospitals in Canada and one hospital in the United States of America the results of which I saw during a recent academic trip to those countries. The apparatus consists of a table on which the woman lies down and her breast hangs through a hole in the ta-ble. The laser beam rotates at an angle of 360 degrees around the hanging breast and images are obtained and stored in a computer. Biopsy may also be ob-tained simultaneously. Results: Excellent high quality images of breast tu-mors are obtained with specific precise localization of them far superior to those images obtained by ordi-nary/routine mammography, and simultaneous bi-opsy confirming the diagnosis. We will screen a video film about the methods and results of this technique at the congress too. Conclusion: Laser mammography is safe, accurate, reliable, pain free, compression free mammography. It is assumed that laser mammography will establish its place in mammography and will replace the cur-rent methods of mammography.

  18. Atarek Kamil Ibrahim & Co. Chartered Accountants

    OpenAIRE

    Zakiah Muhammaddun Mohamed; Aini Aman; Noradiva Hamzah; Sofiah Md. Auzair

    2010-01-01

    Atarek Kamil Ibrahim & Co. Chartered Accountants (hereafter referred to as AKI) is a public accounting firm named after its founder Tuan Haji Atarek Kamil Ibrahim (hereafter referred to as Atarek). The firm offers a wide range of services to its customers since its establishment in 1989. The head office of AKI is in Kuala Lumpur and it has branches in Melaka, Johor Bahru, Ipoh, Kuala Terrengganu, Kota Baru, Kuching, Miri and Kota Kinabalu. The partners of AKI are planning to expand the compan...

  19. Grids in mammography: Optimization of the information content relative to radiation risk

    International Nuclear Information System (INIS)

    The use of grids in mammography screening has been an issue of debate in recent years. Based upon the experience of a pilot study of mammography screening in Sweden, the Swedish National Institute of Radiation Protection concluded that screening could be successfully performed without having to increase the mean absorbed dose in a standard breast above 1 mGy. Due to the Institute's limit for the mean absorbed dose, 'not essentially exceeding 1 mGy', the use of grids was effectively ruled out. Experience, however, has indicated that the improved image quality using a grid would reduce the number of healthy women which are called to complementary examinations. Therefore, the use of grids in screening procedures is being reconsidered. The aim of this work was to elucidate the problem by investigating the influence of grid construction on image contrast and breast mean absorbed dose by means of Monte Carlo techniques to simulate the photon transport in the breast

  20. Similarities and Differences in the Organizational Characteristics of Charter Schools: A Test of Institutional Isomorphism and Strategy Positioning Theories

    Science.gov (United States)

    Sweet, Thomas

    2013-01-01

    Charter schools, independent public schools which operate through a system of contracts with public agencies, are heavily promoted as a means of improving the nation's traditional public education system. Managed as private enterprises, these schools compete for students through the implementation of market-style practices. Popularly viewed…

  1. Factors Associated with Use of Mammography in Women over 50 years. Cartagena

    Directory of Open Access Journals (Sweden)

    Irma Yolanda Castillo Ávila

    2014-05-01

    Full Text Available Objective: To determine the factors associated with the use of mammography in women over 50 years of Cartagena. Materials and Methods: We performed across-sectional study, with a popu-lation of 49 987 women over 50 years of Cartagena. We estimated a sample size of 909 women, obtained by conglomerates. To gather information was used: a socio-demographic survey, the Apgar questionnaire to measure perception of family functioning, the Duke-11questionnaireto measure perceived social support and a scale to measure satisfaction with services. For the analysis of the data using descriptive statistics, were calculated to estimate OR association between some factors and the use of mammography, using the statistical software version 15 SPSSS. Explanatory variables were considered using mammography to those with a chi2 test less than 5 %. Results: A total of 909 women, 59.5 % (541 reported having had mammograms, only314 (34.5 %, were made in the past two years, according to the national technical rule. Among the factors that ex¬plain the use of mammography, is having partner [OR= 1.3 (95 % CI 1.04 to 1.8], coexisting with less than four [OR = 0.4 (95 % CI 0.3 to 0.6] and have completed comprehensive school and older [OR = 2.2 (95 % CI 1.67 to 3.04]. Conclusion: More than half of women surveyed reported having had a mammogram, but frequency of use, does not comply with the provisions of the national technical rule. Personal and family factors are associated with the use of the test.

  2. THE VALUE OF ULTRASOUND MAMMOGRAPHY IN PALPABLE BREAST MASSES

    NARCIS (Netherlands)

    VANOORD, JC; VANDERVLIET, AM; THYN, CJP; MAK, B; HOOGEBOOM, GJ

    1991-01-01

    Between January 1987 and May 1988 a prospective study was carried out on 232 women with a palpable breast mass. They underwent physical examination, x-ray mammography and ultrasound mammography. The results of each study were interpreted independently by separate observers, and consensus was achieve

  3. Digital mammography screening: weighing reduced mortality against increased overdiagnosis

    NARCIS (Netherlands)

    Gelder, R. de; Fracheboud, J.; Heijnsdijk, E.A.; Heeten, G.J. den; Verbeek, A.L.M.; Broeders, M.J.M.; Draisma, G.; Koning, H.J. de

    2011-01-01

    OBJECTIVE: Digital mammography has been shown to increase the detection of ductal carcinoma in situ (DCIS) compared to screen-film mammography. The benefits and risks of such an increase were assessed. METHODS: Breast cancer detection rates were compared between 502,574 screen-film and 83,976 digita

  4. Breast density and outcome of mammography screening: a cohort study

    DEFF Research Database (Denmark)

    Olsen, A H; Bihrmann, K; Jensen, M-B;

    2009-01-01

    The purpose of this study was to investigate the effect of breast density on breast cancer (BC) mortality in a mammography screening programme. The cohort included 48 052 women participating in mammography screening in Copenhagen, Denmark, where biennial screening is offered to women aged 50...

  5. Evaluation of breast symptoms with mammography and ultrasonography

    Directory of Open Access Journals (Sweden)

    Emine Devolli Disha

    2011-12-01

    Full Text Available Introduction: Aim of the study was to discern which are more frequent symptoms presented in malign and benign masses diagnosed by mammography and ultrasonography.Methods: Our study group consisted of 546 female patients, with breast symptoms such as palpable lumps (40.8%, pain in the breast (26%, localized lumpiness or nodularity (13.7%, nipple retraction (11.2%, nipplebloody discharge (5.1% and redness and swelling of the breast (3.1%. All 546 patients were examined by ultrasonography and mammography. Biopsy was performed according to the findings of mammography and ultrasonography.Results: In breast cancer detection ultrasonography showed an efficiency of 79.4% compared to 55.0% for mammography in detecting breast lump, in the case of nipple retraction mammography showed an efficiency of 89.1% compared to 80.4% for ultrasound, while the lowest efficiency for mammography was in the cases with localized lumpiness or nodularity 17.1% compared to 45.7% for ultrasound. In detecting fibrocystic changes where the most common symptoms was pain, ultrasonography showed an efficiency of 99.3 % compared to 84.2 % for mammography.Conclusions: Our study confirmed that breast lumps are detectable in the majority of patients with breast cancer. The most frequent symptoms in patient with benign lesions were pain or localized discomfort. The diagnostic accuracy for carcinomas of the breast and for benign lesions according to symptoms was higher for ultrasound than for mammography.

  6. Screening Mammography Utilization in Tennessee Women: The Association with Residence

    Science.gov (United States)

    Brown, Kathleen C.; Fitzhugh, Eugene C.; Neutens, James J.; Klein, Diane A.

    2009-01-01

    Context: Approximately 70% of US women over age 40 report mammography screening within 2 years. However, rates are likely to vary by age, income, educational level, and residence. Purpose: To describe the prevalence of screening mammography and associated factors in women living in rural and urban areas of Tennessee. Methods: Using pooled data…

  7. Temperature and salinity profiles from CTD casts in Willapa Bay, Washington, from charter/fishing boats as part of the Pacific Northwest Coastal Ecosystem Regional Study (PNCERS) from 29 July 1997 to 10 September 1998 (NODC Accession 0000676)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — CTD and other data were collected from charter/fishing boats in Willapa Bay, Washington, from 29 July 1997 to 10 September 1998. Data were collected by the...

  8. Influence of the radiographer on the pain felt during mammography

    International Nuclear Information System (INIS)

    Mammography is the only useful examination in screening for breast cancer. Mortality from breast cancer can be reduced if women go regularly for a screening mammography. Moreover, it is still the key examination in diagnosis of breast diseases and in the follow-up of patients treated for breast cancer. Pain with mammography can deter women from going for regular screening or follow-up; therefore, it is important to reduce pain experience or discomfort from mammography. In this study we evaluate the impact of the ''radiographer'' on the pain risk during mammography by analysing questionnaires filled in by women and radiographers. Study results reveal that the opinion of the radiographer, the information and communication during the examination and the number of years of experience are important factors in pain and discomfort experience. The attitude of the radiographer plays an important role in the pain experience. (orig.)

  9. SCREENING MAMMOGRAPHY IN 35-60 YEARS AGE GROUP

    Directory of Open Access Journals (Sweden)

    Manoj

    2015-10-01

    Full Text Available OBJECTIVE: Screening mammography among 35-60 years of age group of patients has been clearly shown to reduce mortality from breast cancer. METHODS: Patients were selected from OPDs of various departments. Patients of 35-60 years of ages were included as part of the study. Detail family and menstrual history were taken and then mammography of both breasts was performed. RESULTS: Out of 60 cases coming for screening mammography, 42 were found to be some type of lesions in mammography; however 18 patients were with no findings. Commonest breast density found to be scattered areas of fibro glandular density followed by heterogeneously dense breasts. Most of the patients with heterogeneously dense breast density were found to be in their luteal phase of menstrual cycle. Lesions were classified according to BIRADS category. CONCLUSION: Screening mammography can detect various breast lesions both in symptomatic and asymptomatic individuals and thereby helping patient managements.

  10. Contrast-Enhanced Spectral Mammography: Comparison with Conventional Mammography and Histopathology in 152 Women

    Energy Technology Data Exchange (ETDEWEB)

    Luczyńska, Elzbieta; Heinze-Paluchowska, Sylwia; Dyczek, Sonia [Department of Radiology, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Krakow 31-115 (Poland); Blecharz, Pawel [Department of Gynecologic Oncology, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Krakow 31-115 (Poland); Rys, Janusz [Department of Tumour Pathology, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Krakow 31-115 (Poland); Reinfuss, Marian [Department of Radiotherapy, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Krakow 31-115 (Poland)

    2014-07-01

    The goal of the study was to compare conventional mammography (MG) and contrast-enhanced spectral mammography (CESM) in preoperative women. The study was approved by the local Ethics Committee and all participants provided informed consent. The study included 152 consecutive patients with 173 breast lesions diagnosed on MG or CESM. All MG examinations and consults were conducted in one oncology centre. Non-ionic contrast agent, at a total dose of 1.5 mL/kg body weight, was injected intravenous. Subsequently, CESM exams were performed with a mammography device, allowing dual-energy acquisitions. The entire procedure was done within the oncology centre. Images from low and high energy exposures were processed together and the combination provided an 'iodine' image which outlined contrast up-take in the breast. MG detected 157 lesions in 150 patients, including 92 infiltrating cancers, 12 non-infiltrating cancers, and 53 benign lesions. CESM detected 149 lesions in 128 patients, including 101 infiltrating cancers, 13 non-infiltrating cancers, and 35 benign lesions. CESM sensitivity was 100% (vs. 91% for MG), specificity was 41% (vs. 15% for MG), area under the receiver operating characteristic curve was 0.86 (vs. 0.67 for MG), and accuracy was 80% (vs. 65% for MG) for the diagnosis of breast cancer. Both MG and CESM overestimated lesion sizes compared to histopathology (p < 0.001). CESM may provide higher sensitivity for breast cancer detection and greater diagnostic accuracy than conventional mammography.

  11. Average glandular dose in routine mammography screening using a Sectra Microdose Mammography unit

    International Nuclear Information System (INIS)

    The Sectra MicroDose Mammography system is based on direct photon counting (with a solid-state detector), and a substantially lower dose to the breast than when using conventional system can be expected. In this work absorbed dose measurements have been performed for the first unit used in routine mammography screening (at the Hospitals of Helsingborg (Sweden)). Two European protocols on dosimetry in mammography have been followed. Measurement of half value layer (HVL) cannot be performed as prescribed, but this study has demonstrated than non-invasive measurements of HVL can be performed accurately with a sensitive and well collimated solid-state detector with simultaneous correction for the energy dependence. The average glandular dose for a 50 mm standard breast with 50% glandularity, simulated by 45 mm polymethylmethacrylate, was found to be 0.21 and 0.28 mGy in March and December 2004, respectively. These values are much lower than for any other mammography system on the market today. It has to be stressed that the measurement were made using the current clinical settings and that no systematic optimisation of the relationship between absorbed dose and diagnostic image quality has been performed within the present study. In order to further increase the accuracy of absorbed dose measurements for this unit, the existing dose protocols should be revised to account also for the tungsten/aluminium anode/filter combination, the multi-slit pre-collimator device and the occurrence of a dose profile in the scanning direction. (authors)

  12. Contrast-Enhanced Spectral Mammography: Comparison with Conventional Mammography and Histopathology in 152 Women

    International Nuclear Information System (INIS)

    The goal of the study was to compare conventional mammography (MG) and contrast-enhanced spectral mammography (CESM) in preoperative women. The study was approved by the local Ethics Committee and all participants provided informed consent. The study included 152 consecutive patients with 173 breast lesions diagnosed on MG or CESM. All MG examinations and consults were conducted in one oncology centre. Non-ionic contrast agent, at a total dose of 1.5 mL/kg body weight, was injected intravenous. Subsequently, CESM exams were performed with a mammography device, allowing dual-energy acquisitions. The entire procedure was done within the oncology centre. Images from low and high energy exposures were processed together and the combination provided an 'iodine' image which outlined contrast up-take in the breast. MG detected 157 lesions in 150 patients, including 92 infiltrating cancers, 12 non-infiltrating cancers, and 53 benign lesions. CESM detected 149 lesions in 128 patients, including 101 infiltrating cancers, 13 non-infiltrating cancers, and 35 benign lesions. CESM sensitivity was 100% (vs. 91% for MG), specificity was 41% (vs. 15% for MG), area under the receiver operating characteristic curve was 0.86 (vs. 0.67 for MG), and accuracy was 80% (vs. 65% for MG) for the diagnosis of breast cancer. Both MG and CESM overestimated lesion sizes compared to histopathology (p < 0.001). CESM may provide higher sensitivity for breast cancer detection and greater diagnostic accuracy than conventional mammography

  13. 76 FR 79751 - Industry Advisory Panel: Notice of Charter Renewal

    Science.gov (United States)

    2011-12-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Industry Advisory Panel: Notice of Charter Renewal The Under Secretary for Management has approved the renewal of the charter for the U.S. Department of State Bureau of Overseas Buildings Operations' (OBO)...

  14. Principal Turnover: Upheaval and Uncertainty in Charter Schools?

    Science.gov (United States)

    Ni, Yongmei; Sun, Min; Rorrer, Andrea

    2015-01-01

    Purpose: Informed by literature on labor market and school choice, this study aims to examine the dynamics of principal career movements in charter schools by comparing principal turnover rates and patterns between charter schools and traditional public schools. Research Methods/Approach: This study uses longitudinal data on Utah principals and…

  15. State Policy Snapshot: School District Facilities and Public Charter Schools

    Science.gov (United States)

    Simnick, Russ

    2015-01-01

    One of the greatest challenges to the health of the public charter school movement is access to adequate facilities in which the schools operate. Public charter school facilities are rarely funded on par with school district facilities. Over the years, more states have come to realize that they have an obligation to ensure that all public school…

  16. Comparing New School Effects in Charter and Traditional Public Schools

    Science.gov (United States)

    Kelly, Andrew P.; Loveless, Tom

    2012-01-01

    This study investigates whether student achievement varies during the institutional life span of charter schools by comparing them to new public schools. The results show that there is little evidence that new public schools struggle with initial start-up issues to the same extent as new charter schools. Even after controlling for school…

  17. Details from the Dashboard: Charter School Race/Ethnicity Demographics

    Science.gov (United States)

    National Alliance for Public Charter Schools, 2012

    2012-01-01

    This "Details from the Dashboard" report examines race/ethnicity breakouts for public charter schools and traditional public schools at the state and the school district level. The data in this report indicate that in the large majority of states, the race/ethnicity student demographics of charter schools are almost identical to those of the…

  18. 78 FR 59880 - Enhanced Consumer Protections for Charter Air Transportation

    Science.gov (United States)

    2013-09-30

    ... Privacy Act statement in the Federal Register published on April 11, 2000 (65 FR 19477-78), or you may... carrier that contracted with the charter customer learns of the change. A ``reasonable'' time would be... and other similarly situated air charter brokers from the requirements of 49 U.S.C. 41101...

  19. 14 CFR 380.17 - Charters conducted by educational institutions.

    Science.gov (United States)

    2010-01-01

    ... president, certifying that it meets the definition of “educational institution” set forth in § 380.2. (c) An... conducted by educational institutions. (a) This section shall apply only to charters conducted by educational institutions for charter groups comprised of bona fide participants in a formal academic course...

  20. Cultivating Life Skills at a Project-Based Charter School

    Science.gov (United States)

    Wurdinger, Scott; Enloe, Walter

    2011-01-01

    Surveys that focused on academic and life skill development were collected from alumni who attended Avalon Charter School in St Paul, Minnesota. Avalon is a small public charter school that uses project-based learning as their primary teaching method. Forty-two alumni responded to the online survey. Students ranked life skills such as creativity,…

  1. Principles & Standards for Quality Charter School Authorizing. 2012 Edition

    Science.gov (United States)

    National Association of Charter School Authorizers (NJ1), 2012

    2012-01-01

    Charter school authorizing is a powerful strategy for making excellent public schools and educational opportunities available to all students. Done well, charter authorizing increases student achievement by expanding the supply of quality public schools to satisfy unmet needs--particularly by providing life-changing opportunities for students…

  2. Charter School Competition, Organization, and Achievement in Traditional Public Schools

    Science.gov (United States)

    Davis, Tomeka M.

    2013-01-01

    Market models of education reform predict that the growth of charter schools will infuse competition into the public school sector, forcing traditional public schools to improve the practices they engage in to educate students. Some scholars have criticized these models, arguing that competition from charter schools is unlikely to produce…

  3. The Nature of Online Charter Schools: Evolution and Emerging Concerns

    Science.gov (United States)

    Waters, Lisa Hasler; Barbour, Michael K.; Menchaca, Michael P.

    2014-01-01

    Online charter schools are unique among K-12 online learning options for students. They are full-time, public schools that combine online learning with traditional and home schooling practices. They are often chartered by a state agency, supported in full or in part with state funds and most often managed by a private educational management…

  4. Charter Schools: An Experiment in School Reform. ASPIRA Issue Brief.

    Science.gov (United States)

    Dittmar, Belinda Corazon; And Others

    Charter schools incorporate the focus of magnet schools but often go beyond their academic specialization to more social goals. They can operate at both elementary and secondary levels, although they are always quite small. The greatest difference, however, between charter schools and other public schools is their status as a bridge between public…

  5. A Phenomenological Narrative Study: Elementary Charter School Principals' Managerial Roles

    Science.gov (United States)

    Cetinkaya, Ahmet

    2016-01-01

    This study was a phenomenological narrative research investigating the managerial roles of elementary charter school principals. Managerial leadership practices were investigated under three categories personnel management, student management, and finance management. Elementary charter school principals provided positive feedback for having small…

  6. Charter Schools and the Teacher Job Search in Michigan

    Science.gov (United States)

    Cannata, Marisa

    2010-01-01

    This paper examines the position of charter schools in prospective elementary teachers' job search decisions. Using a labor market segmentation framework, it explores teacher applicants' decisions to apply to charter schools. The data come from a mixed-methods longitudinal study of prospective teachers looking for their first job. This paper finds…

  7. Much Ado about Nothing? Innovation in Charter Schools

    Science.gov (United States)

    Preston, Courtney; Goldring, Ellen; Berends, Mark; Cannata, Marisa

    2011-01-01

    The purpose of this paper is to develop a framework for measuring innovation in charter schools. The authors ask two questions: (1) What practices constitute innovation in various local and state contexts?; and (2) Do levels and types of innovation differ between charter schools and traditional public schools? The authors' sample frame includes…

  8. Charter Schools; Franchise for Creativity or License for Fractionation?

    Science.gov (United States)

    Wayson, William W.

    1999-01-01

    Charter schools can foster greed or graft more easily than they can become models for what schools should be, and it is not likely that they can change the educational system. However, charter schools can promote creativity and they have the potential for making small impacts that can change the world one child at a time. (SLD)

  9. Effective Uses of CSP Grant Funds in Tennessee Charter Schools

    Science.gov (United States)

    Williams, Andrew; Webb, Leigh

    2013-01-01

    The topic of educational spending and its connection to student achievement was long-debated before charter schools entered the conversation. With the rise in government spending on education, particularly charter school funding, the financial debate has strengthened and evoked much controversy. Though the Tennessee Department of Education (TNDOE)…

  10. Review of "Going Exponential: Growing the Charter School Sector's Best"

    Science.gov (United States)

    Garcia, David

    2011-01-01

    This Progressive Policy Institute report argues that charter schools should be expanded rapidly and exponentially. Citing exponential growth organizations, such as Starbucks and Apple, as well as the rapid growth of molds, viruses and cancers, the report advocates for similar growth models for charter schools. However, there is no explanation of…

  11. Thyroid absorbed dose using TLDs during mammography

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez A, M.; Melendez L, M. [IPN, Centro de Investigacion y de Estudios Avanzados, Av. IPN 2508, Col. San Pedro Zacatenco, 07360 Mexico D. F. (Mexico); Davila M, P., E-mail: biomedica.sst@gmail.com [UNEME-DEDICAM de Ciudad Victoria, Circuito Medico s/n, 87087 Ciudad Victoria, Tamaulipas (Mexico)

    2015-10-15

    Full text: In this study, the mean glandular dose (MGD) and the thyroid dose (D Thy) were measured in 200 women screened with mammography in Cranio caudal (Cc) and mediolateral oblique projections. All mammograms were performed with Giotto-Ims (6000-14-M2 Model) equipment, which was verified to meet the criteria of quality of NOM-229-Ssa-2002. During audits performance and HVL, for each anode filter combinations was measured with the camera Radcal mammography equipment 10 X 6-6M (HVL = 0.26 mm Al). D Thy measurements were performed with TLD dosimeters (LiF:Mn) , that were read with the Harshaw 3500 TLD reader. The MGD, was obtained according to the UK and European protocols for mammographic dosimetry using a plane parallel chamber (Standard Imaging, Model A-600) calibrated by a radiation beam UW-23-Mo (= 0.279 mm Al HVL). A comparative statistical analysis was carried out with the measured MGD and D thy. The thyroid mean dose was 0.063 mGy and 0.078 mGy for Cc and mediolateral oblique respectively. There is a linear correlation between the MGD and the D Thy slightly influenced by the anode-filter combination. Using a 95% for the confidence interval in MGD (1.07 mGy), the 90% of measurements are in agreement with the established uncertainty limits. The D Thy are lower than the MGD. There is no risk for cancer induction in thyroid in women due to mammography screening. (Author)

  12. 76 FR 59186 - Renewal of National Grain Car Council

    Science.gov (United States)

    2011-09-23

    ... Board intends to renew the charter of the National Grain Car Council (NGCC). ADDRESSES: A copy of the charter is available at the Library of the Surface Transportation Board, 395 E Street, SW., Washington, DC... Surface Transportation Board Renewal of National Grain Car Council AGENCY: Surface Transportation...

  13. 78 FR 58383 - Renewal of National Grain Car Council

    Science.gov (United States)

    2013-09-23

    ... Board intends to renew the charter of the National Grain Car Council (NGCC). ADDRESSES: A copy of the charter is available at the Library of the Surface Transportation Board, 395 E Street SW., Washington, DC... Surface Transportation Board Renewal of National Grain Car Council AGENCY: Surface Transportation...

  14. Mammography - recent technical developments and their clinical potential

    International Nuclear Information System (INIS)

    The recent technical developments in digital as well as screen-film X-ray mammography have been reviewed in order to evaluate their clinical potential and to analyse possible lines for future development. Material and methods: The scientific literature has been reviewed, conferences covered and contacts with colleagues developed. Companies in the field have been inquired and invited for presentations. Own experience has been gathered from different screen-film and digital mammography systems. Results and conclusions: Although there are important complementary techniques such as ultrasound and magnetic resonance imaging (MRI), X-ray mammography is still the golden standard for breast imaging. It is relatively simple and cost-effective, and it is presently the only realistic technique for screening in a large scale. It is still largely the only technique that can detect breast cancer in a pre invasive stage. Equipment for digital mammography is commercially available both with small area and full field technique (FFDM). The development of FFDM systems is now intense, as well as the development of dedicated workstations and computer-aided detection (CAD). In spite of this, the introduction of digital mammography has been very slow compared to most other X-ray examinations due to high costs and technical challenges to meet the high demands on image quality and dose in mammography as well as the demands on specialised workflow support for screening mammography and suitable display techniques. Film reading of digital mammograms has been the most common display mode so far, but to take full advantage of the digital concept, diagnostic as well as logistic, monitor reading must be applied. There is a potential of FFDM systems for significantly higher image quality or significantly lower dose than screen-film mammography (SFM), or both. Further research is necessary to fully use this potential. The investment costs are much higher for digital than screen-film mammography

  15. Mammography - recent technical developments and their clinical potential

    Energy Technology Data Exchange (ETDEWEB)

    Hemdal, Bengt; Mattsson, Soeren [Malmoe Univ. Hospital (Sweden). Dept. of Radiation Physics; Andersson, Ingvar [Malmoe Univ. Hospital (Sweden). Dept. of Diagnostic Radiology; Thilander Klang, Anne [Sahlgrenska Univ. Hospital, Goeteborg (Sweden). Dept. of Medical Physics and Biomedical Engineering; Bengtsson, Gert; Jarlman, O. [Lund Univ. Hospital (Sweden). Dept. of Diagnostic Radiology; Leitz, Wolfram [Swedish Radiation Protection Authority, Stockholm (Sweden); Bjurstam, Nils [Univ. of North Norway, Troms (Norway). Dept. of Radiology

    2002-05-01

    The recent technical developments in digital as well as screen-film X-ray mammography have been reviewed in order to evaluate their clinical potential and to analyse possible lines for future development. Material and methods: The scientific literature has been reviewed, conferences covered and contacts with colleagues developed. Companies in the field have been inquired and invited for presentations. Own experience has been gathered from different screen-film and digital mammography systems. Results and conclusions: Although there are important complementary techniques such as ultrasound and magnetic resonance imaging (MRI), X-ray mammography is still the golden standard for breast imaging. It is relatively simple and cost-effective, and it is presently the only realistic technique for screening in a large scale. It is still largely the only technique that can detect breast cancer in a pre invasive stage. Equipment for digital mammography is commercially available both with small area and full field technique (FFDM). The development of FFDM systems is now intense, as well as the development of dedicated workstations and computer-aided detection (CAD). In spite of this, the introduction of digital mammography has been very slow compared to most other X-ray examinations due to high costs and technical challenges to meet the high demands on image quality and dose in mammography as well as the demands on specialised workflow support for screening mammography and suitable display techniques. Film reading of digital mammograms has been the most common display mode so far, but to take full advantage of the digital concept, diagnostic as well as logistic, monitor reading must be applied. There is a potential of FFDM systems for significantly higher image quality or significantly lower dose than screen-film mammography (SFM), or both. Further research is necessary to fully use this potential. The investment costs are much higher for digital than screen-film mammography

  16. Dosimetry and image quality in digital mammography facilities in the State of Minas Gerais, Brazil

    Science.gov (United States)

    da Silva, Sabrina Donato; Joana, Geórgia Santos; Oliveira, Bruno Beraldo; de Oliveira, Marcio Alves; Leyton, Fernando; Nogueira, Maria do Socorro

    2015-11-01

    According to the National Register of Health Care Facilities (CNES), there are approximately 477 mammography systems operating in the state of Minas Gerais, Brazil, of which an estimated 200 are digital apparatus using mainly computerized radiography (CR) or direct radiography (DR) systems. Mammography is irreplaceable in the diagnosis and early detection of breast cancer, the leading cause of cancer death among women worldwide. A high standard of image quality alongside smaller doses and optimization of procedures are essential if early detection is to occur. This study aimed to determine dosimetry and image quality in 68 mammography services in Minas Gerais using CR or DR systems. The data of this study were collected between the years of 2011 and 2013. The contrast-to-noise ratio proved to be a critical point in the image production chain in digital systems, since 90% of services were not compliant in this regard, mainly for larger PMMA thicknesses (60 and 70 mm). Regarding the image noise, only 31% of these were compliant. The average glandular dose found is of concern, since more than half of the services presented doses above acceptable limits. Therefore, despite the potential benefits of using CR and DR systems, the employment of this technology has to be revised and optimized to achieve better quality image and reduce radiation dose as much as possible.

  17. A PET imaging system dedicated to mammography

    CERN Document Server

    Varela, J

    2007-01-01

    The imaging system Clear-PEM for positron emission mammography, under development within the framework of the Crystal Clear Collaboration at CERN, is presented. The detector is based on pixelized LYSO crystals optically coupled to avalanche photodiodes (APD) and readout by a fast low-noise electronic system. A dedicated digital trigger and data acquisition system is used for on-line selection of coincidence events with high efficiency, large bandwidth and negligible dead-time. The detector module performance was characterized in detail.

  18. Annotation for information extraction from mammography reports.

    Science.gov (United States)

    Bozkurt, Selen; Gulkesen, Kemal Hakan; Rubin, Daniel

    2013-01-01

    Inter and intra-observer variability in mammographic interpretation is a challenging problem, and decision support systems (DSS) may be helpful to reduce variation in practice. Since radiology reports are created as unstructured text reports, Natural language processing (NLP) techniques are needed to extract structured information from reports in order to provide the inputs to DSS. Before creating NLP systems, producing high quality annotated data set is essential. The goal of this project is to develop an annotation schema to guide the information extraction tasks needed from free-text mammography reports. PMID:23823416

  19. How does age affect baseline screening mammography performance measures? A decision model

    Directory of Open Access Journals (Sweden)

    Keen James E

    2008-09-01

    Full Text Available Abstract Background In order to promote consumer-oriented informed medical decision-making regarding screening mammography, we created a decision model to predict the age dependence of the cancer detection rate, the recall rate and the secondary performance measures (positive predictive values, total intervention rate, and positive biopsy fraction for a baseline mammogram. Methods We constructed a decision tree to model the possible outcomes of a baseline screening mammogram in women ages 35 to 65. We compared the single baseline screening mammogram decision with the no screening alternative. We used the Surveillance Epidemiology and End Results national cancer database as the primary input to estimate cancer prevalence. For other probabilities, the model used population-based estimates for screening mammography accuracy and diagnostic mammography outcomes specific to baseline exams. We varied radiologist performance for screening accuracy. Results The cancer detection rate increases from 1.9/1000 at age 40 to 7.2/1000 at age 50 to 15.1/1000 at age 60. The recall rate remains relatively stable at 142–157/1000, which varies from 73–236/1000 at age 50 depending on radiologist performance. The positive predictive value of a screening mammogram increases from 1.3% at age 40 to 9.8% at age 60, while the positive predictive value of a diagnostic mammogram varies from 2.9% at age 40 to 19.2% at age 60. The model predicts the total intervention rate = 0.013*AGE2 - 0.67*AGE + 40, or 34/1000 at age 40 to 47/1000 at age 60. Therefore, the positive biopsy (intervention fraction varies from 6% at age 40 to 32% at age 60. Conclusion Breast cancer prevalence, the cancer detection rate, and all secondary screening mammography performance measures increase substantially with age.

  20. 77 FR 8810 - Availability of Seats for the Gray's Reef National Marine Sanctuary Advisory Council

    Science.gov (United States)

    2012-02-15

    ... Gray's Reef National Marine Sanctuary Advisory Council: Sport diving and charter/commercial fishing... they are applying; community and professional affiliations; philosophy regarding the protection...

  1. Charter Schools and Special Education: Balancing Disparate Visions. An Investigation of Charter Schools and Special Education in Fifteen States.

    Science.gov (United States)

    Rhim, Lauren M.; McLaughlin, Margaret J.

    This report describes activities and findings of Project SEARCH, an on-going qualitative research project investigating the current status of policies regarding children with disabilities in charter schools. The project has involved a preliminary analysis of all current charter laws to examine the inclusion of students with disabilities and a more…

  2. Mammography and ultrasound in the evaluation of male breast disease

    Energy Technology Data Exchange (ETDEWEB)

    Munoz Carrasco, Rafaela; Alvarez Benito, Marina; Raya Povedano, Jose Luis [Hospital Universitario ' Reina Sofia' , Radiology Department, Cordoba (Spain); Munoz Gomariz, Elisa [Hospital Universitario ' Reina Sofia' , Support Unit for Research, Cordoba (Spain); Martinez Paredes, Maria [University of Cordoba, Radiology and Physical Medicine Area, Cordoba (Spain)

    2010-12-15

    To assess clinical variables that may be useful in differentiating gynaecomastia from carcinoma and to analyse the contribution of mammography and ultrasound to the evaluation of male breast disease. All men who underwent mammography and/or ultrasound between 1993 and 2006 in our hospital were retrospectively evaluated. Clinical characteristics in patients with gynaecomastia and those with carcinoma were compared. Radiological findings were classified according to the BI-RADS (Breast Imaging Reporting and Data System) criteria. The diagnostic performance of physical examination, mammography and ultrasound was determined and compared. A total of 628 patients with 518 mammograms and 423 ultrasounds were reviewed. The final diagnoses were: 19 carcinomas, 526 gynaecomastias, 84 other benign conditions and 25 normal. There were statistically significant differences in age, bilateral involvement, clinical presentation and physical examination between patients with carcinoma and those with gynaecomastia. The diagnostic performance of physical examination was lower than that of mammography and ultrasound (p < 0.05 for specificity). Mammography was the most sensitive (94.7%) and ultrasound the most specific (95.3%) for detection of malignancy (p > 0.05). We propose an algorithm for the use of mammography and ultrasound in men. Mammography and ultrasound, with a negative predictive value close to 100%, make it possible to avoid very many unnecessary surgical procedures in men. (orig.)

  3. Quality control in digital mammography: the noise components

    Energy Technology Data Exchange (ETDEWEB)

    Leyton, Fernando [Universidade de Tarapaca, Arica (Chile). Centro de Estudios en Ciencias Radiologicas; Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Nogueira, Maria do Socorro, E-mail: mnogue@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Duran, Maria Paz [Clinica Alemana, Santiago (Chile). Dept. de Radiologia; Dantas, Marcelino, E-mail: marcelino@inb.gov.b [Industrias Nucleares do Brasil (INB), Caldas, MG (Brazil). Unidade de Tratamento de Minerios; Ubeda, Carlos, E-mail: cubeda@uta.c [Universidade de Tarapaca, Arica (Chile). Fac. de Ciencias de la Salud

    2011-07-01

    To measure the linearity of the detector and determine the noise components (quantum, electronic and structural noise) that contributed to losing image quality and to determine the signal noise ratio (SNR) and contrast noise ratio (CNR). This paper describes the results of the implementation of a protocol for quality control in digital mammography performed in two direct digital mammography equipment (Hologic, Selenia) in Santiago of Chile. Shows the results of linearity and noise analysis of the images which establishes the main cause of noise in the image of the mammogram to ensure the quality and optimize procedures. The study evaluated two digital mammography's Selenia, Hologic (DR) from Santiago, Chile. We conducted the assessment of linearity of the detector, the signal noise ratio, contrast noise ratio and was determined the contribution of different noise components (quantum, electronics and structural noise). Used different thicknesses used in clinical practice according to the protocol for quality control in digital mammography of Spanish society of medical physics and NHSBSP Equipment Report 0604 Version 3. The Selenia mammography software was used for the analysis of images and Unfors Xi detector for measuring doses. The mammography detector has a linear performance, the CNR and SNR did not comply with the Protocol for the thicknesses of 60 and 70 mm. The main contribution of the noise corresponds to the quantum noise, therefore it is necessary to adjust and optimize the mammography system. (author)

  4. [Balancing risks and benefits of mammography screening for breast cancer: would you support its recommendation in Peruvian women?].

    Science.gov (United States)

    Posso, Margarita; Puig, Teresa; Bonfill, Xavier

    2015-01-01

    The aim of this study is to assess the balance between benefits and risks of population-based mammography screening programs in Peruvian women. We followed the criteria proposed by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) working group. A generic search strategy for published studies was performed using Medline and other sources of national data (gray literature). The evidence of benefits, risks, costs and preferences of the population was used in order to state a recommendation in favour, or against, screening. We found five systematic reviews (SR) that evaluated the balance between benefit and risks, two economic evaluations based on Peruvian data, and one study that reported the preferences of Peruvian women. The quality of evidence of the SR was moderate in favour of screening in women aged 50-69 years. The balance of risks and benefits showed a higher probability of overdiagnosis compared with the reduction in mortality. The most cost-effective strategy was the triennial mammography. Perceived barriers could seriously compromise the participation of women. In conclusion, the recommendation of mammography screening for Peruvian women is weak, even more if we take into account other health necessities of the population. However, if implemented, triennial mammography in women aged 50-69 years could be the more suitable screening strategy.

  5. Exploring Quality Programs for English Language Learners in Charter Schools: A Framework to Guide Future Research

    Science.gov (United States)

    Garcia, Peggie; Morales, P. Zitlali

    2016-01-01

    Although there has been a great deal of debate about the effectiveness of charter schools in the research literature, there has been surprisingly little attention paid to English language learners (ELLs) in charter schools. Moreover, the charter school research has predominantly focused on whether or not charter schools are effective rather than…

  6. Reducing ABA Litigation through Autism-Centric Charter Schools: Legally Viable or Vulnerable?

    Science.gov (United States)

    Decker, Janet R.

    2010-01-01

    A recent study discovered that charter schools designed for children with autism or "autism-centric charter schools" comprise half of the total number of charter schools designed for children with disabilities. However, these unique charter schools may be vulnerable to legal challenges because they may be violating the Individuals with…

  7. Details from the Dashboard: Estimated Number of Public Charter Schools & Students, 2014-2015

    Science.gov (United States)

    National Alliance for Public Charter Schools, 2015

    2015-01-01

    During the 2014-15 school year, almost 500 new public charter schools opened. An estimated 348,000 additional students were attending public charter schools in the 2014-15 school year compared with the previous school year. With the addition of new charter schools and students, there are now more than 6,700 public charter schools enrolling about…

  8. Choice without Equity: Charter School Segregation and the Need for Civil Rights Standards

    Science.gov (United States)

    Frankenberg, Erica; Siegel-Hawley, Genevieve; Wang, Jia

    2010-01-01

    Seven years after the Civil Rights Project first documented extensive patterns of charter school segregation, the charter sector continues to stratify students by race, class and possibly language. This study is released at a time of mounting federal pressure to expand charter schools, despite on-going and accumulating evidence of charter school…

  9. Computer Aided Diagnosis in Digital Mammography

    Directory of Open Access Journals (Sweden)

    "H. Mirzaalian

    2005-08-01

    Full Text Available Introduction & Background: Breast cancer is a lead-ing cause of cancer deaths among women.Early de-tection is the most effective way to reduce mortality. Mammography is the best method for early detection. In order to improve the accuracy of interpretation of mammogram, Computer Aided Diagnosis (CAD sys-tems have been proposed. The main goal of this re-search is to implement one of the algorithms and techniques for the enhancement of mammogram for easier detection of abnormalities. Patients & Methods: In the presented algorithm, morphological methods are used first for removing artifacts. Then thresholding, labeling, and active con-tours methods are used to extract the breast region, which allow the search for abnormalities to be lim-ited to the region of the breast. Finally, Gaussian fil-ter and White Top Hat Transform is used for contrast enhancement of mammogram. This algorithm has been applied on 50 images from Mammography Im-age Analysis Society (MIAS. An expert radiologist then verified improvement on the processed images. Results and Conclusions: Implementing the presented algorithm causes easier and better interpretation of mammogram without increasing the number of false positive and false negative results. Because of the spe-cial shapes and statistical features of abnormal tex-tures, it is possible to apply pattern recognition and artificial intelligence techniques as an aid for diagnos-ing suspicious regions. Research on using some of these techniques to distinguish benign abnormalities from malignant ones is on the way.

  10. An assessment of American Indian women's mammography experiences

    Directory of Open Access Journals (Sweden)

    Faseru Babalola

    2010-12-01

    Full Text Available Abstract Background Mortality from breast cancer has increased among American Indian/Alaskan Native (AI/AN women. Despite this alarming reality, AI/AN women have some of the lowest breast cancer screening rates. Only 37% of eligible AI/AN women report a mammogram within the last year and 52% report a mammogram within the last two years compared to 57% and 72% for White women. The experiences and satisfaction surrounding mammography for AI/AN women likely are different from that of women of other racial/ethnic groups, due to cultural differences and limited access to Indian Health Service sponsored mammography units. The overall goals of this study are to identify and understand the mammography experiences and experiential elements that relate to satisfaction or dissatisfaction with mammography services in an AI/AN population and to develop a culturally-tailored AI/AN mammography satisfaction survey. Methods and Design The three project aims that will be used to guide this work are: 1 To compare the mammography experiences and satisfaction with mammography services of Native American/Alaska Native women with that of Non-Hispanic White, Hispanic, and Black women, 2 To develop and validate the psychometric properties of an American Indian Mammography Survey, and 3 To assess variation among AI/AN women's assessments of their mammography experiences and mammography service satisfaction. Evaluations of racial/ethnic differences in mammography patient satisfaction have received little study, particularly among AI/AN women. As such, qualitative study is uniquely suited for an initial examination of their experiences because it will allow for a rich and in-depth identification and exploration of satisfaction elements. Discussion This formative research is an essential step in the development of a validated and culturally tailored AI/AN mammography satisfaction assessment. Results from this project will provide a springboard from which a maximally

  11. Digital mammography and their developments; Digitale Mammografie und ihre Weiterentwicklung

    Energy Technology Data Exchange (ETDEWEB)

    Wienbeck, Susanne [Universitaetsmedizin Goettingen (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Fischer, Uwe [Diagnostisches Brustzentrum Goettingen (Germany)

    2015-09-15

    At the present time digital mammography is a satisfactory breast diagnostic imaging in clinical as well as screening mammography in defined age groups. Nevertheless it shows beside the application of ionizing radiation in women with dense breasts limitations in the detection of non calcification breast cancers. Tomosynthesis, digital contrast-enhanced mammography and breast-CT with or without contrast media lead to better results. Especially the application of contrast media for the visualisation of the tumor angiogenesis is invariably superior to all other non-contrast imaging modalities. However, the excellent results of breast MRI will be probably accessible with none of the new procedures.

  12. Socio-demographic determinants of participation in mammography screening

    DEFF Research Database (Denmark)

    von Euler-Chelpin, My; Olsen, Anne Helene; Njor, Sisse;

    2008-01-01

    Our objective was to use individual data on socio-demographic characteristics to identify predictors of participation in mammography screening and control to what extent they can explain the regional difference. We used data from mammography screening programmes in Copenhagen, 1991-1999, and Funen.......68-3.10) for Copenhagen and Funen, respectively. Other important predictive factors for nonparticipation were not being married and not being Danish. In conclusion, to enhance participation in mammography screening programmes special attention needs to be given to women not using other primary health care services. All...

  13. Studies Comparing Screen-Film Mammography and Full-Field Digital Mammography in Breast Cancer Screening: Updated Review

    International Nuclear Information System (INIS)

    Full-field digital mammography (FFDM) has several potential benefits as compared with screen-film mammography (SFM) in mammography screening. Digital technology also opens for implementation of advanced applications, including computer-aided detection (CAD) and tomosynthesis. Phantom studies and experimental clinical studies have shown that FFDM is equal or slightly superior to SFM for detection and characterization of mammographic abnormalities. Despite obvious advantages, the conversion to digital mammography has been slower than anticipated, and not only due to higher costs. Until very recently, some countries did not even permit the use of digital mammography in breast cancer screening. The reason for this reluctant attitude was concern about lower spatial resolution and about using soft-copy reading. Furthermore, there was a lack of data supporting improved diagnostic accuracy using FFDM in a screening setting, since two pioneer trials both showed nonsignificantly lower cancer detection rate at FFDM. The 10 studies comparing FFDM and SFM in mammography screening published so far have shown divergent and rather conflicting results. Nevertheless, there is a rapid conversion to digital mammography in breast cancer screening in many western countries. The aim of this article is to give an updated review of these studies, discuss the conflicting findings, and draw some conclusions from the results

  14. Charter for Systems Engineer Working Group

    Science.gov (United States)

    Suffredini, Michael T.; Grissom, Larry

    2015-01-01

    This charter establishes the International Space Station Program (ISSP) Mobile Servicing System (MSS) Systems Engineering Working Group (SEWG). The MSS SEWG is established to provide a mechanism for Systems Engineering for the end-to-end MSS function. The MSS end-to-end function includes the Space Station Remote Manipulator System (SSRMS), the Mobile Remote Servicer (MRS) Base System (MBS), Robotic Work Station (RWS), Special Purpose Dexterous Manipulator (SPDM), Video Signal Converters (VSC), and Operations Control Software (OCS), the Mobile Transporter (MT), and by interfaces between and among these elements, and United States On-Orbit Segment (USOS) distributed systems, and other International Space Station Elements and Payloads, (including the Power Data Grapple Fixtures (PDGFs), MSS Capture Attach System (MCAS) and the Mobile Transporter Capture Latch (MTCL)). This end-to-end function will be supported by the ISS and MSS ground segment facilities. This charter defines the scope and limits of the program authority and document control that is delegated to the SEWG and it also identifies the panel core membership and specific operating policies.

  15. Does Computed Mammography Make Any Difference? A Preliminary Report on First CR Mammography Installation in IRAN

    Directory of Open Access Journals (Sweden)

    M. Fatehi

    2007-05-01

    Full Text Available Digital image acquisition using CR technology is po-tentially a cost-effective way to go filmless using the already installed x-ray systems and the same techni-cal background from the technologists' point of view. It eliminates dark room and has tremendous effect on workflow in the department. In those imaging centers where direct digital mam-mography installation is not justified, CR can be a shortcut to achieve a digital image acquisition, which is an inevitable prerequisite to filmless radiology. At the same time, superior modern technology will change image quality in a way that may also affect the radiologist's performance and the clinician's satis-faction. Although the overall improvement of breast imaging will be affected by availability of PACS and image management equipment and network, it will make benefit from CAD technology, which is one of the promising fields of actual decision-making support in medical imaging. Telemammography and consulta-tions are made easy by digital images produced by CR mammography. The experience of 220 consecutive mammography studies using CR technology will be presented in terms of pathologic findings, comparison of image quality in patients undergoing repeat or follow-up mammograms, superiority in detection of dense pa-renchyma and skin or soft tissue components, diffi-culties of microcalcification detection and artifacts, department management issues regarding archive, reproducibility, digital magnification and cost-effectiveness considering parallel CR installation for studies other than mammography and problems aris-ing from technical support by the vendor.

  16. Moses as a role model in the Serbia charters after 1371 changing patterns

    Directory of Open Access Journals (Sweden)

    Vujošević Žarko

    2008-01-01

    Full Text Available The aspects of the Old Testament figure of Moses highlighted in the charters of post-Nemanjić Serbia, or under the Lazarević and Branković dynasties (1371-1459, testify to a changed attitude towards Old Testament role models. While members of the Nemanjić house such as the archbishop Sava I and the rulers Stefan of Dečani and Dušan look up to Moses as a "religious leader", a prayerful intercessor before God and a victorious warrior, all of that for the sake of the "chosen" people, the role he is assigned in the arengae of the charters issued by prince Lazar and despots Stefan Lazarević and Đurađ Branković is completely different. In the universal Christian context of the post-1371 arengae Moses figures as a "prophet" and the builder of the Tabernacle - a prefiguration of the Church, thereby epitomizing a major stage in the salvation history of humankind. The role of Moses, as well as that of David, the only other Old Testament figure still referred to in the charters of the period, has a universal ecclesiologically interpreted, significance. This new pattern of interpreting Moses implies that the ruler’s main virtue now becomes his concern for the "true faith" and the houses of God. The practice of the Nemanjićs as regards selection and interpretation of Old Testament themes is reestablished by the titular despots of the Branković dynasty. In their charters, the first part of the Bible with Moses as a popular leader reassumes a "national" character and becomes part of the ideological apparatus intended to posit the Serbs as a "New Israel".

  17. Improvement of detectability of microcalcifications by magnification digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Higashida, Yoshiharu [Kumamoto Univ. (Japan). College of Medical Science; Hatemura, Masahiro; Yoshida, Akira; Takada, Takao; Takahashi, Mutsumasa

    1998-08-01

    Our aim in this study was to evaluate the potential utility of magnification mammography with a CR system by investigating the basic imaging parameters and detectability of microcalcifications in comparison with those of conventional screen-film systems. The basic imaging parameters were evaluated by measuring scatter fraction, modulation transfer function (MTF), Wiener spectrum, and incident dose for the various magnification factors. The detection of simulated microcalcifications in radiographs of a mammographic phantom and breast specimens were evaluated subjectively and quantitatively for screen-film and CR techniques with various magnification factors. The scatter fraction of digital magnification mammography decreased with increasing magnification factor. MTF of magnification digital mammography improved with increasing magnification factor. The detectability of microcalcifications with the CR system was significantly improved by magnification technique. From the above results, it is expected that the use of magnification mammography with a CR system will improve the detectability of microcalcification. (author)

  18. Digital mammography, cancer screening: Factors important for image compression

    Science.gov (United States)

    Clarke, Laurence P.; Blaine, G. James; Doi, Kunio; Yaffe, Martin J.; Shtern, Faina; Brown, G. Stephen; Winfield, Daniel L.; Kallergi, Maria

    1993-01-01

    The use of digital mammography for breast cancer screening poses several novel problems such as development of digital sensors, computer assisted diagnosis (CAD) methods for image noise suppression, enhancement, and pattern recognition, compression algorithms for image storage, transmission, and remote diagnosis. X-ray digital mammography using novel direct digital detection schemes or film digitizers results in large data sets and, therefore, image compression methods will play a significant role in the image processing and analysis by CAD techniques. In view of the extensive compression required, the relative merit of 'virtually lossless' versus lossy methods should be determined. A brief overview is presented here of the developments of digital sensors, CAD, and compression methods currently proposed and tested for mammography. The objective of the NCI/NASA Working Group on Digital Mammography is to stimulate the interest of the image processing and compression scientific community for this medical application and identify possible dual use technologies within the NASA centers.

  19. Establishment of Guidance Levels in General Radiography and Mammography

    International Nuclear Information System (INIS)

    Coordinated project report IAEA ARCAL LXXV-RLA/9/048 Pilot Exercise for Developing and Setting Levels Reference in General Radiography and Mammography as a Tool for Optimizing Radiation Protection and Reduce Patient Exposure in Latin America

  20. Extracting information from free-text mammography reports

    OpenAIRE

    Esuli, Andrea; Marcheggiani, Diego; Sebastiani, Fabrizio

    2010-01-01

    Researchers from ISTI-CNR, Pisa, aim at effectively and efficiently extracting information from free-text mammography reports, as a step towards the automatic transformation of unstructured medical documentation into structured data.

  1. Ultrasonography as a diagnostic method in addition to mammography

    Energy Technology Data Exchange (ETDEWEB)

    Otto, H.; Roer, E.

    1988-05-01

    By using ultrasonography in addition to mammography, experienced diagnosticians essentially enhance the safety of their diagnosis of mammary gland diseases. The same applies to gynecomastia, the condition after plastic surgery, and mastitis.

  2. Ultrasonography as a diagnostic method in addition to mammography

    International Nuclear Information System (INIS)

    By using ultrasonography in addition to mammography, experienced diagnosticians essentially enhance the safety of their diagnosis of mammary gland diseases. The same applies to gynecomastia, the condition after plastic surgery, and mastitis. (orig.)

  3. Stability of the CAE of a digital mammography machine

    International Nuclear Information System (INIS)

    We analyzed the long-term reproducibility automatic exposure control (CAE) of a digital mammography machine for possible drifts and the factors that have led to changes in its baseline are discussed. (Author)

  4. Influence of advertisement on women's attitudes toward mammography screening.

    Science.gov (United States)

    Collins, C; Davis, L S; Rentz, K; Vannoy, D

    1997-01-01

    This project represents an effort to incorporate a feminist perspective into research on mammography screening. The purpose of this study was to assess women's attitudes toward four advertisements designed to encourage mammography screening. The goal was to create awareness about women's attitudes toward mammography advertisements in order to encourage the development of more effective and responsive motivational materials. The results indicated that each ad communicated different messages about the seriousness of breast cancer and the efficacy of mammography in detecting early breast cancer. Each ad also affected women differently regarding their feelings of control over breast cancer, their perceived loss of sex appeal resulting from a breast cancer diagnosis, and their general fear of breast cancer.

  5. Diagnostic value of mammography for occult breast cancer

    International Nuclear Information System (INIS)

    Objective: To evaluate the diagnostic value of mammography in occult breast cancer. Methods: 23 cases of non- palpable breast lesions were examined with stereotactic-guided or surgical biopsy. Results: Pathological diagnosis included ductal carcinoma in sim (7), infiltrating ductal carcinoma (5), lobular carcinoma in sim (2), carcinoma simplex (3), 4 intraductal papillary carcinoma (4), scirrhous carcinoma (1), metastatic adenocarcinoma (1) in the axilla. Conclusion: Mammography is a commonly used and effective method in diagnosis of occult breast cancer. (authors)

  6. A Discovered Ducal Seal Does Not Belong to the Incorporation Charter for the City of Krakow Solving the Mystery Using Genetic Methods.

    Science.gov (United States)

    Lech, Tomasz

    2016-01-01

    The Incorporation Charter for the city of Krakow, the former capital of Poland, is one of the most valuable documents stored in the National Archives in Krakow. The document, which was written in 1257 on parchment, grants Krakow the Magdeburg rights and regulates its legal, statutory, economic and settlement-related aspects. The Charter was placed in the National Register of the Memory of the World UNESCO programme in 2014. A ducal seal, considered to be the lost seal detached from the Incorporation Charter, was found in the sphragistic collection after nearly 500 years. Unfortunately, it was uncertain whether the seal in question was indeed the missing part of the document. The aim of the study presented below was to solve this mystery. For this purpose, the parchment on which the Incorporation Charter was written was compared with the fragment of the parchment attached to the discovered seal. The study involved the analysis of selected mitochondrial DNA sequences and additional analysis at the level of nuclear DNA using microsatellite markers in the form of 11 STR (Short Tandem Repeat) loci, to identify the species and individual whose skin had been used to make the parchment. This analysis revealed that seal and parchment was from different individuals and thereby discovered that the seal was never a part of the Incorporation Charter. The study is further an example of informative DNA preservation in cultural heritage objects. PMID:27560131

  7. Women with abnormal screening mammography lost to follow-up

    Science.gov (United States)

    Kuo, Chia-Sheng; Chen, Guan-Ru; Hung, Shou-Hung; Liu, Yi-Lien; Huang, Kuo-Chin; Cheng, Shao-Yi

    2016-01-01

    Abstract Breast cancer has the highest incidence among all cancers for women in Taiwan. The current screening policy in Taiwan suggested a biennial mammography for all women 40 to 69 years of age. A recommendation for additional testing is recommended for women with a BI-RADS result of 0 or 4; a request made via postal mail. Approximately 20% of high-risk patients do not receive additional follow-up. Therefore, we aimed to explore the causes of these patients being lost to follow-up, despite an abnormal mammogram. Two questionnaires were designed separately according to the conceptual framework of the Health Belief Model. Study participants, women who received a screening mammography at the National Taiwan University Hospital in 2011 with a BI-RAD of 0 or 4, were interviewed via telephone. The dependent variable was receipt of follow-up or not. The analyses were performed by using χ2 tests and logistic regression models. In total, 528 women were enrolled in the study: 51.2% in BI-RADS 0 group and 56.6% in BI-RADS 4, respectively. In the BI-RADS 0 group, those patients who received a follow-up examination cited the most likely causes to be physician suggestion, health implications, and concerns regarding breast cancer. Patients who did not receive a follow-up examination cited a lack of time and a perception of good personal health as primary reasons. In the BI-RADS 4 group, those patients who received a follow-up examination cited the physician's recommendation and a recognition of the importance of follow-up examinations. Patients who did not receive a follow-up examination cited having received follow-up at another hospital and a desire for a second opinion. In the BI-RADS 0 group, multivariate analysis showed that patients with higher scores in the “perceived benefits” domain were statistically more likely to receive a follow-up examination. There was no significant difference in perceived threats, perceived barriers, action cues, or self-efficacy between

  8. X-ray source for mammography

    Science.gov (United States)

    Logan, Clinton M.

    1994-01-01

    An x-ray source utilizing anode material which shifts the output spectrum to higher energy and thereby obtains higher penetrating ability for screening mammography application, than the currently utilized anode material. The currently used anode material (molybdenum) produces an energy x-ray spectrum of 17.5/19.6 keV, which using the anode material of this invention (e.g. silver, rhodium, and tungsten) the x-ray spectrum would be in the 20-35 keV region. Thus, the anode material of this invention provides for imaging of breasts with higher than average x-ray opacity without increase of the radiation dose, and thus reduces the risk of induced breast cancer due to the radiation dose administered for mammograms.

  9. Instrumentation optimization for positron emission mammography

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.; Qi, Jinyi

    2003-06-05

    The past several years have seen designs for PET cameras optimized to image the breast, commonly known as Positron Emission Mammography or PEM cameras. The guiding principal behind PEM instrumentation is that a camera whose field of view is restricted to a single breast has higher performance and lower cost than a conventional PET camera. The most common geometry is a pair of parallel planes of detector modules, although geometries that encircle the breast have also been proposed. The ability of the detector modules to measure the depth of interaction (DOI) is also a relevant feature. This paper finds that while both the additional solid angle coverage afforded by encircling the breast and the decreased blurring afforded by the DOI measurement improve performance, the ability to measure DOI is more important than the ability to encircle the breast.

  10. CISO: charter of integration for simulator openness

    International Nuclear Information System (INIS)

    In order to improve NPP simulators components homogeneity and reuse among projects, EDF (Electricite de France) has defined a Charter Integration for Simulator Openness. CISO, which is a set of rules and guidelines for simulator interoperability and openness, defines a static data model which must be used for any reference to the simulated installation, exchange procedures for simulation modules in a parallel environment and a standard basis for compatible communications between the simulator subsystems, CISO concentrates in interfaces and leaves open the individual choices for implementation. The prototyping phase is now completed, CISO will be put into practice for the next generation of EDF full-scale simulators, the guidelines must now enrich from experience. (author)

  11. Computed Radiography Exposure Indices in Mammography

    Directory of Open Access Journals (Sweden)

    Liebner Koen

    2008-08-01

    Full Text Available Studies indicate that computed radiography (CR can lead to increased radiation dose to patients. It is therefore important to relate the exposure indicators provided by CR manufacturers to the radiation dose delivered so as to assess the radiation dose delivered to patients directly from the exposure indicators. The aim of this study was to investigate the performance of an Agfa CR system in order to characterize the dose indicators provided by the system. The imaging plate response was characterized in terms of entrance exposure to the plate and the digital signal indicators generated by the system (SAL - Scanning Average Level and lgM - Logarithmic median for different beam qualities. Several exposures were performed on a mammography unit and the digital signal, expressed as SAL and lgM for each image was correlated with the entrance exposure on a standard ACR phantom. From this, the relationship between the Agfa dose indices (SAL and lgM and the average glandular dose (AGD in mammography was established. An equation was derived to calculate the AGD delivered to the patient as a function of the exposure indicator, lgM, and the kV. The results indicated that the measured AGD at 28kV for a standard breast thickness during routine calibration with the ACR phantom was 1.58mGy (lgM = 1.99, which is within 1.5% of the value calculated using the derived equation for a standard Perspex thickness of 4.2cm using the AEC (1.56mGy. The standard error in using this equation was calculated to be 8.3%.

  12. Dosimetric implications of age related glandular changes in screening mammography

    Science.gov (United States)

    Beckett, J. R.; Kotre, C. J.

    2000-03-01

    The UK National Health Service Breast Screening Programme is currently organized to routinely screen women between the ages of 50 and 64, with screening for older women available on request. The lower end of this age range closely matches the median age for the menopause (51 years), during which significant changes in the composition of the breast are known to occur. In order to quantify the dosimetric effect of these changes, radiographic factors and compressed breast thickness data for a cohort of 1258 women aged between 35 and 79 undergoing breast screening mammography have been used to derive estimates of breast glandularity and mean glandular dose (MGD), and examine their variation with age. The variation of mean radiographic exposure factors with age is also investigated. The presence of a significant number of age trial women within the cohort allowed an extended age range to be studied. Estimates of MGD including corrections for breast glandularity based on compressed breast thickness only, compressed breast thickness and age and for each individual woman are compared with the MGD based on the conventional assumption of a 50:50 adipose/glandular composition. It has been found that the use of the conventional 50:50 assumption leads to overestimates of MGD of up to 13% over the age range considered. By using compressed breast thickness to estimate breast glandularity, this error range can be reduced to 8%, whilst age and compressed breast thickness based glandularity estimates result in an error range of 1%.

  13. 78 FR 65982 - Notice of Renewal of FASAB Charter

    Science.gov (United States)

    2013-11-04

    ... From the Federal Register Online via the Government Publishing Office FEDERAL ACCOUNTING STANDARDS ADVISORY BOARD Notice of Renewal of FASAB Charter AGENCY: Federal Accounting Standards Advisory Board... continue an advisory committee to consider and recommend accounting standards and principles for...

  14. 76 FR 71032 - Notice of Renewal of FASAB Charter

    Science.gov (United States)

    2011-11-16

    ... From the Federal Register Online via the Government Publishing Office FEDERAL ACCOUNTING STANDARDS ADVISORY BOARD Notice of Renewal of FASAB Charter AGENCY: Federal Accounting Standards Advisory Board... agreed to continue an advisory committee to consider and recommend accounting standards and...

  15. Perspectivas sobre las escuelas charter: Una resena para padres de familia (Perspectives on Charter Schools: A Review for Parents). ERIC Digest.

    Science.gov (United States)

    Donahoo, Saran

    Recently, charter schools have gained popularity with parents, students, and others as alternatives to public schools, but what are charter schools and what effects are they having? This Spanish-language Digest defines charter schools and clarifies some of the administrative and legal details surrounding such schools. The Digest also lays out some…

  16. District of Columbia Charter Schools: Criteria for Awarding School Buildings to Charter Schools Needs Additional Transparency. Report to Congressional Committees. GAO-11-263

    Science.gov (United States)

    Scott, George A.

    2011-01-01

    Almost 40 percent of all public school students in the District of Columbia (D.C. or District) were enrolled in charter schools in the 2010-11 school year. The D.C. School Reform Act established the Public Charter School Board (PCSB) for the purpose of authorizing and overseeing charter schools. Congress required GAO (US Government Accountability…

  17. Comparative evaluation of average glandular dose and image of digital mammography and film mammography in Minas Gerais, Brazil

    International Nuclear Information System (INIS)

    Breast cancer is the most common cancer among women, and early detection is critical to its diagnosis and treatment. Mammography is the best method for breast-cancer screening and is capable of reducing mortality rates To date, the most effective method for early detection of breast cancer has been x-ray mammography for which the screen/film (SF) technique has been the gold standard. Digital mammography has been proposed as a substitute for film mammography given the benefits inherent to digital technology. The purpose of our study was to compare the technical performance of digital mammographic and screen-film mammography. A PMMA phantom with objects to simulate breast structures. For the screen/film (SF) technique the results showed that 54% mammography units did not achieve the minimum acceptable performance as far the image quality. Besides, 67% services showed inadequate performance in their processing systems, which had significant influence on the image quality. At the mean glandular dose only 44% of digital systems evaluated were compliant in all thicknesses of PMMA. The average glandular dose AGD was 90 % higher than in screen/film systems. (authors)

  18. Existing data sources for clinical epidemiology: the Danish Quality Database of Mammography Screening

    Directory of Open Access Journals (Sweden)

    Langagergaard V

    2013-03-01

    Full Text Available Vivian Langagergaard,1 Jens P Garne,2 Ilse Vejborg,3 Walter Schwartz,4 Martin Bak,5 Anders Lernevall,1 Nikolaj B Mogensen,6 Heidi Larsson,7 Berit Andersen,1 Ellen M Mikkelsen7 1Department of Public Health Programs, Randers Hospital, Randers, Denmark; 2Department of Breast Surgery, Aalborg Hospital, Aalborg, Denmark; 3Diagnostic Imaging Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; 4Center of Mammography, 5Department of Pathology, Odense University Hospital, Denmark; 6Department of Radiology, Ringsted Hospital, Ringsted, Denmark; 7Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark Abstract: The Danish Quality Database of Mammography Screening (DKMS was established in 2007, when screening was implemented on a nationwide basis and offered biennially to all Danish women aged 50–69 years. The primary aims of the database are to monitor and evaluate the quality of the screening program and – after years of follow-up – to evaluate the effect of nationwide screening on breast cancer-specific mortality. Here, we describe the database and present results for quality assurance from the first round of national screening. The steering committee for the DKMS defined eleven organizational and clinical quality indicators and standards to monitor the Danish breast cancer screening program. We calculated the relevant proportions and ratios with 95% confidence intervals for each quality indicator. All indicators were assessed on a national and regional level. Of 670,039 women invited for mammography, 518,823 (77.4% participated. Seventy-one percent of the women received the result of their mammography examination within 10 days of screening, and 3% of the participants were recalled for further investigation. Among all detected cancers, 86% were invasive cancers, and the proportion of women with node negative cancer was 67%. There were 36% women with small cancers, and the ratio of surgery for

  19. Conspicuity of breast cancer according to histopathological type and breast density when imaged by full-field digital mammography compared with screen-film mammography

    International Nuclear Information System (INIS)

    To compare the conspicuity of different histopathological types of breast cancer according to breast density and mammographic imaging in patients with screen-detected breast cancers undergoing both full-field digital mammography (FFDM) and screen-film mammography (SFM) in the United Kingdom National Health Service Breast Screening Programme (NHSBSP). 185 patients underwent routine screening with SFM followed by further imaging using FFDM with consequent diagnosis of breast cancer. All SFM and soft-copy FFDM images were evaluated by two readers in an independent, retrospective review. The visualisation and conspicuity of the mammographic abnormality were recorded and graded using a four-level scale. Conspicuity of breast cancer was qualitatively evaluated. Breast density and conspicuity were correlated with histopathological diagnosis and inter-observer correlation was calculated. Mixed Model ANOVA demonstrated significant differences between FFDM and SFM (p < 0.001) and breast densities (p = 0.009): conspicuity of the mammographic abnormality (p < 0.001) and visualisation of the dominant mammographic feature (p < 0.001) were significantly greater with FFDM than SFM. This held true for both readers and for all histopathological tumour types with no significant differences between each tumour type. FFDM is significantly superior to SFM for conspicuity of screen-detected breast cancers for all histopathological types and breast densities. (orig.)

  20. Mammography calibration qualities establishment in a Mo-Mo clinical system

    International Nuclear Information System (INIS)

    In this study the mammography calibration qualities were established in a clinical mammography system. The objective is to provide the IPEN instruments calibration laboratory with both mammography calibration methods (using a clinical and an industrial system). The results showed a good behavior of mammography equipment, in terms of kVp, PPV and exposure time. The additional filtration of molybdenum is adequate, air-kerma rates were determined and spectra were obtained. (author)

  1. Mammography calibration qualities establishment in a Mo-Mo clinical system

    Energy Technology Data Exchange (ETDEWEB)

    Correa, E.L.; Santos, L.R. dos; Vivolo, V.; Potiens, M.P.A., E-mail: educorrea1905@gmail.com [Instituto de Pesquisas Energeticas e Nucleres (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    In this study the mammography calibration qualities were established in a clinical mammography system. The objective is to provide the IPEN instruments calibration laboratory with both mammography calibration methods (using a clinical and an industrial system). The results showed a good behavior of mammography equipment, in terms of kVp, PPV and exposure time. The additional filtration of molybdenum is adequate, air-kerma rates were determined and spectra were obtained. (author)

  2. Racial and Geographic Differences in Mammography Screening in St. Louis City: A Multilevel Study

    OpenAIRE

    Lian, Min; Jeffe, Donna B.; Schootman, Mario

    2008-01-01

    To examine racial differences in mammography use and its determinants in the City of St. Louis, MO, USA, we recruited women age 40 or older using random-digit dialing to (1) examine the difference in mammography use between white women and African American women and (2) identify individual- and census-tract-level risk factors of nonadherence to mammography. During telephone interviews, we inquired about mammography use and several demographic, psychosocial, and health behavior variables. We d...

  3. Is there a Difference Between For-Profit Versus Not-For-Profit Charter Schools?

    OpenAIRE

    Hill, Cynthia D; David Welsch

    2008-01-01

    The role of for-profit educational organizations in the predominantly public and not-for-profit K-12 U.S. schooling system is being fiercely debated across our nation. Little empirical research is available to help policy makers develop informed decisions regarding the educational value that for-profit schools provide to our students. This paper fills in part, for the first time in detail, this void. This paper uses a four year panel of charter schools from the state of Michigan and a random ...

  4. Charte des Nations Unies et statut de la Cour internationale de justice

    CERN Document Server

    United Nations. New York. Department of Public Information

    1979-01-01

    The Charter of the United Nations was signed on 26 June 1945, in San Francisco, at the conclusion of the United Nations Conference on International Organization, and came into force on 24 October 1945. The Statute of the International Court of Justice is an integral part of the Charter.

  5. 42 CFR 413.123 - Payment for screening mammography performed by hospitals on an outpatient basis.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Payment for screening mammography performed by... SKILLED NURSING FACILITIES Specific Categories of Costs § 413.123 Payment for screening mammography... mammographies performed by hospitals. (b) Payment to hospitals for outpatient services. Payment to hospitals...

  6. Predicting the risk of a false-positive test for women following a mammography screening programme

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Olsen, Anne Helene; Schwartz, Walter;

    2007-01-01

    OBJECTIVES: The objectives of this study was to provide a simple estimate of the cumulative risk of a false-positive test for women participating in mammography screening. To test the method, we used data from two well-established, organized mammography screening programmes offering biennial...... be calculated in a simple way relatively early after the start of a mammography screening programme....

  7. The Assessment of the Likelihood of Mammography Usage with Relevant Factors among Women with Disabilities

    Science.gov (United States)

    Kung, Pei-Tseng; Tsai, Wen-Chen; Chiou, Shang-Jyh

    2012-01-01

    Research that identifies the determinants of low mammography use among disabled people is scant. This study examines the determining factors related to the low usage of mammography among women with disabilities. To identify the barriers that prevent women with disabilities from participating in mammography screening can help authorities conceive…

  8. Nuclear Safety Charter; Charte Surete Nucleaire

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    The AREVA 'Values Charter' reaffirmed the priority that must be given to the requirement for a very high level of safety, which applies in particular to the nuclear field. The purpose of this Nuclear Safety Charter is to set forth the group's commitments in the field of nuclear safety and radiation protection so as to ensure that this requirement is met throughout the life cycle of the facilities. It should enable each of us, in carrying out our duties, to commit to this requirement personally, for the company, and for all stakeholders. These commitments are anchored in organizational and action principles and in complete transparency. They build on a safety culture shared by all personnel and maintained by periodic refresher training. They are implemented through Safety, Health, and Environmental management systems. The purpose of these commitments, beyond strict compliance with the laws and regulations in force in countries in which we operate as a group, is to foster a continuous improvement initiative aimed at continually enhancing our overall performance as a group. Content: 1 - Organization: responsibility of the group's executive management and subsidiaries, prime responsibility of the operator, a system of clearly defined responsibilities that draws on skilled support and on independent control of operating personnel, the general inspectorate: a shared expertise and an independent control of the operating organization, an organization that can be adapted for emergency management. 2 - Action principles: nuclear safety applies to every stage in the plant life cycle, lessons learned are analyzed and capitalized through the continuous improvement initiative, analyzing risks in advance is the basis of Areva's safety culture, employees are empowered to improve nuclear Safety, the group is committed to a voluntary radiation protection initiative And a sustained effort in reducing waste and effluent from facility Operations, employees and

  9. Screening with mammography - what quality is required and how is it checked?

    International Nuclear Information System (INIS)

    The medical value of screening for breast cancer with mammography has been proved in Swedish trials, in which a 30% reduction of breast cancer mortality was observed. However, the benefits may easily be lost if the examinations are not performed in accordance with the most stringent requirements. With the prospect of general screening with mammography all over Sweden, the National Health Board and the National Institute of Radiation Protection have issued guidelines on how screening is to be organized. Far-reaching recommendations concerning X-ray equipment, film processing, radiation dose, and image quality are in preparation. The basis of these recommendations, their background and the underlying field experience are the subject of this paper. A mammographic system regarded as the optimum presently achievable serves as a reference. Comparison is made with other systems based on performance measurements of the X-ray equipment (i.e. tube voltage, radiation output, beam quality), a sensitometric evaluation, dose measurements, and image quality measurements including spatial resolution and quantitative assessment of contrast and fraction of scattered radiation. The test methods are described and the criteria for acceptance of a system are discussed. (author)

  10. [Influence of Detector Radiation Damage on CR Mammography Quality Control].

    Science.gov (United States)

    Moriwaki, Atsumi; Ishii, Mie; Terazono, Shiho; Arao, Keiko; Ishii, Rie; Sanada, Taizo; Yoshida, Akira

    2016-05-01

    Recently, radiation damage to the detector apparatus employed in computed radiography (CR) mammography has become problematic. The CR system and the imaging plate (IP) applied to quality control (QC) program were also used in clinical mammography in our hospital, and the IP to which radiation damage has occurred was used for approximately 5 years (approximately 13,000 exposures). We considered using previously acquired QC image data, which is stored in a server, to investigate the influence of radiation damage to an IP. The mammography unit employed in this study was a phase contrast mammography (PCM) Mermaid (KONICA MINOLTA) system. The QC image was made newly, and it was output in the film, and thereafter the optical density of the step-phantom image was measured. An input (digital value)-output (optical density) conversion curve was plotted using the obtained data. The digital values were then converted to optical density values using a reference optical density vs. digital value curve. When a high radiation dose was applied directly, radiation damage occurred at a position on the IP where no object was present. Daily QC for mammography is conducted using an American College of Radiology (ACR) accreditation phantom and acrylic disc, and an environmental background density measurement is performed as one of the management indexes. In this study, the radiation damage sustained by the acrylic disc was shown to differ from that of the background. Thus, it was revealed that QC results are influenced by radiation damage. PMID:27211088

  11. Study of mammography in mass screening for breast cancer

    International Nuclear Information System (INIS)

    In order to examine the rate of correct diagnosis by mammography at initial mass screening for breast cancer, we carried out a retrospective study of mammography findings in 267 cases of breast cancer detected at Asahikawa Cancer Screening Center. The screening was performed by physical examination, and in cases where disease was suspected, mammography, ultrasonography, and needle biopsy were done. Mammographically, 172 cases (64.4%) were cancer-positive, 58 cases (21.7%) were suspicious for cancer, and 37 cases (13.9%) were cancer-negative. Patients below 50 years of age and those with tumors of small diameter (<20 mm) showed a significantly lower rate of cancer positivity than patients aged 50 years or more and those with tumors 20 mm or more in diameter. Mammographic abnormalities were not specific, since these changes were also found in normal subjects and patients with benign diseases. Therefore, we concluded that mammography without physical examination at initial mass screening has a high risk of missing breast cancer. Mass screening for breast cancer should be performed by physical examination involving inspection and palpation at the first instance. If any suspicious findings are obtained, mammography, ultrasonography, and needle biopsy should be done. (author)

  12. Digital breast tomosynthesis versus digital mammography: a clinical performance study

    Energy Technology Data Exchange (ETDEWEB)

    Gennaro, Gisella; Baldan, Enrica; Bezzon, Elisabetta; Polico, Ilaria; Proietti, Alessandro; Toffoli, Aida [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Toledano, Alicia [Statistics Collaborative Inc., Washington, DC (United States); Di Maggio, Cosimo [Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); La Grassa, Manuela [Aviano Oncological Reference Center (CRO), IRCCS, Department of Radiology, Aviano (Pordenone) (Italy); Pescarini, Luigi [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); Muzzio, Pier Carlo [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Medical Diagnostic Sciences, Padua (Italy)

    2010-07-15

    To compare the clinical performance of digital breast tomosynthesis (DBT) with that of full-field digital mammography (FFDM) in a diagnostic population. The study enrolled 200 consenting women who had at least one breast lesion discovered by mammography and/or ultrasound classified as doubtful or suspicious or probably malignant. They underwent tomosynthesis in one view [mediolateral oblique (MLO)] of both breasts at a dose comparable to that of standard screen-film mammography in two views [craniocaudal (CC) and MLO]. Images were rated by six breast radiologists using the BIRADS score. Ratings were compared with the truth established according to the standard of care and a multiple-reader multiple-case (MRMC) receiver-operating characteristic (ROC) analysis was performed. Clinical performance of DBT compared with that of FFDM was evaluated in terms of the difference between areas under ROC curves (AUCs) for BIRADS scores. Overall clinical performance with DBT and FFDM for malignant versus all other cases was not significantly different (AUCs 0.851 vs 0.836, p = 0.645). The lower limit of the 95% CI or the difference between DBT and FFDM AUCs was -4.9%. Clinical performance of tomosynthesis in one view at the same total dose as standard screen-film mammography is not inferior to digital mammography in two views. (orig.)

  13. Screening mammography beliefs and recommendations: a web-based survey of primary care physicians

    Directory of Open Access Journals (Sweden)

    Yasmeen Shagufta

    2012-02-01

    Full Text Available Abstract Background The appropriateness and cost-effectiveness of screening mammography (SM for women younger than 50 and older than 74 years is debated in the clinical research community, among health care providers, and by the American public. This study explored primary care physicians' (PCPs perceptions of the influence of clinical practice guidelines for SM; the recommendations for SM in response to hypothetical case scenarios; and the factors associated with perceived SM effectiveness and recommendations in the US from June to December 2009 before the United States Preventive Services Task Force (USPSTF recently revised guidelines. Methods A nationally representative sample of 11,922 PCPs was surveyed using a web-based questionnaire. The response rate was 5.7% (684; (41% 271 family physicians (FP, (36% 232 general internal medicine physicians (IM, (23% 150 obstetrician-gynaecologists (OBG, and (0.2% 31 others. Cross-sectional analysis examined PCPs perceived effectiveness of SM, and recommendation for SM in response to hypothetical case scenarios. PCPs responses were measured using 4-5 point adjectival scales. Differences in perceived effectiveness and recommendations for SM were examined after adjusting for PCPs specialty, race/ethnicity, and the US region. Results Compared to IM and FP, OBG considered SM more effective in reducing breast cancer mortality among women aged 40-49 years (p = 0.003. Physicians consistently recommended mammography to women aged 50-69 years with no differences by specialty (p = 0.11. However, 94% of OBG "always recommended" SM to younger and 86% of older women compared to 81% and 67% for IM and 84% and 59% for FP respectively (p = p = Conclusions A majority of physicians, especially OBG, favour aggressive breast cancer screening for women from 40 through 79 years of age, including women with short life expectancy. Policy interventions should focus on educating providers to provide tailored recommendations for

  14. SU-E-I-64: X-Ray Coherent Scatter Mammography Simulation

    Energy Technology Data Exchange (ETDEWEB)

    Hassan, L R; MacDonald, C A [University at Albany, SUNY, Albany, NY (United States)

    2014-06-01

    Purpose: Conventional mammography has poor contrast between healthy and cancerous tissues due to the small difference in attenuation properties. Coherent scatter potentially provides more information because interference of coherently scattered radiation depends on the average intermolecular spacing, and can be used to characterize tissue types. However, typical coherent scatter analysis techniques are not compatible with rapid low dose screening modalities. Coherent scatter slot scan imaging is a novel imaging technique which provides new information with higher contrast. In this work a simulation was performed of coherent scatter slot scan imaging to assess its performance and provide system optimization. Methods: In coherent scatter imaging, the coherent scatter is exploited using a conventional slot scan mammography system with anti-scatter grids tilted at the characteristic angle of cancerous tissues. A Monte Carlo simulation was used to simulate the coherent scatter imaging. System optimization was performed across several parameters, including source voltage and filtration, tilt angle, source and grid distances, grid ratio, and shielding geometry. Results: The contrast was high and increased as the grid tilt angle was increased beyond the characteristic angle for the modeled carcinoma, and as the source voltage increased. Source filtration did not have a significant effect on contrast. Increasing grid ratio improved contrast at the expense of decreasing the signal to noise ratio (SNR). As the tumor size is decreased, additional shields to block the fat signal are necessary in order to detect the cancer signal. Conclusion: Coherent scatter analysis using a wide slot setup is promising as an enhancement for screening mammography. This work was supported by National Institutes of Health, # 7 R01EB009715.

  15. ANIMALS - INDIVIDUAL - COUNTS, HABITAT, Displacement Volume, TAXONOMIC CODE and other tows and trawl data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-17 to 2003-08-08 (NODC Accession 0115265)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115265 includes tows, biological and trawl data collected aboard the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN during cruises GP0108,...

  16. HABITAT, WATER TEMPERATURE, cloud amount/frequency and WIND SPEED tows and trawl data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-17 to 2004-11-08 (NODC Accession 0115264)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115264 includes meteorological, tows, biological, physical and trawl data collected aboard the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN...

  17. STOMACH CONTENTS - FULLNESS, WATER TEMPERATURE, STOMACH CONTENTS - PREY COUNT, SPECIES IDENTIFICATION and other fish examination data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS cruises GP0108, GP0207-01 and MF0310 as part of the NEP project from 2001-07-18 to 2003-08-08 (NODC Accession 0115262)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115262 includes biological, fish examination and physical data collected aboard the CHARTER/FISHING BOATS during cruises GP0108, GP0207-01 and...

  18. HABITAT, WATER TEMPERATURE, SPECIES IDENTIFICATION and INDIVIDUAL FISH EXAMINATION - AGE fish examination data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-18 to 2004-11-08 (NODC Accession 0115263)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115263 includes fish examination, biological and physical data collected aboard the CHARTER/FISHING BOATS during cruises GP0108, GP0207-01,...

  19. WATER DEPTH, SPECIES IDENTIFICATION, SPECIES IDENTIFICATION - LIFE STAGE, species abundance and SPECIES IDENTIFICATION - WET WEIGHT trawl data collected in the North Pacific Ocean on the CHARTER/FISHING BOATS cruises FR0206-01, FR0206-02 and others as part of the NEP project from 2000-05-29 to 2002-08-18 (NODC Accession 0114641)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0114641 includes meteorological, biological and trawl data collected aboard the CHARTER/FISHING BOATS during cruises FR0206-01, FR0206-02, FR0208,...

  20. INDIVIDUAL FISH EXAMINATION - WEIGHT, SPECIES IDENTIFICATION, SPECIES IDENTIFICATION - LIFE STAGE and SPECIES IDENTIFICATION - SEX fish examination data collected in the North Pacific Ocean on the CHARTER/FISHING BOATS cruises FR0206-01, FR0206-02 and others as part of the NEP project from 2000-05-29 to 2002-08-18 (NODC Accession 0114242)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0114242 includes fish examination and biological data collected aboard the CHARTER/FISHING BOATS during cruises FR0206-01, FR0206-02, FR0208, SE0005...

  1. SPECIES IDENTIFICATION - ORGANISM LENGTH and SPECIES IDENTIFICATION fish examination data collected in the North Pacific Ocean on the CHARTER/FISHING BOATS cruises FR0206-01, FR0206-02 and others as part of the NEP project from 2000-05-29 to 2002-08-18 (NODC Accession 0113968)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0113968 includes biological and fish examination data collected aboard the CHARTER/FISHING BOATS during cruises FR0206-01, FR0206-02, FR0208, SE0005...

  2. SPECIES IDENTIFICATION - ORGANISM LENGTH, SPECIES IDENTIFICATION, WATER DEPTH, SPECIES IDENTIFICATION - LIFE STAGE and other fish examination data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-18 to 2004-11-08 (NODC Accession 0115200)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115200 includes meteorological, fish examination and biological data collected aboard the CHARTER/FISHING BOATS during cruises GP0108, GP0207-01,...

  3. CHLOROPHYLL A and PHAEOPIGMENTS discrete sample and tows data collected in the North Pacific Ocean on the CHARTER/FISHING BOATS cruises FR0206-01, FR0206-02 and others as part of the NEP project from 2000-05-29 to 2002-08-17 (NODC Accession 0113923)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0113923 includes discrete sample, tows and biological data collected aboard the CHARTER/FISHING BOATS during cruises FR0206-01, FR0206-02, FR0208,...

  4. Current components, water pressure, physical, and other data from moored current meters, pressure gauges, and CTD casts from CHARTER/FISHING BOATS and other platforms from the Bering Sea - Coastal Waters of Western Alaska and other locations from 14 May 1989 to 06 October 1989 (NCEI Accession 9000278)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Current components, water pressure, physical, and other data were collected from moored current meters, pressure gauges, and CTD casts from CHARTER/FISHING BOATS...

  5. CHLOROPHYLL A, SALINITY, WATER TEMPERATURE, FLUORESCENCE and SIGMA-T profile data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-17 to 2004-11-08 (NODC Accession 0113921)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0113921 includes profile, biological and physical data collected aboard the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN during cruises GP0108,...

  6. HABITAT, WATER TEMPERATURE, SPECIES IDENTIFICATION, cloud amount/frequency and other trawl data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-18 to 2004-11-08 (NODC Accession 0115261)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115261 includes meteorological, biological, physical and trawl data collected aboard the CHARTER/FISHING BOATS during cruises GP0108, GP0207-01,...

  7. 76 FR 25525 - National Charter Schools Week, 2011

    Science.gov (United States)

    2011-05-05

    ... in a unique position to spark a dialogue with other public schools on how to organize teaching and... two hundred and thirty-fifth. (Presidential Sig.) [FR Doc. 2011-11067 Filed 5-4-11; 8:45 am]...

  8. 77 FR 27553 - National Charter Schools Week, 2012

    Science.gov (United States)

    2012-05-10

    ... role in strengthening American education. Whether created by parents and teachers or community and..., communities, teachers, parents, and students work together. This week, let us recommit to ensuring all our..., President of the United States of America, by virtue of the authority vested in me by the Constitution...

  9. Speculation on improving personal dosimetry in mammography

    International Nuclear Information System (INIS)

    The increasing importance of radiation protection of the patient in diagnostic radiology has created an interest in the dose individuals receive from X-ray mammography, although this is an area where the most important aspect of protection is based on the inter comparison of machines using phantoms and standard conditions. In 1987 the ICRP established the critical quantity as being the average absorbed dose to the glandular tissue of the breast, and identified a composition of 50% adipose; 50% glandular tissue as a reference. Several authors have published experimental and monte carlo simulation resuluts to enable the determination of this quantity from output, beam quality and compressed breast thickness. Many centres, including ourselves, have studied the distribution of radiation dose on this basis. The result is however dependant on the assumption made about tissue composition. It is apparently common knowledge among pathologists and frequently mentioned in general anatomy texts, that the amount of glandular tissue is independent of breast size; that is larger breasts will have a higher adipose:glandular tissue ratio. Such a systematic variation would lead to an overestimate of the dose being received by women with larger breasts. I will review the availabe pathology and demonstrate the effect of applying the assumed breast composition on our own data. (author)

  10. Characterizing mammography reports for health analytics.

    Science.gov (United States)

    Rojas, Carlos C; Patton, Robert M; Beckerman, Barbara G

    2011-10-01

    As massive collections of digital health data are becoming available, the opportunities for large-scale automated analysis increase. In particular, the widespread collection of detailed health information is expected to help realize a vision of evidence-based public health and patient-centric health care. Within such a framework for large scale health analytics we describe the transformation of a large data set of mostly unlabeled and free-text mammography data into a searchable and accessible collection, usable for analytics. We also describe several methods to characterize and analyze the data, including their temporal aspects, using information retrieval, supervised learning, and classical statistical techniques. We present experimental results that demonstrate the validity and usefulness of the approach, since the results are consistent with the known features of the data, provide novel insights about it, and can be used in specific applications. Additionally, based on the process of going from raw data to results from analysis, we present the architecture of a generic system for health analytics from clinical notes.

  11. MammoGrid: a mammography database

    CERN Multimedia

    2002-01-01

    What would be the advantages if physicians around the world could gain access to a unique mammography database? The answer may come from MammoGrid, a three-year project under the Fifth Framework Programme of the EC. Led by CERN, MammoGrid involves the UK (the Universities of Oxford, Cambridge and the West of England, Bristol, plus the company Mirada Solutions of Oxford), and Italy (the Universities of Pisa and Sassari and the Hospitals in Udine and Torino). The aim of the project is, in light of emerging GRID technology, to develop a Europe-wide database of mammograms. The database will be used to investigate a set of important healthcare applications as well as the potential of the GRID to enable healthcare professionals throughout the EU to work together effectively. The contributions of the partners include building the GRID-database infrastructure, developing image processing and Computer Aided Detection techniques, and making the clinical evaluation. The first project meeting took place at CERN in Sept...

  12. Feasibility of using LODOX technology for mammography

    Science.gov (United States)

    Lease, Alyson; Vaughan, Christopher; Beningfield, Stephan; Potgieter, Herman; Booysen, Andre

    2002-05-01

    The LODOX (Low Dose X-ray) Scanner, created by De Beers, is currently being clinically tested at the Trauma Unit of Groote Schuur Hospital and the University of Cape Town in South Africa. High quality images with exceedingly low radiation suggest that the technology may also be used to identify breast cancer lesions and microcalcifications. The measured LODOX modulation transfer function averages 6 percent at 10 cycles per millimeter, while the detected quantum efficiency is approximately 25 percent at 1 cycle per millimeter. The mean glandular doses calculated for a breast thickness of 4 cm at various intensities -- ranging from 0.022 rad at 70mAs to 0.043 rad at 125mAs -- were approximately 10 times less than the value designated by the American College of Radiology (0.3 rad per breast image). At 40kV, LODOX exhibits an average half value layer of 1.59 mm of Al (compared to 0.3 to 0.4 mm recommended for mammography), illustrating the unfavorable higher penetration of LODOX X-rays. The extremely low radiation dose delivered by the LODOX suggests that the technology would be feasible for detecting and diagnosing cancers in the sensitive tissue of the breast, once adjustments to X-ray range and beam hardness had been accomplished.

  13. 78 FR 55114 - Native American Employment and Training Council (Council) Charter; Notice of Intent To Renew

    Science.gov (United States)

    2013-09-09

    ... Employment and Training Administration Native American Employment and Training Council (Council) Charter... to Renew the Native American Employment and Training Council (Council) Charter. SUMMARY: Notice is... administration of the Native American programs authorized under the Workforce Investment Act (WIA) Section...

  14. 77 FR 1485 - Local Government's Advisory Committee; Notice of Charter Renewal

    Science.gov (United States)

    2012-01-10

    ... AGENCY Local Government's Advisory Committee; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice. The Charter for the Environmental Protection Agency's Local Government's... Administrator on ways to improve its partnership with local governments and provide more efficient and...

  15. Digital mammography: tradeoffs between 50- and 100-micron pixel size

    Science.gov (United States)

    Freedman, Matthew T.; Steller Artz, Dorothy E.; Jafroudi, Hamid; Lo, Shih-Chung B.; Zuurbier, Rebecca A.; Katial, Raj; Hayes, Wendelin S.; Wu, Chris Y.; Lin, Jyh-Shyan; Steinman, Richard M.; Tohme, Walid G.; Mun, Seong K.

    1995-05-01

    Improvements in mammography equipment related to a decrease in pixel size of digital mammography detectors raise questions of the possible effects of these new detectors. Mathematical modeling suggested that the benefits of moving from 100 to 50 micron detectors were slight and might not justify the cost of these new units. Experiments comparing screen film mammography, a storage phosphor 100 micron digital detector, a 50 micron digital breast spot device, 100 micron film digitization and 50 micron film digitization suggests that object conspicuity should be better for digital compared to conventional systems, but that there seemed to be minimal advantage to going from 100 to 50 microns. The 50 micron pixel system appears to provide a slight advantage in object contrast and perhaps in shape definition, but did not allow smaller objects to be detected.

  16. Bi-directional x-ray phase-contrast mammography.

    Directory of Open Access Journals (Sweden)

    Kai Scherer

    Full Text Available Phase-contrast x-ray imaging is a promising improvement of conventional absorption-based mammography for early tumor detection. This potential has been demonstrated recently, utilizing structured gratings to obtain differential phase and dark-field scattering images. However, the inherently anisotropic imaging sensitivity of the proposed mono-directional approach yields only insufficient diagnostic information, and has low diagnostic sensitivity to highly oriented structures. To overcome these limitations, we present a two-directional x-ray phase-contrast mammography approach and demonstrate its advantages by applying it to a freshly dissected, cancerous mastectomy breast specimen. We illustrate that the two-directional scanning procedure overcomes the insufficient diagnostic value of a single scan, and reliably detects tumor structures, independently from their orientation within the breast. Our results indicate the indispensable diagnostic necessity and benefit of a multi-directional approach for x-ray phase-contrast mammography.

  17. Diagnostic Invasiveness and Psychosocial Consequences of False-Positive Mammography

    DEFF Research Database (Denmark)

    Heleno, Bruno M.; Siersma, Volkert Dirk; Brodersen, John

    2015-01-01

    of a cohort study of 454 womenwith abnormal screening mammography and 908 matched control women withnormal results. Using a condition-specific questionnaire (Consequences of Screening in Breast Cancer), we assessed 12 psychosocial consequences at 5 time points (0, 1, 6, 18, and 36 months after final diagnosis......) and compared the 2 groups of women with false-positives (invasive and noninvasive management groups). RESULTS: Among the 252 women with false-positive mammography eligible forthis study, psychosocial consequences were similar for those managed invasivelyand those managed noninvasively during the 36 months...... between those of women withnormal mammography and those of women determined to have breast cancer. CONCLUSIONS: We found no evidence that use of more invasive diagnosticswas associated with worse psychosocial consequences. It is therefore reasonableto pool subgroups of women with false...

  18. Does health status influence intention regarding screening mammography?

    International Nuclear Information System (INIS)

    We analyzed information surveyed from a community-based sample of Korean women older than 40 years of age to understand the relationships between health status and screening behavior. In a cross-sectional population-based study, a two-stage, geographically stratified household-based sampling design was used for assembly of a probability sample of women aged 40-69 years living in Gunpo in Korea, resulting in a total sample size of 503 women. The primary outcome variable for this analysis was the respondent's intention to obtain a mammogram. Predictor variables included health status and other factors known to influence the use of cancer screening, such as age, education, income, marital status and the presence of co-morbid illnesses. Health status was assessed by using the EuroQol (EQ-5D). The median EQ visual analogue scale score was 75.0, ranging from 20 to 100. In bivariate analyses, the percentage of women reporting to have intention toward mammography use decreased with worsening health status. Women who had problems with mobility or anxiety/depression showed lower intention to undergo future screening mammography. Multivariate logistic regression confirmed that health status was significantly associated with intention toward mammography use. Anxiety or depression was an independent predictor of future screening mammography use. Health status is significantly associated with intention regarding screening mammography use. Physicians or other health professionals should be aware that health status is an important component for health promotion, and should pay more attention to clients' possible vulnerability in screening mammography use due to their poor health status. (author)

  19. Individual doses for women undergoing screening mammography examinations in Poland in 2007

    International Nuclear Information System (INIS)

    Exposure doses to women undergoing screening mammography examinations should be kept as low as reasonably achievable, but they should ensure high enough image quality for adequate diagnosis. The aim of this study was to estimate the radiation risk according to the 'European guidelines for quality assurance in breast cancer screening and diagnosis', fourth edition (European Commission 2006). Materials for this study were obtained from data from 250 screening mammography facilities in Poland. For every mammography facility, a standard average glandular dose for routine exposure was calculated. Furthermore, average glandular doses for individual mammography examinations obtained according to the methods proposed by Dance et al (2000 Phys. Med. Biol. 45 3225–40) were calculated. The average glandular doses determined for 250 mammography facilities ranged from 0.12 to 14.56 mGy (the mean values ranged from 0.62 to 4.53 mGy). Only for 39 mammography facilities were all exposures found to be below the acceptable level for an average glandular dose, and for only 18 mammography facilities did no exposures exceed the achievable levels for an average glandular dose. Average glandular doses to women undergoing mammography screening attained unnecessary high values, and they were found to depend on the technical parameters of the mammography equipment and maintenance of mammography units by personnel in various mammography facilities.

  20. Soft Copy versus Hard Copy Reading in Digital Mammography

    OpenAIRE

    Obenauer, Silvia; Hermann, Klaus-Peter; Marten, Katharina; Luftner-Nagel, Susanne; von Heyden, Dorit; Skaane, Per; Grabbe, Eckhardt

    2003-01-01

    The objective of this study was to compare soft copy reading at a mammography work station with hard copy reading of full-field digital mammographic images. Mammograms of 60 patients (n = 29 malignant, n = 31 benign) performed with full-field digital mammography (Senographe 2000D, GE, Buc, France) were evaluated. Reading was performed based on hard copy prints (Scopix, Agfa, Leverkusen, Germany) and on 2 k × 2.5 k high-resolution monitors (Sun Ultra 60, Sun Microsystems, Palo Alto, California...

  1. Minimizing misclassification of hormone users at mammography screening

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Pedersen, Anette Tønnes; Schwartz, Walter;

    2009-01-01

    The aim of the study was to retrospectively determine the impact of comparing current mammograms with prior mammograms on risk of misclassification especially for hormone users. Data on mammography screening were retrieved for 1993-2005 from Fyn, Denmark. At first screen, two projections were made...... of HT. The study indicated that misclassification at screening mammography in current users of HT can be reduced considerably, when the screening mammograms are viewed with the mammograms taken 4 years earlier. It should be stressed that these results come from a single clinic, and replication in other...

  2. Overdiagnosis in organised mammography screening in Denmark. A comparative study

    DEFF Research Database (Denmark)

    Jørgensen, Karsten J; Zahl, Per-Henrik; Gøtzsche, Peter C

    2009-01-01

    BACKGROUND: Overdiagnosis in cancer screening is the detection of cancer lesions that would otherwise not have been detected. It is arguably the most important harm. We quantified overdiagnosis in the Danish mammography screening programme, which is uniquely suited for this purpose, as only 20......% of the Danish population has been offered organised mammography screening over a long time-period. METHODS: We collected incidence rates of carcinoma in situ and invasive breast cancer in areas with and without screening over 13 years with screening (1991-2003), and 20 years before its introduction (1971...

  3. Dosimetry in a torso phantom during a mammography

    International Nuclear Information System (INIS)

    Two dosimetric magnitudes, the absorbed dose and the kerma in air to the entrance of torso have been determined. These dosimetric magnitudes are due to the radiation that is dispersed in the mammary gland when the patient undergoes a mammography study. The kerma to the entrance of the torso and the absorbed dose by the torso was obtained in a phantom of paraffin and with thermoluminescent dosemeters of ZrO2. The dosemeters were placed on the surface of the torso phantom while the mammography was carried out. (author)

  4. Image quality and patient dose optimization in mammography in Romania

    International Nuclear Information System (INIS)

    Mammography for breast cancer detection is a major public health intervention. Experience shows that suitable performance can only be achieved through adherence to Quality Assurance (QA) guidelines. Since mammography is usually targeted to asymptotic women, the narrow balance between benefit and undesirable effects is dependent on programme quality. The work is part of a Co-ordinated Research Programme on Image quality and patient dose optimisation in Eastern European Countries of the International Atomic Energy Agency in Vienna, carried out during 1999 to 2001

  5. Uncertainty modeling for ontology-based mammography annotation with intelligent BI-RADS scoring.

    Science.gov (United States)

    Bulu, Hakan; Alpkocak, Adil; Balci, Pinar

    2013-05-01

    This paper presents an ontology-based annotation system and BI-RADS (Breast Imaging Reporting and Data System) score reasoning with Semantic Web technologies in mammography. The annotation system is based on the Mammography Annotation Ontology (MAO) where the BI-RADS score reasoning works. However, ontologies are based on crisp logic and they cannot handle uncertainty. Consequently, we propose a Bayesian-based approach to model uncertainty in mammography ontology and make reasoning possible using BI-RADS scores with SQWRL (Semantic Query-enhanced Web Rule Language). First, we give general information about our system and present details of mammography annotation ontology, its main concepts and relationships. Then, we express uncertainty in mammography and present approaches to handle uncertainty issues. System is evaluated with a manually annotated dataset DEMS (Dokuz Eylul University Mammography Set) and DDSM (Digital Database for Screening Mammography). We give the result of experimentations in terms of accuracy, sensitivity, precision and uncertainty level measures.

  6. Massachusetts Charter Public Schools: Best Practices in Curricular Innovation. White Paper No. 141

    Science.gov (United States)

    Candal, Cara Stillings

    2016-01-01

    The ongoing push to raise or eliminate the charter school cap in Massachusetts provides an opportunity to reflect upon the purpose of charter schools. When the legislature created the Commonwealth's charter school law, as a part of the 1993 Massachusetts Education Reform Act (MERA), it clearly stated a main reason for these new schools was…

  7. A tale of two charters : Political crisis, political realignment and administrative reform in Belgium

    NARCIS (Netherlands)

    S.G.J. Van de Walle (Steven); N. Thijs (Nick); G. Bouckaert (Geert)

    2005-01-01

    markdownabstractCharters are official commitments to quality and reform. Belgium introduced its Charter of the User of Public Services in 1993. The federal administration’s Copernicus reform began in 1999 and had a strong external outlook. It therefore may be considered as a second User Charter. In

  8. Cyber Charter Schools: Evolution, Issues, and Opportunities in Funding and Localized Oversight

    Science.gov (United States)

    Ellis, Kathleen

    2008-01-01

    Cyber schools, also known as virtual schools, are noteworthy charter school developments that provide viable options for education. Charter schools in general and cyber charter schools in particular are not "revenue neutral" to local school districts. Nationwide, hundreds of millions of dollars allocated for education are being routed into charter…

  9. Special Education in American Charter Schools: State Level Policy, Practices, and Tensions.

    Science.gov (United States)

    Rhim, Lauren Morando; McLaughlin, Margaret J.

    2001-01-01

    States Project SEARCH, a three year qualitative study of special education in U.S. charter schools, revealed a fundamental gap between the individualized, autonomous nature of charter schools and regulated nature of special education. Notes this is complicated by some charter schools' inability to amass fiscal/human capacity to meet individual…

  10. Achievement and Attainment in Chicago Charter Schools: A Summary. Research Brief

    Science.gov (United States)

    Booker, Kevin; Gill, Brian; Zimmer, Ron; Sass, Tim R.

    2008-01-01

    Chicago's "multi-grade" charter high schools (those that include middle school grades) appear to be increasing students' rates of graduation and college entry. The overall performance of Chicago's charter schools in raising student test scores is approximately on par with that of traditional public schools in Chicago. Charter schools in Chicago…

  11. 12 CFR 614.4080 - Loans and chartered territory-banks for cooperatives.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Loans and chartered territory-banks for cooperatives. 614.4080 Section 614.4080 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM LOAN POLICIES AND OPERATIONS Chartered Territories § 614.4080 Loans and chartered territory—banks...

  12. 12 CFR 747.403 - Notice of intent to suspend or revoke charter; notice of suspension.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Notice of intent to suspend or revoke charter... to suspend or revoke charter; notice of suspension. (a) Upon its determination that one or more of... a notice of intent to suspend or revoke charter and of intent to place into involuntary...

  13. The Influence of Finance and Accountability Policies on Location of New York State Charter Schools

    Science.gov (United States)

    Bifulco, Robert; Buerger, Christian

    2015-01-01

    This article identifies a set of location incentives created by New York's charter school financing and accountability provisions. We then use regression models to examine the location of charter schools across and within districts. We find that charter schools (1) are significantly more likely to locate in districts with high operating expenses…

  14. Music Programs in Charter and Traditional Schools: A Comparative Study of Chicago Elementary Schools

    Science.gov (United States)

    Kelley, Jamey; Demorest, Steven M.

    2016-01-01

    Since the arrival of the first charter school in Minnesota in 1991, charter schools have become one of the largest movements in educational reform. In recent years, research has emerged that has compared the effectiveness of charter schools with their traditional school counterparts. The purpose of this study was to compare the extent of music…

  15. 75 FR 80045 - Federal Advisory Committee Act; Board of Advisors Charter Renewal

    Science.gov (United States)

    2010-12-21

    ... COMMISSION Federal Advisory Committee Act; Board of Advisors Charter Renewal AGENCY: Election Assistance Commission. ACTION: Notice of Charter Renewal. SUMMARY: In accordance with the Federal Advisory Committee Act... (EAC) has renewed the charter for the Board of Advisors for a two-year period through December 14,...

  16. 77 FR 19012 - Environmental Financial Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2012-03-29

    ... AGENCY Environmental Financial Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of Charter renewal. The Charter for the Environmental Protection Agency's Environmental Financial Advisory Board (EFAB) will be renewed for an additional two- year period, as a...

  17. 78 FR 53426 - United States Travel and Tourism Advisory Board Charter Renewal

    Science.gov (United States)

    2013-08-29

    ... International Trade Administration United States Travel and Tourism Advisory Board Charter Renewal AGENCY... Services Administration, renewed the Charter for the United States Travel and Tourism Advisory Board on August 19, 2013. DATES: The Charter for the United States Travel and Tourism Advisory Board was...

  18. 76 FR 19708 - Pacific Halibut Fisheries; Limited Access for Guided Sport Charter Vessels in Alaska

    Science.gov (United States)

    2011-04-08

    ... access program, all vessel operators in Area 2C and Area 3A with charter vessel anglers on board catching and retaining halibut must have a valid charter halibut permit that was issued by NMFS on board the vessel. This interpretation clarifies that a valid charter halibut permit must be on board a vessel...

  19. 77 FR 75606 - Renewal of the Plant Variety Protection Board Charter

    Science.gov (United States)

    2012-12-21

    ... Agricultural Marketing Service Renewal of the Plant Variety Protection Board Charter AGENCY: Agricultural... Plant Variety Protection Board (PVP Board) Charter. FOR FURTHER INFORMATION CONTACT: Paul Zankowski... Board Charter is necessary and in the public interest. The PVPA provides that ``the Board shall...

  20. An Institutional Theory Analysis of Charter Schools: Addressing Institutional Challenges to Scale

    Science.gov (United States)

    Huerta, Luis A.; Zuckerman, Andrew

    2009-01-01

    This article presents a conceptual framework derived from institutional theory in sociology that offers two competing policy contexts in which charter schools operate--a bureaucratic frame versus a decentralized frame. An analysis of evolving charter school types based on three underlying theories of action is considered. As charter school leaders…

  1. 14 CFR 212.5 - Operation of affinity (pro rata) charters.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Operation of affinity (pro rata) charters. 212.5 Section 212.5 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION... Operation of affinity (pro rata) charters. An affinity (pro rata) charter operated by a certificated...

  2. 7 CFR 25.502 - Nominations by State-chartered economic development corporations.

    Science.gov (United States)

    2010-01-01

    ... AND ENTERPRISE COMMUNITIES Special Rules § 25.502 Nominations by State-chartered economic development corporations. Any rural area nominated by an economic development corporation chartered by a State and... 7 Agriculture 1 2010-01-01 2010-01-01 false Nominations by State-chartered economic...

  3. Survey of breast cancer screening by mammography. Results of a questionnaire sent to local self-governing bodies

    International Nuclear Information System (INIS)

    In order to grasp the current status of breast cancer screening in Japan, a questionnaire was distributed to all local self-governing bodies (LSGB). The results indicated that breast cancer screening with mammography was performed by 97.9% of LSGB. Breast cancer screening was started for women aged less than 40 years at 11.9% of the LSGB, and from 40 years of age at 86.8%. Breast cancer screening for women aged 30-39 years was performed at 51.2% of the LSGB. The proportions of studies involving palpation, mammography, and ultrasonography (US) were 34.0%, 24.5%, and 41.6%, respectively. The coverage of screening invitations between April 2006 and March 2007 was grasped at 94.7% of LSGB. At 23.2%, the coverage was less than 10%, and at 33.8% was 10-19.9%. At 7.1%, the coverage was 50% or more. The national average for coverage was 10%, and was especially low in large cities. The recall rate for LSBG between April 2006 and March 2007 was 85.2%. At 22.4% of the LSBG, recall rates were less than 5%, and at 15.6% the recall rates were 50% or more. Screening mammography for women aged 30-39 years needs to be examined in the future. When recall rates exceed 20%, it is necessary to re-examine the accuracy management of breast cancer screening. (author)

  4. Film-Screen Mammography versus digital storage plate mammography: Hard copy and monitor display of microcalcifications and focal findings - A retrospective clinical and histologic analysis

    International Nuclear Information System (INIS)

    Purpose: A retrospective clinical-histological study to determine the diagnostic accuracy of mammography using conventional screen-film cassettes (hard copy), high-resolution digital phosphor storage plates (hard copy) and monitor display (soft copy) for microcalcifications and focal lesions (BI-RADSTM category 4 or 5). Materials and methods: From April to November 2001, 76 patients underwent conventional film-screen mammography and, after diagnosis and preoperative wire localization, digital mammography with the same exposure parameters. Five investigators retrospectively determined the diagnosis after the operation from randomly distributed mediolateral views (hard-copy reading) and from the monitor display (soft-copy reading). These results were correlated with the final histology. Results: The accuracy of conventional screen-film mammography, digital mammography and monitor-displayed mammography was 67%, 65% and 68% for all findings, (n = 76), 59%, 59% and 68% for microcalcifications (n = 44) and 75%, 72% and 63% for focal lesions (n = 32). The overall results showed no difference. Conclusions: Our findings indicate equivalence of conventional screen-film mammography, high-resolution digital phosphor storage plate mammography and monitor-displayed mammography. (orig.)

  5. News media coverage of a women's health contraversy: how newspapers and TV outlets covered a recent debate over screening mammography.

    Science.gov (United States)

    Steele, Whitney Randolph; Mebane, Felicia; Viswanath, K; Solomon, Janice

    2005-01-01

    Over the past decade, there have been several highly visible debates about mammography that have captured professional, public and media attention. This paper looks at newspaper and television news coverage of a controversial research letter in The Lancet by Gøtzsche and Olsen (2001) that concluded that screening mammography did not prevent deaths from breast cancer. The news pieces examined for this project were published between October 2001 and March 2002 in one of eight U.S. newspapers or aired on one of six national or cable news networks. The six-month period was divided into one-week segments; the numbers of articles published or stories aired in each week were graphed to examine patterns. Each newspaper article and television transcript was then reviewed to identify its main content area and the amount of coverage for each major event was quantified. The highest number of newspaper articles appeared to result from several events during the end of January through the beginning of February. These events included the publication of another meta-analysis of mammography that disputed the original letter's conclusion and a full-page New York Times advertisement paid for by major medical organizations stating their continued support for mammography. The greatest amount of television news coverage was devoted to the announcement of the official federal guidelines by the Secretary of Health and Human Services in late February. We conclude by discussing how the flow of news coverage of medical controversies can potentially impact the actions and reactions of the public, the medical community and health policy makers. PMID:15970577

  6. The accuracy of digital breast tomosynthesis compared with coned compression magnification mammography in the assessment of abnormalities found on mammography

    International Nuclear Information System (INIS)

    Aim: To compare the diagnostic accuracy of the digital breast tomosynthesis (DBT) with coned compression magnification mammography (CCMM). Materials and methods: The study design included two reading sessions completed by seven experienced radiologists. In the first session, all readers read bilateral standard two-view mammograms and a CCMM view of the lesion before giving a combined score for assessment. In the second session, readers read bilateral standard two-view mammograms plus one-view DBT. The two reading sessions of the experiment were separated by at least 2 weeks to reduce the chance of reader memory of the images read in the previous session from influencing the performance in the subsequent session. Results: Three hundred and fifty-four lesions were assessed and receiver-operative characteristic (ROC) analysis was used to evaluate the difference between the two modes. For standard two-view mammography plus CCMM, the area under the curve (AUC) was 0.87 [95% confidence interval (CI): 0.83–0.91] and for standard two-view mammography plus DBT the AUC was 0.93 (95% CI: 0.91–0.95). The difference between the AUCs was 0.06 with p-value of 0.0014. Conclusion: Two-view mammography with one-view DBT showed significantly improved accuracy compared to two-view mammography and CCMM in the assessment of mammographic abnormalities. These results show that DBT can be used effectively in the further evaluation of mammographic abnormalities found at screening and in symptomatic diagnostic practice. - Highlights: • Diagnostic accuracy of magnification mammography and digital breast tomosynthesis. • There is statistical difference between CCMM and DBT. • DBT has a role in evaluating mammographic abnormalities

  7. Toward a post-Charter health promotion.

    Science.gov (United States)

    Labonté, Ronald

    2011-12-01

    The past 25 years have seen enormous shifts in the environmental, political, economic and social landscapes that condition people's abilities to be healthy. Climate change is now a reality. China, India, Brazil and other 'developing' countries are emerging as new axes of political and economic power. Global capitalism has become increasingly predatory and crisis ridden, a result of unregulated and irresponsible greed of unimaginable scale. The elite response has been the increased erosion of the health and other social protection policies of redistribution that characterized the first-world run-up to the Ottawa Charter. These new realities challenge health promoters in ways unforeseen a quarter century ago. It is imperative that local determinants of health, to which health promoters give their attention, be traced to broader, even global levels of determinants. Support for groups acting at these levels should become a fundamental practice tenet. So, too, should advocacy for the social state, in which progressive taxation and hefty social investment blunt the health inequalities created by unfettered markets. As environmental and economic insecurities and inequalities increase in many of the world's countries, so does the risk of xenophobia and conflict. The roots of racism are complex; but weeding them out becomes another health promotion practice of the new millennium. There are some hopeful signs of health promoting political change, much of it emanating now from countries in the global South; but the threat of a return to health behaviourism in the face of the new global pandemic of chronic disease is real and must be confronted.

  8. Toward a post-Charter health promotion.

    Science.gov (United States)

    Labonté, Ronald

    2011-12-01

    The past 25 years have seen enormous shifts in the environmental, political, economic and social landscapes that condition people's abilities to be healthy. Climate change is now a reality. China, India, Brazil and other 'developing' countries are emerging as new axes of political and economic power. Global capitalism has become increasingly predatory and crisis ridden, a result of unregulated and irresponsible greed of unimaginable scale. The elite response has been the increased erosion of the health and other social protection policies of redistribution that characterized the first-world run-up to the Ottawa Charter. These new realities challenge health promoters in ways unforeseen a quarter century ago. It is imperative that local determinants of health, to which health promoters give their attention, be traced to broader, even global levels of determinants. Support for groups acting at these levels should become a fundamental practice tenet. So, too, should advocacy for the social state, in which progressive taxation and hefty social investment blunt the health inequalities created by unfettered markets. As environmental and economic insecurities and inequalities increase in many of the world's countries, so does the risk of xenophobia and conflict. The roots of racism are complex; but weeding them out becomes another health promotion practice of the new millennium. There are some hopeful signs of health promoting political change, much of it emanating now from countries in the global South; but the threat of a return to health behaviourism in the face of the new global pandemic of chronic disease is real and must be confronted. PMID:22080072

  9. 76 FR 66845 - United Nations Day, 2011

    Science.gov (United States)

    2011-10-27

    ... October 27, 2011 Part IV The President Proclamation 8740--United Nations Day, 2011 #0; #0; #0... Nations Day, 2011 By the President of the United States of America A Proclamation In 1945, 51 nations in a world shaken by war signed the Charter of the United Nations. Determined to move beyond an era...

  10. Bavarian mammography recertification program: experiences with a workstation prototype for softcopy reading

    Science.gov (United States)

    Riesmeier, Jorg; Eichelberg, Marco; Kieschke, Joachim; Hellemann, Hans-Peter; Gruschka-Hellemann, Birgit; Sokiranski, Roman; Munte, Axel; Thoben, Wilfried; Jensch, Peter F.

    2003-05-01

    In January 2002, the Bavarian Statutory Health Care Administration ("Kassenarztliche Vereinigung Bayerns", KVB) started a recertification programme for quality assurance and quality improvement in mammography reading. All accredited radiologists and gynaecologists are asked to prove their qualification every 1-2 years. The recertification programme requires the physicians to read 50 cases randomly selected from a larger collection of high-quality test cases. The portion of malignant and benign cases corresponds to the requirements of the German National Association of Statutory Health Insurance Physicians ("Kassenarztliche Bundesvereinigung", KBV). In order to read the mammograms on a softcopy device the images are digitised with a high-quality scanner and converted to DICOM Digital Mammography format. The workstation software has been implemented according to the particular requirements of this programme. To verify the applicability of digitised mammograms for recertification purposes, a comparative study with 32 trained radiologists and gynaecologists has been performed. As a result the study showed that there was no significant difference in the error rate of the reported findings between conventional film and softcopy reading. The first intermediate results of this quality initiative are promising. The introduction of a corresponding federal German recertification programme is intended.

  11. Eight years of quality control in Bulgaria: impact on mammography practice

    International Nuclear Information System (INIS)

    The requirements for quality control (QC) in diagnostic radiology were introduced in Bulgarian legislation in 2005. Hospital medical physicists and several private medical physics groups provide QC services to radiology departments. The aim of this study was to analyse data from QC tests in mammography and to investigate the impact of QC introduction on mammography practice in the country. The study was coordinated by the National Centre of Radiobiology and Radiation Protection. All medical physics services were requested to fill in standardised forms with information about most important parameters routinely measured during QC. All QC service providers responded. Results demonstrated significant improvement of practice since the introduction of QC, with reduction of established deviations from 65 % during the first year to 7 % in the last year. The systems that do not meet the acceptability criteria were suspended from use. Performance of automatic exposure control and digital detectors are not regularly tested because of the absence of requirements in the legislation. The need of updated guidance and training of medical physicists to reflect the change in technology was demonstrated. (authors)

  12. The Efficacy of Mammography Boot Camp to Improve the Performance of Radiologists

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eun Hye [Dept. of Radiology, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon (Korea, Republic of); Jun, Jae Kwan [National Cancer Control Institute, National Cancer Center, Goyang (Korea, Republic of); Jung, Seung Eun [Dept. of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of); Kim, You Me [Dept. of Radiology, Dankook University Hospital, Cheonan (Korea, Republic of); Choi, Nami [Dept. of Radiology, Konkuk University Medical Center, Seoul (Korea, Republic of)

    2014-10-15

    To evaluate the efficacy of a mammography boot camp (MBC) to improve radiologists' performance in interpreting mammograms in the National Cancer Screening Program (NCSP) in Korea. Between January and July of 2013, 141 radiologists were invited to a 3-day educational program composed of lectures and group practice readings using 250 digital mammography cases. The radiologists' performance in interpreting mammograms were evaluated using a pre- and post-camp test set of 25 cases validated prior to the camp by experienced breast radiologists. Factors affecting the radiologists' performance, including age, type of attending institution, and type of test set cases, were analyzed. The average scores of the pre- and post-camp tests were 56.0 ± 12.2 and 78.3 ± 9.2, respectively (p < 0.001). The post-camp test scores were higher than the pre-camp test scores for all age groups and all types of attending institutions (p < 0.001). The rate of incorrect answers in the post-camp test decreased compared to the pre-camp test for all suspicious cases, but not for negative cases (p > 0.05). The MBC improves radiologists' performance in interpreting mammograms irrespective of age and type of attending institution. Improved interpretation is observed for suspicious cases, but not for negative cases.

  13. Eight years of quality control in Bulgaria: impact on mammography practice.

    Science.gov (United States)

    Avramova-Cholakova, S; Lilkov, G; Kaneva, M; Terziev, K; Nakov, I; Mutkurov, N; Kovacheva, D; Ivanova, M; Vasilev, D

    2015-07-01

    The requirements for quality control (QC) in diagnostic radiology were introduced in Bulgarian legislation in 2005. Hospital medical physicists and several private medical physics groups provide QC services to radiology departments. The aim of this study was to analyse data from QC tests in mammography and to investigate the impact of QC introduction on mammography practice in the country. The study was coordinated by the National Centre of Radiobiology and Radiation Protection. All medical physics services were requested to fill in standardised forms with information about most important parameters routinely measured during QC. All QC service providers responded. Results demonstrated significant improvement of practice since the introduction of QC, with reduction of established deviations from 65 % during the first year to 7 % in the last year. The systems that do not meet the acceptability criteria were suspended from use. Performance of automatic exposure control and digital detectors are not regularly tested because of the absence of requirements in the legislation. The need of updated guidance and training of medical physicists to reflect the change in technology was demonstrated.

  14. Image Quality in Screening Mammography in Croatia

    International Nuclear Information System (INIS)

    Mortality reduction through screening mammography (SMG) is possible only with examination of high image quality (IQ), which should be performed with acceptable patient breast radiation dose (BRD). Besides film processing control, equipment assessment with breast phantom and dosimetry, periodical external mammographic IQ assessment (MIQA) is needed, including image labelling (L), breast positioning (BP), exposure (EX) and artefacts (AR) assessment. The nationwide breast cancer screening program (NBSP) has been introduced in Croatia in 2006, and the MIQA is initiated as the first step in establishing quality assurance/quality control (QA/QC) framework in breast imaging in Croatia. The current study was aimed: (1) to provide objective evidence about the technical MIQ in NBSP in Croatia, (2) to compare MIQ between different types of mammographic units (MUs), (3) to identify the common deficiencies, and (4) to propose corrective activities. Mammograms (MGs) for IQA were collected from a total of 84 MUs which participate in NBSP, which represents 70 % of all MUs nationwide: A total of 420 MG examinations were reviewed. Each MU was requested to submit ''what they consider to be their five best representative MGs, each one performed in one of five consecutive workdays''. Mean age of MG machines was 7.76 years (range 2 - 21), with no difference between four MU types. This very first study of MIQ in Croatia corroborated our intuitive impression of inadequate IQ, staff training and equipment in many MUs nationwide. As MIQ strongly influences BC detection rate, suboptimal QA/QC always carries a risk to compromise the success of NBSP. Deficiencies in SMG, especially in ID and BP reflect different level of competency of radiological staff in Croatia. Differences in MIQ in various MU types are determined by their organization, equipment, education, working habits and motivation. More efforts are needed to train both RTs and radiologists to implement and maintain QA/QC in their

  15. Microcalcifications in mammographies. Identification - description - diagnostic evaluation; Mikrokalk in der Mammographie. Erkennen - Beschreiben - Beurteilen

    Energy Technology Data Exchange (ETDEWEB)

    Mueller-Schimpfle, M. [Staedtische Kliniken Frankfurt/M-Hoechst (Germany). Radiologisches Zentralinstitut; Wersebe, A.; Fischmann, A.; Siegmann, K. [Universitaetsklinikum Tuebingen (Germany). Abt. Radiologische Diagnostik

    2002-12-01

    The most significant single parameter for a diagnostic evaluation of microcalcifications in mammographies is the morphology of single calcifications, as the morphology reveals the distinct features that permit to differentiate between benign and malignant lesions. As regards indifferent, clustered microcalcifications, the shapes and patterns formed in the process of clustering are another essential parameter for radiographic validation. The contribution explains the diagnostic evaluation and classification of the lesions based on the BI-RADS criteria, and the proposed disease management. (orig./CB) [German] Wichtigster Einzelparameter fuer die Beurteilung von Mikroverkalkungen in der Mammographie ist die Morphologie des Einzelkalks, wodurch sich typisch benigne und typisch maligne Laesionen unterscheiden lassen. Insbesondere fuer indifferente Mikrokalkgruppen ist die Gruppenform ein wesentlicher Zusatzparameter, mit dem weiterfuehrende Aussagen zur Malignomwahrscheinlichkeit erzielt werden koennen. Die Kombination von Einzelkalkform und Gruppenform (Mikrokalk-Matrix-System) verbessert die nachvollziehbare Zuordnung von Malignomwahrscheinlichkeiten, wie sie in den BI-RADS-Kategorien wiedergegeben wird. So sollten punktfoermige und kleingranulaere Einzelverkalkungen mit diffuser oder rundlich/ovaler Gruppenform der wahrscheinlich benignen Kategorie zugeordnet werden, waehrend sie bei regionaler oder segmentaler Anordnung bereits eine positive Biopsierate zwischen 20 und 30% aufweisen (BI-RADS 4). Bei linearer Anordnung sollte ein dringender Malignomverdacht geaeussert werden, da hier die Malignomwahrscheinlichkeit auf ueber 70% ansteigt. Notwendige Zusatzuntersuchung fuer Mikrokalk der Kategorien BI-RADS 3-5 ist die Kompressionsvergroesserungsaufnahme. Ultraschall und MRT dienen zum Nachweis oder Ausschluss von weiteren oder assoziierten Laesionen. Das typische Management von Mikrokalk der Kategorie BI-RADS 3 besteht in systematischen Kontrollen, von Mikrokalk der

  16. Comparative study in patients with microcalcifications: full-field digital mammography vs screen-film mammography

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, U.; Baum, F.; Obenauer, S.; Luftner-Nagel, S.; Heyden, D. von; Vosshenrich, R.; Grabbe, E. [Department of Radiology, Georg-August-University of Goettingen, Robert-Koch-Strasse 40, 37075 Goettingen (Germany)

    2002-11-01

    The goal of this prospective study was to compare a full-field digital mammography system (FFDM) to a conventional screen-film mammography system (SFM) for the detection and characterization of microcalcifications. Fifty-five patients with 57 isolated microcalcification clusters were examined using a FFDM system (Senographe 2000D, GE Medical Systems, Milwaukee, Wis.) and a SFM system (Senographe DMR, GE Medical Systems, Milwaukee, Wis.). A conventional screen-film mammogram and a digital contact mammogram were obtained of each cluster. The image quality and the number of calcification particles were evaluated, and a characterization (BI-RADS 1-5) of microcalcifications was given by four experienced readers. Histopathology revealed 16 benign lesions (sclerosing adenosis, dysplasia, hamartoma, radial scar) in 15 patients and 21 malignant tumors (in situ carcinoma, invasive carcinoma) in 20 patients. Twenty patients had benign changes verified by long-term follow-up. Image quality of FFDM was assessed as superior to SFM in more than 50% of the cases. The FFDM showed more calcifications in 41% of all cases. Sensitivity and specificity for FFDM vs SFM were 95.2 vs 91.9% and 41.4 vs 39.3%, respectively. Moreover, FFDM demonstrated a higher diagnostic accuracy (deviation: 0.86 BI-RADS steps) compared with FSM (deviation 0.93 BI-RADS steps). The FFDM system with a 100-{mu}m pixel size provides better image quality than SFM in patients with mammographic microcalcifications. The FFDM has a higher sensitivity and a higher reliability in characterizing microcalcifications. (orig.)

  17. Comparative study in patients with microcalcifications: full-field digital mammography vs screen-film mammography

    International Nuclear Information System (INIS)

    The goal of this prospective study was to compare a full-field digital mammography system (FFDM) to a conventional screen-film mammography system (SFM) for the detection and characterization of microcalcifications. Fifty-five patients with 57 isolated microcalcification clusters were examined using a FFDM system (Senographe 2000D, GE Medical Systems, Milwaukee, Wis.) and a SFM system (Senographe DMR, GE Medical Systems, Milwaukee, Wis.). A conventional screen-film mammogram and a digital contact mammogram were obtained of each cluster. The image quality and the number of calcification particles were evaluated, and a characterization (BI-RADS 1-5) of microcalcifications was given by four experienced readers. Histopathology revealed 16 benign lesions (sclerosing adenosis, dysplasia, hamartoma, radial scar) in 15 patients and 21 malignant tumors (in situ carcinoma, invasive carcinoma) in 20 patients. Twenty patients had benign changes verified by long-term follow-up. Image quality of FFDM was assessed as superior to SFM in more than 50% of the cases. The FFDM showed more calcifications in 41% of all cases. Sensitivity and specificity for FFDM vs SFM were 95.2 vs 91.9% and 41.4 vs 39.3%, respectively. Moreover, FFDM demonstrated a higher diagnostic accuracy (deviation: 0.86 BI-RADS steps) compared with FSM (deviation 0.93 BI-RADS steps). The FFDM system with a 100-μm pixel size provides better image quality than SFM in patients with mammographic microcalcifications. The FFDM has a higher sensitivity and a higher reliability in characterizing microcalcifications. (orig.)

  18. Usefulness of mammography of mastectomy site for breast cancer

    Energy Technology Data Exchange (ETDEWEB)

    Son, Eun Ju; Kim, Eun Kyung; Oh, Ki Keun; Huh, Yong Min; Lee, Kyong Sik; Lee, Hye Jin [Yonsei Univ. College of Medicine, Seoul (Korea, Republic of)

    1998-08-01

    To evaluate the usefulness of routine mammography in the detection of local recurrence of breast cancer after mastectomy. Materials and Methods : The clinical and mammographic records of 45 patients who underwent modified mastectomy due to breast cancer were prospectively reviewed. The methods of mastectomy were Auchincloss (n=36), Patey (n=8) and simple resection (n=1). Results : Among the 45 patients, five palpable lesions were detected on physical examination: two of the five were confirmed as tumor recurrence; on mammography, a nodule with microcalcifications and low-density lesion was seen, but the other three were benign. In 40 patients the results of palpation were negative and during follow-up (mean, 10.9 months ) no newly developed lesions were seen. On mammography, ten of 45(22.2%) patients showed abnormalities, namely local skin thickening(n=4,40%),increased density in subcutaneous tissue(n=2,20%), nodules(n=2,20%), benign calcification(n=1,10%) and focal low-density lesion(n=1,10%), but only one case with a nodule was confirmed to be recurrence. Conclusion : Routine mammography of a mastectomy site was not useful for the differentiation of palpable lesions.

  19. Study of signal-to-noise ratio in digital mammography

    Science.gov (United States)

    Kato, Yuri; Fujita, Naotoshi; Kodera, Yoshie

    2009-02-01

    Mammography techniques have recently advanced from those using analog systems (the screen-film system) to those using digital systems; for example, computed radiography (CR) and flat-panel detectors (FPDs) are nowadays used in mammography. Further, phase contrast mammography (PCM)-a digital technique by which images with a magnification of 1.75× can be obtained-is now available in the market. We studied the effect of the air gap in PCM and evaluated the effectiveness of an antiscatter x-ray grid in conventional mammography (CM) by measuring the scatter fraction ratio (SFR) and relative signal-to-noise ratio (rSNR) and comparing them between PCM and the digital CM. The results indicated that the SFRs for the CM images obtained with a grid were the lowest and that these ratios were almost the same as those for the PCM images. In contrast, the rSNRs for the PCM images were the highest, which means that the scattering of x-rays was sufficiently reduced by the air gap without the loss of primary x-rays.

  20. Mammography and scintimammography in diagnosis of breast cancer

    International Nuclear Information System (INIS)

    The goal of this study was to assess the value of scintimammography with 99mTc-MIBI, MDP, DMSA(V) and double-phase imaging in detecting breast cancer. Methods: A total of 66 women were evaluated by palpation, mammography, scintimammography. Thirty-two patients were scintimammography with 99mTc-MIBI or MDP. Thirty-four patients were taken double-phase scintimammography with 99mTc-MIBI or 99mTc-DMSA(V). Results: Mammography had an overall sensitivity of 88% and a specificity of 78.95%. Twenty-two patients were considered indeterminate. Scintimammography with 99mTc-MIBI, sensitivity and specificity were 74.29% ?86.96% , respectively . Sensitivity and specificity of 99mTc-MDP were 69.23% and 71.43%, but its imaging background was higher than 99mTc-MIBI. 99mTc-DMSA(V) had low sensitivity and specificity in detecting breast cancer. There is no significant different result between double-phase scintimammography and early phase imaging. Conclusion: 99mTc-MIBI scintimammography is a valuable complementary tool in breast lesions. 99mTc-MIBI is the most suitable to be a tracer among 99mTc-MIBI,MDP and DMSA(V) to a non diagnostic or difficult mammography. Double-phase scintimammography had a limit value in detecting breast cancer compare early phase scintimammography. Scintimammography is more useful to those patients whose mammography are indeterminate

  1. Entrance surface dose measurements in mammography using thermoluminescence technique

    International Nuclear Information System (INIS)

    Full text: Of the various techniques that can be used for personnel dosimetry, thermoluminescence dosimetry (TLD) has emerged as a superior technique due to its manifold advantages over other methods of dose estimation. Various phosphors have been therefore investigated regarding their suitability for dosimetry. In this paper, a dosimetry system based on thermally stimulated luminescence (TSL) from zirconium oxide phosphors embedded in polytetrafluorethylene (ZrO2+PTFE) was developed for entrance surface doses (ES) measurements in mammography. Small ZrO2 pellets of 5 mm in diameter and 0.8 mm in thickness were used. The reproducibility of measurements and linearity of ZrO2 were also studied. The results were compared with those obtained from LiF:Mg,Cu,P usually used for the determination of absorbed dose in mammography. Measurements both per unit air kerma and In vivo were performed using a mammography unit model DMR (General Electric). The results showed that ZrO2 TLDs can be used for the same X-ray dosimetry applications as LiF:Mg,Cu,P, with each type having the disadvantage of a response dependent on energy, particularly at low energies. These results indicate a considerable potential for use in routine control and In vivo ES measurements in mammography. (Author)

  2. Technical and dosimetric aspects of quality control in mammography

    International Nuclear Information System (INIS)

    Mammography is an effective method for early detection of breast cancer. Before screening programmes using mammography are implemented, a risk (financial cost)/benefit analysis has to be made and a quality-control programme for the technical and dosimetric aspects has to be adopted. This should include daily checks on the film processing and the total mammography procedure. The installation of a mAs meter is essential for daily checks and can be used for determination of the absorbed dose. Accurate determination of the tube voltage is essential with regard to absorbed dose variations. The focal spot size should be measured rather than relying on the value specified by the manufacturer. The determination of the focal charge (mAs) value for actual radiographs of female breasts combined with a measurement of the compressed breast thickness provides information on the absorbed dose values for actual radiographs. An approximately 50 mm thick poly(methyl methacrylate) phantom can be used for determination of absorbed dose in mammography. (author)

  3. Issues to Consider in Converting to Digital Mammography

    Science.gov (United States)

    Pisano, Etta D.; Zuley, Margarita; Baum, Janet K.; Marques, Helga S.

    2007-01-01

    This paper will outline the reasons that many radiology practices are converting to digital mammography. In addition, we will provide basic information on the issues that must be considered in making the transformation. These include technical matters regarding image display, storage and retrieval, as well as clinical and ergonomic considerations. PMID:17888771

  4. What is the point: will screening mammography save my life?

    Directory of Open Access Journals (Sweden)

    Keen James E

    2009-04-01

    Full Text Available Abstract Background We analyzed the claim "mammography saves lives" by calculating the life-saving absolute benefit of screening mammography in reducing breast cancer mortality in women ages 40 to 65. Methods To calculate the absolute benefit, we first estimated the screen-free absolute death risk from breast cancer by adjusting the Surveillance, Epidemiology and End Results Program 15-year cumulative breast cancer mortality to account for the separate effects of screening mammography and improved therapy. We calculated the absolute risk reduction (reduction in absolute death risk, the number needed to screen assuming repeated screening, and the survival percentages without and with screening. We varied the relative risk reduction from 10%–30% based on the randomized trials of screening mammography. We developed additional variations of the absolute risk reduction for a screening intervention, including the average benefit of a single screen, as well as the life-saving proportion among patients with earlier cancer detection. Results Because the screen-free absolute death risk is approximately 1% overall but rises with age, the relative risk reduction from repeated screening mammography is about 100 times the absolute risk reduction between the starting ages of 50 and 60. Assuming a base case 20% relative risk reduction, repeated screening starting at age 50 saves about 1.8 (overall range, 0.9–2.7 lives over 15 years for every 1000 women screened. The number needed to screen repeatedly is 1000/1.8, or 570. The survival percentage is 99.12% without and 99.29% with screening. The average benefit of a single screening mammogram is 0.034%, or 2970 women must be screened once to save one life. Mammography saves 4.3% of screen-detectable cancer patients' lives starting at age 50. This means 23 cancers must be found starting at age 50, or 27 cancers at age 40 and 21 cancers at age 65, to save one life. Conclusion The life-saving absolute benefit of

  5. Postmortem validation of breast density using dual-energy mammography

    International Nuclear Information System (INIS)

    Purpose: Mammographic density has been shown to be an indicator of breast cancer risk and also reduces the sensitivity of screening mammography. Currently, there is no accepted standard for measuring breast density. Dual energy mammography has been proposed as a technique for accurate measurement of breast density. The purpose of this study is to validate its accuracy in postmortem breasts and compare it with other existing techniques. Methods: Forty postmortem breasts were imaged using a dual energy mammography system. Glandular and adipose equivalent phantoms of uniform thickness were used to calibrate a dual energy basis decomposition algorithm. Dual energy decomposition was applied after scatter correction to calculate breast density. Breast density was also estimated using radiologist reader assessment, standard histogram thresholding and a fuzzy C-mean algorithm. Chemical analysis was used as the reference standard to assess the accuracy of different techniques to measure breast composition. Results: Breast density measurements using radiologist reader assessment, standard histogram thresholding, fuzzy C-mean algorithm, and dual energy were in good agreement with the measured fibroglandular volume fraction using chemical analysis. The standard error estimates using radiologist reader assessment, standard histogram thresholding, fuzzy C-mean, and dual energy were 9.9%, 8.6%, 7.2%, and 4.7%, respectively. Conclusions: The results indicate that dual energy mammography can be used to accurately measure breast density. The variability in breast density estimation using dual energy mammography was lower than reader assessment rankings, standard histogram thresholding, and fuzzy C-mean algorithm. Improved quantification of breast density is expected to further enhance its utility as a risk factor for breast cancer

  6. Digital Mammography in Young Women: Is a Single View Sufficient?

    Science.gov (United States)

    2016-01-01

    Introduction Single view mammography may be a less time consuming, more comfortable and radiation reduced alternative for young women, but there are no studies examining this approach after the implementation of digital mammography into clinical practice. Materials and Methods Retrospective analysis of all mammographies performed in women younger than 40 years during a 24 month period. The sample consisted of 109 women with 212 examined breasts. All patients initially received standard two- view mammography. In the study setting the MLO- views were read by a single viewer and compared to a composite reference standard. Results In this sample 7 malignant findings were present and the review of the MLO-view detected 6 of them (85%). In patients with dense breasts 4 out of 5 malignant findings were found on the single-view (sensitivity 80%) and all 2 malignant findings were detected in patients with low breast density (sensitivity 100%). There were 7 false positive findings (3.3%). i.e. in total 8 out of 212 examined breasts were therefore misinterpreted (3.8%). Conclusion Single view digital mammography detects the vast majority of malignant findings, especially in low density breast tissue and the rate of false-positive findings is within acceptable limits. Therefore this approach may be used in different scenarios (for example in increasing patient throughput, in resource poor settings, reducing radiation burden in the young or in combination with ultrasound to use the strengths of both methods). More research on this topic is needed to establish its potential role in breast imaging. PMID:27134963

  7. Postmortem validation of breast density using dual-energy mammography

    Energy Technology Data Exchange (ETDEWEB)

    Molloi, Sabee, E-mail: symolloi@uci.edu; Ducote, Justin L.; Ding, Huanjun; Feig, Stephen A. [Department of Radiological Sciences, University of California, Irvine, California 92697 (United States)

    2014-08-15

    Purpose: Mammographic density has been shown to be an indicator of breast cancer risk and also reduces the sensitivity of screening mammography. Currently, there is no accepted standard for measuring breast density. Dual energy mammography has been proposed as a technique for accurate measurement of breast density. The purpose of this study is to validate its accuracy in postmortem breasts and compare it with other existing techniques. Methods: Forty postmortem breasts were imaged using a dual energy mammography system. Glandular and adipose equivalent phantoms of uniform thickness were used to calibrate a dual energy basis decomposition algorithm. Dual energy decomposition was applied after scatter correction to calculate breast density. Breast density was also estimated using radiologist reader assessment, standard histogram thresholding and a fuzzy C-mean algorithm. Chemical analysis was used as the reference standard to assess the accuracy of different techniques to measure breast composition. Results: Breast density measurements using radiologist reader assessment, standard histogram thresholding, fuzzy C-mean algorithm, and dual energy were in good agreement with the measured fibroglandular volume fraction using chemical analysis. The standard error estimates using radiologist reader assessment, standard histogram thresholding, fuzzy C-mean, and dual energy were 9.9%, 8.6%, 7.2%, and 4.7%, respectively. Conclusions: The results indicate that dual energy mammography can be used to accurately measure breast density. The variability in breast density estimation using dual energy mammography was lower than reader assessment rankings, standard histogram thresholding, and fuzzy C-mean algorithm. Improved quantification of breast density is expected to further enhance its utility as a risk factor for breast cancer.

  8. Transforming Ottawa Charter health promotion concepts into Swedish public health policy.

    Science.gov (United States)

    Pettersson, Bosse

    2007-01-01

    Swedish public health policy clearly illustrates how the concept of the Ottawa Charter for health promotion can be utilized at a national level. The impact has been more implicit than explicit. Public health has a long history in Sweden and much of the present and future is, and will be, linked to traditional values and structures. International input, however, has been essential to prompt new approaches and change. Health inequalities remain the major shortcoming. The Swedish system offers universal access to healthcare in a decentralized system. Still, primary healthcare, and the health services as a whole have not yet sufficiently embraced the idea of health promotion. Political attention to modern public health at the Prime Minister level was established in late 1980s. Since, continuous initiatives in terms of organization, infrastructure and funding have taken place. With regard to funding, a vast majority of the resources allocated to health promotion will be found outside the health sector. An interesting observation is that the Swedish public health policy with its 11 objective domains remains the same, also after a change of government. Future challenges include maintaining and developing an intersectoral mechanism for implementation, allocating more resources for intervention research to strengthen knowledge-based health promotion, and developing tools for coping better with the challenges of globalisation identified in the Bangkok Charter. PMID:18372877

  9. 77 FR 33229 - Sport Fishing and Boating Partnership Council Charter

    Science.gov (United States)

    2012-06-05

    ... Coordination Act (16 U.S.C. 661-667e), and Executive Order 12962 of June 7, 1995-Recreational Fisheries (60 FR 30769, June 7, 1995), as amended by Executive Order 13474 of September 26, 2008 (73 FR 57229, October 1... Office of the Secretary Sport Fishing and Boating Partnership Council Charter AGENCY: Office of...

  10. The Effects of a Team Charter on Student Team Behaviors

    Science.gov (United States)

    Aaron, Joshua R.; McDowell, William C.; Herdman, Andrew O.

    2014-01-01

    The authors contribute to growing evidence that team charters contribute positively to performance by empirically testing their effects on key team process outcomes. Using a sample of business students in a team-based task requiring significant cooperative and coordinative behavior, the authors compare emergent team norms under a variety of team…

  11. Understanding Student Discipline Practices in Charter Schools: A Research Agenda

    Science.gov (United States)

    Denice, Patrick; Gross, Betheny; Rausch, Karega

    2015-01-01

    Fair use of exclusionary discipline is a rising concern in public schools. At issue is whether this type of discipline is disproportionately applied to certain groups of students and whether some charter schools use it more frequently. For the first time, data compiled by the Department of Education's Office for Civil Rights capture discipline…

  12. Charter, Private, and Public Schools Work Together in Boston

    Science.gov (United States)

    Lam, Diana

    2014-01-01

    A public, Catholic, and charter school in Boston all work together to share their strengths and learn from each other in an effort to deliver the best education for all of their students. The arrangement is called the School Performance Partnership, and it is a grantee of the Bill and Melinda Gates Foundation.

  13. 14 CFR 212.6 - Operation of gambling junket charters.

    Science.gov (United States)

    2010-01-01

    ... carrier must meet the following criteria: (a) The aircraft must be chartered by (1) A casino, hotel, or..., hotel, or cruise line. (b) The casino, hotel, or cruise line or its agents, may not require a passenger..., hotel, or cruise line or its agents, from requiring prospective passengers to pay nominal...

  14. School Identity in the Context of Alberta Charter Schools

    Science.gov (United States)

    Thompson, Merlin; Gereluk, Dianne; Kowch, Eugene

    2016-01-01

    The central tenet of this investigation is that educational institutions possess their own school identity. Acknowledging that school identity is influenced by institutional mechanisms and personal dynamics, we examine school identity in the context of 13 Alberta charter schools. Narratives of 73 educational stakeholders across the network of…

  15. InnovateEDU, Inc.: Brooklyn Laboratory Charter Schools (LAB)

    Science.gov (United States)

    EDUCAUSE, 2015

    2015-01-01

    Entrepreneurial learning is the backbone of this Brooklyn charter school network which opened in Fall 2014 to serve grades 6-12, including English language learners and students with disabilities. LAB's academic model combines empirically effective learning practices with innovative implementation strategies, including a blended learning model…

  16. The Quest for Accountability: Charter Schools' Holy Grail.

    Science.gov (United States)

    Steineger, Melissa

    2001-01-01

    A seminar in Idaho on creating assessment and accountability plans for charter schools presented attributes of assessments that build children's confidence and give insights into how they can improve; offered criteria for using portfolio assessments; and described how to develop objectives that are measurable. A sidebar presents a six-step plan…

  17. Locating Chicago's Charter Schools: A Socio-Spatial Analysis

    Science.gov (United States)

    LaFleur, Jennifer C.

    2016-01-01

    This project contributes to the body of research examining the implications of the geographic location of charter schools for student access, especially in high-poverty communities. Using geographic information systems (GIS) software, this paper uses data from the U.S. Census American Community Survey to identify the socioeconomic characteristics…

  18. Charter School Expansion and within District Equity: Confluence or Conflict?

    Science.gov (United States)

    Baker, Bruce D.; Libby, Ken; Wiley, Kathryn

    2015-01-01

    This article explores whether two popular policy initiatives are compatible or conflicting strategies for enhancing educational equality in diverse large urban centers. These two initiatives are (1) charter school expansion and (2) improvement of resource equity across urban public school systems through policies often referred to as weighted…

  19. Success at Scale in Charter Schooling. Education Outlook. No. 3

    Science.gov (United States)

    Wilson, Steven F.

    2009-01-01

    KIPP KEY Academy in Washington, D.C. North Star Academy in Newark. Roxbury Prep in Boston. Amistad Academy in New Haven. These, and perhaps two hundred other high-performing schools nationwide, are the bright lights of the charter school movement. Despite social and economic disadvantages, their students not only trounce their district peers on…

  20. 77 FR 64828 - Office on Violence Against Women; Charter Reestablishment

    Science.gov (United States)

    2012-10-23

    ... on Violence Against Women; Charter Reestablishment AGENCY: Office on Violence Against Women, United... Advisory Committee Act (FACA), as amended (5 U.S.C. App.2), and Title IX of the Violence Against Women Act... on Research on Violence Against American Indian and Alaska Native Women (hereinafter ``the Task...

  1. Attracting Capital: Magnets, Charters, and School Referendum Success

    Science.gov (United States)

    Shober, Arnold F.

    2011-01-01

    Does school choice enhance the ability of school districts to raise revenue? School districts use charter and magnet schools to attract and retain students, but does choice improve the odds for school districts seeking increased taxing authority at the polls? If those parents who choose schools are attentive to district policies, then increasing…

  2. Comparison of digital screening mammography and screen-film mammography in the early detection of clinically relevant cancers: a multicenter study

    NARCIS (Netherlands)

    Bluekens, A.M.; Holland, R.; Karssemeijer, N.; Broeders, M.J.M.; Heeten, G.J. den

    2012-01-01

    Purpose: To compare screen-film mammography with digital mammography in a breast cancer screening program, with a focus on the clinical relevance of detected cancers. Materials and Methods: The study was approved by the regional medical ethics review board. Informed consent was not required. Before

  3. Is Administration Leaner in Charter Schools? Resource Allocation in Charter and Traditional Public Schools. Working Paper #24

    Science.gov (United States)

    Arsen, David; Ni, Yongmei

    2012-01-01

    There is widespread concern that administration consumes too much of the educational dollar in traditional public schools, diverting needed resources from classroom instruction and hampering efforts to improve student outcomes. By contrast, charter schools are predicted to have leaner administration and allocate resources more intensively to…

  4. Existing data sources for clinical epidemiology: the Danish Quality Database of Mammography Screening

    DEFF Research Database (Denmark)

    Langagergaard, Vivian; Garne, Jens Peter; Vejborg, Ilse Merete Munk;

    2013-01-01

    The Danish Quality Database of Mammography Screening (DKMS) was established in 2007, when screening was implemented on a nationwide basis and offered biennially to all Danish women aged 50-69 years. The primary aims of the database are to monitor and evaluate the quality of the screening program...... and clinical quality indicators and standards to monitor the Danish breast cancer screening program. We calculated the relevant proportions and ratios with 95% confidence intervals for each quality indicator. All indicators were assessed on a national and regional level. Of 670,039 women invited...... with node negative cancer was 67%. There were 36% women with small cancers, and the ratio of surgery for benign lesions to malignant lesions was 1:6.3. A total of 80% of women with invasive cancers were treated with breast conserving therapy. Screening interval and interval cancers were not relevant...

  5. A model of the influence of false-positive mammography screening results on subsequent screening

    OpenAIRE

    DeFrank, Jessica T.; Brewer, Noel

    2010-01-01

    Decades of empirical research have demonstrated psychological and behavioural consequences of false-positive medical tests. To organise this literature and offer novel predictions, we propose a model of how false-positive mammography results affect return for subsequent mammography screening. We propose that false-positive mammography results alter how women think about themselves (e.g., increasing their perceived likelihood of getting breast cancer) and the screening test (e.g., believing ma...

  6. A technique optimization protocol and the potential for dose reduction in digital mammography

    OpenAIRE

    Ranger, Nicole T.; Lo, Joseph Y.; Samei, Ehsan

    2010-01-01

    Digital mammography requires revisiting techniques that have been optimized for prior screen∕film mammography systems. The objective of the study was to determine optimized radiographic technique for a digital mammography system and demonstrate the potential for dose reduction in comparison to the clinically established techniques based on screen- film. An objective figure of merit (FOM) was employed to evaluate a direct-conversion amorphous selenium (a-Se) FFDM system (Siemens Mammomat Novat...

  7. At what age should screening mammography be recommended for Asian women?

    OpenAIRE

    Tsuchida, Junko; Nagahashi, Masayuki; Rashid, Omar M.; Takabe, Kazuaki; Wakai, Toshifumi

    2015-01-01

    Although regular screening mammography has been suggested to be associated with improvements in the relative survival of breast cancer in recent years, the appropriate age to start screening mammography remains controversial. In November 2009, the United States Preventive Service Task Force published updated guidelines for breast cancer, which no longer support routine screening mammography for women aged 40–49 years, but instead, defer the choice of screening in that age group to the patient...

  8. Reducing disparities in mammography-use in a multicultural population in Israel

    OpenAIRE

    Friedman Nurit; Baron-Epel Orna; Lernau Omri

    2009-01-01

    Abstract Background In the past mammography-use has been reported to be low in Israel compared to other western countries. The objectives of this study were (1) to assess the increase in mammography-use during the years 2002 to 2007 in four population groups in Maccabi Healthcare Services (MHS), Israel: non-immigrant non-ultraorthodox, ultraorthodox, and immigrant Jewish women and Arab women; (2) to assess ethnic and socioeconomic disparities in mammography-use. Methods A random telephone sur...

  9. Film-Screen Mammography versus digital storage plate mammography: Hard copy and monitor display of microcalcifications and focal findings - A retrospective clinical and histologic analysis; Film-Folien-Mammographie versus digitale Mammographie mit Speicherfolien: Mikrokalzifikationen und Herdbefunde, Hartkopie- und Monitorbefundung - eine retrospektiv klinisch/histologische Analyse (n=76)

    Energy Technology Data Exchange (ETDEWEB)

    Schulz-Wendtland, R.; Wenkel, E.; Aichinger, U.; Tartsch, M.; Kuchar, I.; Bautz, W. [Universitaetsklinik Erlangen-Nuernberg (Germany). Inst. fuer Diagnostische Radiologie; Boedicker, A.; Evertsz, C.; Peitgen, H.-O. [MeVis-BreastCare GmbH und Co. KG, Bremen (Germany)

    2003-09-01

    Purpose: A retrospective clinical-histological study to determine the diagnostic accuracy of mammography using conventional screen-film cassettes (hard copy), high-resolution digital phosphor storage plates (hard copy) and monitor display (soft copy) for microcalcifications and focal lesions (BI-RADS{sup TM} category 4 or 5). Materials and methods: From April to November 2001, 76 patients underwent conventional film-screen mammography and, after diagnosis and preoperative wire localization, digital mammography with the same exposure parameters. Five investigators retrospectively determined the diagnosis after the operation from randomly distributed mediolateral views (hard-copy reading) and from the monitor display (soft-copy reading). These results were correlated with the final histology. Results: The accuracy of conventional screen-film mammography, digital mammography and monitor-displayed mammography was 67%, 65% and 68% for all findings, (n = 76), 59%, 59% and 68% for microcalcifications (n = 44) and 75%, 72% and 63% for focal lesions (n = 32). The overall results showed no difference. Conclusions: Our findings indicate equivalence of conventional screen-film mammography, high-resolution digital phosphor storage plate mammography and monitor-displayed mammography. (orig.) [German] Ziel: Bestimmung der diagnostischen Treffsicherheit von konventioneller Film-Folien-Mammographie (Hartkopie), digitaler Mammographie in hochaufloesender Speicherfolientechnik (Hartkopie) sowie Monitorbefundung bei Mikrokalzifikationen und Herdbefunden (n = 76) (BI-RADS{sup TM}-Klassifikation IV/V) in einer retrospektiv klinisch/histologischen Studie. Material und Methode: Von 4-11/2001 untersuchten wir 76 Patientinnen mit konventioneller und nach Diagnosestellung und praeoperativer Drahtmarkierung mit digitaler Mammographie bei gleichen Aufnahmeparametern. 5 Untersucher stellten retrospektiv nach der Operation anhand der zufallsverteilten Hartkopien (mediolateraler Ebene) und am

  10. Estimating the benefits of mammography screening: the impact of study design

    DEFF Research Database (Denmark)

    Olsen, Anne Helene; Njor, Sisse H; Lynge, Elsebeth

    2007-01-01

    BACKGROUND: Mammography screening is justifiable only if it leads to reduction in breast cancer mortality. However, evaluation of routine screening is not straightforward, as no unscreened control group is available. We report here on a cohort study of the effect of routine mammography on breast...... control group resulted in an estimated increase of 6% in breast cancer mortality. CONCLUSION: Estimated changes in breast cancer mortality following the introduction of routine mammography ranged from a 25% reduction (based on the best methodology) to a 6% increase with a less rigid study design....... The estimated effect of routine mammography on breast cancer mortality is thus highly dependent on study design....

  11. The evaluation of radiation dose by exposure method in digital magnification mammography

    International Nuclear Information System (INIS)

    In digital mammography, Exposure factor were automatically chosen using by measurement breast thickness and the density of mammary gland. It may cause a increase glandular dose. The purpose of this study was to investigate optimal image quality in digital magnification mammography to decrease radiation exposure of patient dose. Auto mode gives the best image quality however, AGD showed better image quality. Image quality of manual mode passed phantom test and SNR at 55% mAs of auto mode commonly used in the digital magnification mammography. Also it could reduce AGD. According to result, manual mode may reduce the unnecessary radiation exposure in digital magnification mammography

  12. Ultrasound as an Adjunct to Mammography for Breast Cancer Screening: A Health Technology Assessment

    Science.gov (United States)

    2016-01-01

    Background Screening with mammography can detect breast cancer early, before clinical symptoms appear. Some cancers, however, are not captured with mammography screening alone. Ultrasound has been suggested as a safe adjunct screening tool that can detect breast cancers missed on mammography. We investigated the benefits, harms, cost-effectiveness, and cost burden of ultrasound as an adjunct to mammography compared with mammography alone for screening women at average risk and at high risk for breast cancer. Methods We searched Ovid MEDLINE, Ovid Embase, EBM Reviews, and the NHS Economic Evaluation Database, from January 1998 to June 2015, for evidence of effectiveness, harms, diagnostic accuracy, and cost-effectiveness. Only studies evaluating the use of ultrasound as an adjunct to mammography in the specified populations were included. We also conducted a cost analysis to estimate the costs in Ontario over the next 5 years to fund ultrasound as an adjunct to mammography in breast cancer screening for high-risk women who are contraindicated for MRI, the current standard of care to supplement mammography. Results No studies in average-risk women met the inclusion criteria of the clinical review. We included 5 prospective, paired cohort studies in high-risk women, 4 of which were relevant to the Ontario context. Adjunct ultrasound identified between 2.3 and 5.9 additional breast cancers per 1,000 screens. The average pooled sensitivity of mammography and ultrasound was 53%, a statistically significant increase relative to mammography alone (absolute increase 13%; P mammography screening alone. The GRADE for this body of evidence was low. Additional annual costs of using breast ultrasound as an adjunct to mammography for high-risk women in Ontario contraindicated for MRI would range from $15,500 to $30,250 in the next 5 years. Conclusions We found no evidence that evaluated the comparative effectiveness or diagnostic accuracy of screening breast ultrasound as an

  13. Mammography in breast screening and in the evaluation and management of breast cancer

    International Nuclear Information System (INIS)

    This paper aims to discuss the importance of breast screening most especially amongst women above the age of 40 years.the limitation of the screening procedure is due to lack of special machines and power awareness campaigns. the application of Mammography and ultrasound in the examination of the breast and other breast imaging techniques will be considered in this paper. The paper will look at the indications for mammography, indications for breast ultrasound, signs of breast carcinoma on mammography, breast enlargement and also the need for breast ultrasound in cases of discrete Mammography

  14. Mammographic density is the main correlate of tumors detected on ultrasound but not on mammography.

    Science.gov (United States)

    Häberle, Lothar; Fasching, Peter A; Brehm, Barbara; Heusinger, Katharina; Jud, Sebastian M; Loehberg, Christian R; Hack, Carolin C; Preuss, Caroline; Lux, Michael P; Hartmann, Arndt; Vachon, Celine M; Meier-Meitinger, Martina; Uder, Michael; Beckmann, Matthias W; Schulz-Wendtland, Rüdiger

    2016-11-01

    Although mammography screening programs do not include ultrasound examinations, some diagnostic units do provide women with both mammography and ultrasonography. This article is concerned with estimating the risk of a breast cancer patient diagnosed in a hospital-based mammography unit having a tumor that is visible on ultrasound but not on mammography. A total of 1,399 women with invasive breast cancer from a hospital-based diagnostic mammography unit were included in this retrospective study. For inclusion, mammograms from the time of the primary diagnosis had to be available for computer-assisted assessment of percentage mammographic density (PMD), as well as Breast Imaging Reporting and Data System (BIRADS) assessment of mammography. In addition, ultrasound findings were available for the complete cohort as part of routine diagnostic procedures, regardless of any patient or imaging characteristics. Logistic regression analyses were conducted to identify predictors of mammography failure, defined as BIRADS assessment 1 or 2. The probability that the visibility of a tumor might be masked at diagnosis was estimated using a regression model with the identified predictors. Tumors were only visible on ultrasound in 107 cases (7.6%). PMD was the strongest predictor for mammography failure, but age, body mass index and previous breast surgery also influenced the risk, independently of the PMD. Risk probabilities ranged from 1% for a defined low-risk group up to 40% for a high-risk group. These findings might help identify women who should be offered ultrasound examinations in addition to mammography. PMID:27389655

  15. The evaluation of radiation dose by exposure method in digital magnification mammography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Mi Young [Dankook Univ. Hospital, Cheonan (Korea, Republic of); Kim, Hwa Sun [Ansan Univ., Ansan (Korea, Republic of)

    2012-12-15

    In digital mammography, Exposure factor were automatically chosen using by measurement breast thickness and the density of mammary gland. It may cause a increase glandular dose. The purpose of this study was to investigate optimal image quality in digital magnification mammography to decrease radiation exposure of patient dose. Auto mode gives the best image quality however, AGD showed better image quality. Image quality of manual mode passed phantom test and SNR at 55% mAs of auto mode commonly used in the digital magnification mammography. Also it could reduce AGD. According to result, manual mode may reduce the unnecessary radiation exposure in digital magnification mammography.

  16. Screening for breast cancer with mammography

    DEFF Research Database (Denmark)

    Gøtzsche, Peter C; Jørgensen, Karsten Juhl

    2013-01-01

    A variety of estimates of the benefits and harms of mammographic screening for breast cancer have been published and national policies vary.......A variety of estimates of the benefits and harms of mammographic screening for breast cancer have been published and national policies vary....

  17. Screening mammography in women 65 years old and older

    International Nuclear Information System (INIS)

    This paper compares the results of mammographic screening in women aged 65 years and older to those of women aged 50--64 years, to define risk factors and prior use of mammography in these women, and to determine whether mammographic abnormalities are managed differently in the two age groups. Historical data, mammographic findings, and biopsy results were analyzed for all women over 50 years of age screened during 1988 (2,862 patients) at a university hospital-based outpatient center and mobile van, excluding those referred by oncologists. The following factors were determined for patients screened at the outpatient center and the mobile van, with both groups divided according to patient age (50--64 vs ≥ 65 years): presence of risk factors, previous biopsy, exogenous hormones, percentage of black patients, previous mammography, biopsy rate, cancer detection rate, positive nodes, and presence of tumors smaller than 1 cm or ductal carcinoma in-situ

  18. Measurement of half-value layer in mammography

    CERN Document Server

    Yagi, H; Saruwatari, R; Doi, N; Yamane, E

    2003-01-01

    The half-value layer (HVL) of an X-ray beam for film-screen mammography is considered an important parameter for image quality and patient dose. Thus, HVL must be measured in accordance with The Manual of Accuracy for Mammography printed by the Japanese Society of Radiological Technology. The manual prescribes exactly the geometry of measurement, chamber position of measurement in the field, selection of chamber, and so on. However, the measurement of HVL is difficult in the actual clinical setting. This study examined the results of failure to perform the measurement of HVL in accordance with the manual for measuring HVL in the clinical setting. The investigation indicated that serious problems do not arise when measuring HVL for routine quality control even if the chamber in the field is not always set according to the manual and if a chamber for radiotherapy or diagnosis is used that is not recommended for soft X-ray by the manual. (author)

  19. Four Principles to Consider Before Advising Women on Screening Mammography

    OpenAIRE

    Keen, John D; Jørgensen, Karsten J

    2015-01-01

    Abstract This article reviews four important screening principles applicable to screening mammography in order to facilitate informed choice. The first principle is that screening may help, hurt, or have no effect. In order to reduce mortality and mastectomy rates, screening must reduce the rate of advanced disease, which likely has not happened. Through overdiagnosis, screening produces substantial harm by increasing both lumpectomy and mastectomy rates, which offsets the often-promised bene...

  20. Patient Care, Communication, and Safety in the Mammography Suite.

    Science.gov (United States)

    Arnold, Leisa

    2016-09-01

    Producing high-quality mammograms requires excellent technical skills along with exemplary communication. Mammographers must be able to address differences in patients' mental states, body habitus, and physical ability to obtain an optimal examination. In addition, every mammographer must practice consistently with patient safety, care, and satisfaction in mind. This article discusses verbal and nonverbal communication strategies, barriers to communication, and the care and safety of patients in the mammography suite who present special challenges. PMID:27601710

  1. Role of a radiographer in mammography- new perspective

    International Nuclear Information System (INIS)

    giving the background to breast cancer in kenya. The importance of public education. The significance of early detection of breast cancer and patient survival. the emphasis of change of mind set of machine oriented radiographer to a clinically focused role. this involves a better understanding of the breast, the disease pattern, clinical examination of the breast and correlation with radiographic findings. The importance of other imaging modalities used to supplement mammography

  2. Reader practice in mammography screen reporting in Australia

    International Nuclear Information System (INIS)

    Full text: Reader variability is a problem in mammography image reporting and compromises the efficacy of screening programmes. The purpose of this exploratory study was to survey reader practice in reporting screening mammograms in Australia to identify aspects of practice that warrant further investigation. Mammography reporting practice and influences on concentration and attention were investigated by using an original questionnaire distributed to screen readers in Australia. A response rate of 71% (83 out of 117) was achieved. Demographic data indicated that the majority of readers were over 46 years of age (73%), have been reporting on screening mammograms for over 10 years (61%), take less than 1 min to report upon a screening mammogram examination (66%), report up to 200 examinations in a single session (83%) and take up to 2 h to report one session (61%). A majority report on more than 5000 examinations annually (66%); 93% of participants regard their search strategy as systematic, 87% agreed that their concentration can vary throughout a session, 64% agreed that the relatively low number of positives can lead to lapses in concentration and attention and almost all (94%) participants agreed that methods to maximise concentration should be explored. Participants identified a range of influences on concentration within their working environment including volume of images reported in one session, image types and aspects of the physical environment. This study has provided important evidence of the need to investigate adverse influences on concentration during mammography screen reporting

  3. Development of Automatic Cluster Algorithm for Microcalcification in Digital Mammography

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Seok Yoon [Dept. of Medical Engineering, Korea University, Seoul (Korea, Republic of); Kim, Chang Soo [Dept. of Radiological Science, College of Health Sciences, Catholic University of Pusan, Pusan (Korea, Republic of)

    2009-03-15

    Digital Mammography is an efficient imaging technique for the detection and diagnosis of breast pathological disorders. Six mammographic criteria such as number of cluster, number, size, extent and morphologic shape of microcalcification, and presence of mass, were reviewed and correlation with pathologic diagnosis were evaluated. It is very important to find breast cancer early when treatment can reduce deaths from breast cancer and breast incision. In screening breast cancer, mammography is typically used to view the internal organization. Clusterig microcalcifications on mammography represent an important feature of breast mass, especially that of intraductal carcinoma. Because microcalcification has high correlation with breast cancer, a cluster of a microcalcification can be very helpful for the clinical doctor to predict breast cancer. For this study, three steps of quantitative evaluation are proposed : DoG filter, adaptive thresholding, Expectation maximization. Through the proposed algorithm, each cluster in the distribution of microcalcification was able to measure the number calcification and length of cluster also can be used to automatically diagnose breast cancer as indicators of the primary diagnosis.

  4. The promise of computer aided detection in digital mammography

    International Nuclear Information System (INIS)

    Computer-aided detection (CAD) is a new technology now being implemented in many clinics to reduce the false negative rate in mammography screening. A large clinical study has been completed which shows that a substantial false negative (miss) rate exists in screening mammography, a significant fraction of the missed cancers are not subtle, and CAD has high sensitivity to these missed cancers. Full field digital mammography is now coming on the scene, but has not yet been proven in clinical practice. The authors believe that full acceptance of the new digital technology depends not merely on demonstrations of 'substantial equivalence' to film-screen technology, but rather on more complete exploitation of the unique advantages of digital technology, and that CAD can play a key role. These advantages derive from CAD's ability to quickly (in near real-time) perform analytical computations on digital information that is not readily available to the radiologist until after the cost of film-processing has occurred

  5. Mammography in asymptomatic women aged 40-49 years

    Directory of Open Access Journals (Sweden)

    Flávio Xavier Silva

    2014-12-01

    Full Text Available OBJECTIVE To assess findings of mammography of and interventions resulting from breast cancer screening in women aged 40-49 years with no increased risk (typical risk of breast cancer. METHODS This cross-sectional study evaluated women aged 40-49 years who underwent mammography screening in a mastology reference center in Recife, PE, Northeastern Brazil, between January 2010 and October 2011. Women with breast-related complaints, positive findings in the physical examination, or high risk of breast cancer were excluded. RESULTS The 1,000 mammograms performed were classified into the following Breast Imaging-Reporting and Data System (BI-RADS categories BI-RADS 0, 232; BI-RADS 1, 294; BI-RADS 2, 294; BI-RADS 3, 16; BI-RADS 4A, 2; BI-RADS 5, 1. There was one case of grade II invasive ductal carcinoma and various interventions, including 469 ultrasound scans, 53 referrals to mastologists, 11 cytological examinations, and 8 biopsies. CONCLUSIONS Mammography screening in women aged 40-49 years with typical risk of breast cancer led to the performance of other interventions. However, it also resulted in increased costs without demonstrable efficacy in decreasing mortality.

  6. Barriers to Mammography Screening: How to Overcome Them

    Directory of Open Access Journals (Sweden)

    Yasmin Hassoun

    2015-10-01

    Full Text Available Background: Screening mammography is an established intervention that leads to early breast cancer detection and reduced mortality. The Lebanese Ministry of Health has initiated yearly awareness campaigns and provided free mammography in multiple centers around the country. Methods: The study took place in two major areas of Lebanon - Beirut and South Lebanon. This cross-sectional survey aimed to assess knowledge about breast cancer screening and screening behaviors in the Lebanese population. The primary outcome of the study was to assess the reasons that prevented women from performing screening mammography based on our categories of questions: lack of knowledge about breast cancer, lack of access to screening facilities, failure of primary care physician to encourage screening behavior, and other reasons. Results: The major barriers to seek screening that had statistically significant P-values, in order of prevalence, included: lack of knowledge about breast cancer, followed by social reasons and lack of access. Conclusion: Given the prevalence of breast cancer in our population, it is important to understand the pitfalls that we experience in promoting awareness. Our study is the first study to reach out to the community to assess perceived barriers against screening and provide solutions for such barriers.

  7. Spectral lesion characterization on a photon-counting mammography system

    Science.gov (United States)

    Erhard, Klaus; Fredenberg, Erik; Homann, Hanno; Roessl, Ewald

    2014-03-01

    Spectral X-ray imaging allows to differentiate between two given tissue types, provided their spectral absorption characteristics differ measurably. In mammography, this method is used clinically to determine a decomposition of the breast into adipose and glandular tissue compartments, from which the glandular tissue fraction and, hence, the volumetric breast density (VBD) can be computed. Another potential application of this technique is the characterization of lesions by spectral mammography. In particular, round lesions are relatively easily detected by experienced radiologists, but are often difficult to characterize. Here, a method is described that aims at discriminating cystic from solid lesions directly on a spectral mammogram, obtained with a calibrated spectral mammography system and using a hypothesis-testing algorithm based on a maximum likelihood approach. The method includes a parametric model describing the lesion shape, compression height variations and breast composition. With the maximum likelihood algorithm, the model parameters are estimated separately under the cyst and solid hypothesis. The resulting ratio of the maximum likelihood values is used for the final tissue characterization. Initial results using simulations and phantom measurements are presented.

  8. Characteristics of YouTube™ Videos Related to Mammography.

    Science.gov (United States)

    Basch, Corey H; Hillyer, Grace Clarke; MacDonald, Zerlina L; Reeves, Rachel; Basch, Charles E

    2015-12-01

    With a monthly total of more than one billion unique visitors, YouTube™ is one of the Internet's most visited websites and contributes to the growing amount of health-related information on the Internet. The purpose of this study was to analyze coverage of mammography screening in popular YouTube™ videos. A total of 173 videos were included in the analysis. Compared with professionally created videos, consumer-created videos had a significantly greater number of comments (>9 comments 38.0% for consumer vs. 11.8% for professional videos, p=<0.001). Videos created by professionals more often portrayed general mammography information (97.1 vs. 88.7%) compared to those created by consumers. The vast majority of videos presented general information (93.6%) related to mammography, and almost two thirds addressed preparing for the test. Less than 20% dealt with other types of examinations. Approximately 30% discussed pain associated with the examination (35.3%) and addressed issues of anxiety (32.4%) and fear (29.5%). Nearly half of the videos presented information about the test results (46.2%). Over 25% covered medical or family history. The majority did not pertain to a specific age group. Future research should focus on analyzing the accuracy of the information in the videos. PMID:25502853

  9. Technical and dosimetric aspects of quality control in mammography

    International Nuclear Information System (INIS)

    Before screening programmes using mammography are implemented, a cost benefit analysis has to be made and quality-control programme for the technical and dosimetric aspects adopted, including daily checks on film processing and total mammography procedure (radiography of a reference phantom, for which the average density, limiting value ± 0.20%, and focal charge is determined and which allows assessment of physical image quality) The installation of a MAs meter is essential for daily checks and can be used for determination of absorbed dose. Accurate determination of tube voltage (limiting value ±0.5 kV) is essential in regard to absorbed dose variations. Focal spot size should be measured rather than relying on the value specified by the manufacturer. The determination of the focal charge (mAs) value for actual radiographs of female breasts combined with a measurement of compressed breast thickness provides information on absorbed dose values for actual radiographs. An approximately 50 mm thick poly(methyl methacrylate) phantom can be used for determination of absorbed dose in mammography. (author)

  10. Characteristics of YouTube™ Videos Related to Mammography.

    Science.gov (United States)

    Basch, Corey H; Hillyer, Grace Clarke; MacDonald, Zerlina L; Reeves, Rachel; Basch, Charles E

    2015-12-01

    With a monthly total of more than one billion unique visitors, YouTube™ is one of the Internet's most visited websites and contributes to the growing amount of health-related information on the Internet. The purpose of this study was to analyze coverage of mammography screening in popular YouTube™ videos. A total of 173 videos were included in the analysis. Compared with professionally created videos, consumer-created videos had a significantly greater number of comments (>9 comments 38.0% for consumer vs. 11.8% for professional videos, p=<0.001). Videos created by professionals more often portrayed general mammography information (97.1 vs. 88.7%) compared to those created by consumers. The vast majority of videos presented general information (93.6%) related to mammography, and almost two thirds addressed preparing for the test. Less than 20% dealt with other types of examinations. Approximately 30% discussed pain associated with the examination (35.3%) and addressed issues of anxiety (32.4%) and fear (29.5%). Nearly half of the videos presented information about the test results (46.2%). Over 25% covered medical or family history. The majority did not pertain to a specific age group. Future research should focus on analyzing the accuracy of the information in the videos.

  11. Impact of an evaluation quality program of mammography service of Distrito Federal - Brasil

    International Nuclear Information System (INIS)

    Cancer is the second cause of death for Brazilian women and breast cancer is the most common neoplasm amongst women. Mammography is an essential tool for diagnosis and early detection of this disease. In order to be effective, the mammography must be of good quality. This study sought to evaluate the quality of these services in the Federal District and the impact of an intervention involving inspection and education. The universe of 41 mammography services in the Federal District was studied between June and August 2001. Two instruments were used 1) a proposed evaluation protocol of the National Agency for Health Surveillance (ANVISA) and 2) a protocol for evaluation of image quality and care. The intervention included the initial inspection, a training activity, and a formal notification by the health authorities of the Federal District. Image quality was compared before and after the intervention. The existing infrastructure in the DF is of good quality, but the services have low productivity, they do not treat patients sent by the public health system, they have an inadequate geographic distribution with most in the central neighborhood, and the low income female population has restricted access to early detection of cancer. Of the 36 services who completed the study, none was above 90% conformity in image quality before the interventions, whereas 10 were above 90% afterwards. The greatest improvements were in chassis maintenance (services without chassis with defects went from 10 to 25), breast compression (services in conformity went from 7 to 20) and visualization of micro calcifications (32 services in conformity before and 35 afterwards). The results of the ANVISA protocol bore no relation to final image quality, a central issue for early cancer detection. In spite of the existence of many services, most were not of quality and population access was restricted. The intervention under study was shown to be effective for improving quality, nevertheless

  12. Digital technology and human development: a charter for nature conservation.

    Science.gov (United States)

    Maffey, Georgina; Homans, Hilary; Banks, Ken; Arts, Koen

    2015-11-01

    The application of digital technology in conservation holds much potential for advancing the understanding of, and facilitating interaction with, the natural world. In other sectors, digital technology has long been used to engage communities and share information. Human development-which holds parallels with the nature conservation sector-has seen a proliferation of innovation in technological development. Throughout this Perspective, we consider what nature conservation can learn from the introduction of digital technology in human development. From this, we derive a charter to be used before and throughout project development, in order to help reduce replication and failure of digital innovation in nature conservation projects. We argue that the proposed charter will promote collaboration with the development of digital tools and ensure that nature conservation projects progress appropriately with the development of new digital technologies.

  13. Reducing disparities in mammography-use in a multicultural population in Israel

    Directory of Open Access Journals (Sweden)

    Friedman Nurit

    2009-05-01

    Full Text Available Abstract Background In the past mammography-use has been reported to be low in Israel compared to other western countries. The objectives of this study were (1 to assess the increase in mammography-use during the years 2002 to 2007 in four population groups in Maccabi Healthcare Services (MHS, Israel: non-immigrant non-ultraorthodox, ultraorthodox, and immigrant Jewish women and Arab women; (2 to assess ethnic and socioeconomic disparities in mammography-use. Methods A random telephone survey of 1,550 women receiving healthcare services from MHS was performed during May-June 2007. Information from MHS claims-records database regarding mammography-use was obtained for each woman for the period 2002 to 2007. Since mammography-use serves as a quality assurance measure for primary care, MHS sent mail and telephone invitations for mammography to all women since the end of 2004. Results At the beginning of the follow-up period (2002 mammography-use among Jewish non-immigrant non-ultraorthodox and ultraorthodox women was higher than among Arab and Jewish immigrant women. During the 5 year follow-up these disparities decreased significantly. In 2007, mammography-use by Arab women was only slightly lower compared to all groups of Jewish women. In 2007, after adjustment for socioeconomic factors there was only a borderline significant difference between Jewish and Arab women. The socioeconomic variables were not associated with mammography-use in 2002 and 2007 in any of the groups except for marital status in immigrant women in 2002. Conclusion The interventions implemented by MHS may have increased mammography-use in all population groups, decreasing disparities between the groups, however the differences between Jewish and Arab women have not been completely eliminated and indicate a need for further targeted interventions. No significant socioeconomic disparities in mammography-use were observed.

  14. Case Studies ofEmerging Ethnocentric Charter Schools in Hawai'i

    OpenAIRE

    Nina K. Buchanan; Fox, Robert A.

    2003-01-01

    The fast growing charter school movement may be impeded if charter schools are perceived as a vehicle for stratifying, segregating, and balkanizing an already ethnically, socio-economically divided population. This article defines ethnocentric schools and describes three Native Hawai'ian charter schools. While they are very different in curricula and in emphasis on the Hawai'ian language and other features, they all have strong community support and a high degree of parental involvement and h...

  15. Standard Chartered Bank: Women on Corporate Boards in India 2010

    OpenAIRE

    Banerji, A.; Mahtani, S.; Sealy, Ruth; Vinnicombe, Susan

    2010-01-01

    This first Standard Chartered Bank: Women on Corporate Boards in India 2010 report looks at the representation of women on the boards of India's leading companies on the Bombay Stock Exchange (BSE-100) . It ranks the companies in terms of the gender diversity of their boards, with those with the highest percentage of women on their boards appearing at the top. The report also examines the general topic of gender diversity on the boards of the BSE-100 by presenting the findin...

  16. Organizational Culture : a case study of standard chartered (Vietnam) Ltd

    OpenAIRE

    Nguyen, Kien Doan

    2014-01-01

    The aim of this thesis is to understand the definition of organizational culture and examine organizational culture of Standard Chartered Bank (Vietnam) Ltd (SCB). Organizational culture has become a interesting topic. The company now are aware of its important role as a competitive advantage. The thesis will go though definitions of various researcher to find out the common understanding. A few methods of approaching organizational culture are considered to find a prooer framework for ca...

  17. A welfare analysis of Canadian chartered bank mergers

    OpenAIRE

    James McIntosh

    2002-01-01

    An econometric model of Canada's five largest banks is estimated using time series data from 1976 to 1996. The principal findings are that chartered bank technology is characterized by increasing returns to scale. Scale efficiency is sufficiently large to offset the consequences of reduced competition that might have arisen from a merger between Bank of Montreal and Royal Bank of Canada, Canadian Imperial Bank of Commerce and Toronto Dominion Bank, or both. The estimated model predicts that a...

  18. Individuality and mass consumption in charter tourism

    DEFF Research Database (Denmark)

    Lauring, Jakob

    2011-01-01

    Intercultural communication has mainly been described in terms of national differences disturbing the sending and receiving of messages. In this article, it is argued that the local organizational context has to be taken into account. By linking Bourdieu’s theories on the social organization of d...

  19. Two-view versus single-view mammography at subsequent screening in a region of the Dutch breast screening programme.

    NARCIS (Netherlands)

    Smallenburg, V.v.; Duijm, L.E.M.; Heeten, G.J. den; Groenewoud, J.H.; Jansen, F.H.M.; Fracheboud, J.; Plaisier, M.L.; Doorne-Nagtegaal, H.J. van; Broeders, M.J.M.

    2012-01-01

    We retrospectively determined the effect of analogue two-view mammography versus single-view mammography at subsequent screens on breast cancer detection and determined financial consequences for a current digital mammography setting. Two screening radiologists reviewed the mammograms of 536 screen

  20. 77 FR 24690 - Exemplary Charter School Collaboration Awards; Proposed Definitions, Requirements, and Selection...

    Science.gov (United States)

    2012-04-25

    ... share resources and responsibilities, build trust and teamwork, boost academic excellence in charter... advantages; distributive impacts; and equity); (4) To the extent feasible, specify performance...

  1. A comparative study of computed radiography-based mammography using digital phosphor storage plate and full field digital mammography

    Directory of Open Access Journals (Sweden)

    Kanaga Kumari Chelliah

    2013-01-01

    Full Text Available Background: Two digital mammography systems, based on different physical concepts, have been introduced in the last few years namely the full-field digital mammography (FFDM system and computed radiography-based mammography using digital storage phosphor plate (DSPM. Aims: The objective of this study was to compare the image quality for DSPM and FFDM using a grading scale based on previously published articles. Materials and Methods: This comparative diagnostic study was done for 5-month duration at the Breast Clinic. The system used was the Lorad Selenia FFDM system and the Mammomat 3000 Nova DSPM system. The craniocaudal and mediolateral oblique projections were done on both breast on 58 asymptomatic women using both DSPM and FFDM. The mammograms were evaluated for eight criteria of image quality: Tissue coverage, compression, exposure, contrast, resolution, noise, artifact, and sharpness by two independent radiologists. Statistical Analysis: Wilcoxon Signed Rank Test and Weighted Kappa. Results: FFDM was rated significantly better (P < 0.05 for five aspects: Tissue coverage, compression, contrast, exposure, and resolution and equal to DSPM for sharpness, noise, and artifact. Conclusion: FFDM was superior in five aspects and equal to DSPM for three aspects of image quality.

  2. Comparing the visualization of microcalcifications with direct magnification in digital full-field mammography vs. film-screen mammography

    International Nuclear Information System (INIS)

    Purpose: To evaluate the conspicuity of microcalcifications in magnified mammographic views of preparations obtained with full field digital mammography (FFDM), film-screen mammography (FSM), and the DIMA technique. Material and Methods: Twelve preparations were examined by FFDM and FSM using 1.8 x magnification and DIMA using 7 x magnification. Parameter settings were identical for all three techniques. The number of visible microcalcifications was then determined for each modality by three radiologists. As far as possible, all preparations were X-rayed at 22 kV and 10 mAS. Results: Altogether 9705 calcifications were counted (DIMA: 1609/1542/1534; FFDM: 1020/753/881; FSM: 901/643/822). The total number of microcalcifications identified with the DIMA technique was 4685 as compared to 2654 with FFDM and 2366 with FSM. The calcifications counted with FFDM and FSM thus corresponded to 56.6% and 50.5%, respectively, of those identified with DIMA. The differences between the groups were statistically significant (F-Test, p < 0.05). Conclusion: Significantly more calcifications are identified when magnified mammographic views of preparations containing microcalcifications are obtained with the DIMA technique compared to FFDM or FSM. FFDM depicts markedly more calcifications than FSM. This means one should increase spatial resolution. Digital mammography offers the potential for improved visualization of microcalcifications with advanced applications. (orig.)

  3. Observations of deterioration of photo-stimulable phosphor plates used in digital mammography and its effects on mammography diagnoses

    International Nuclear Information System (INIS)

    We noted that breast-like artifacts occur in photo-stimulable phosphor plates (PSPs) used for long periods in digital mammography systems. This prompted us to investigate the effects on mammography diagnoses of these artifacts. Our study took the form of a comparison between the images generated by a long-term use PSP (four years use) and a short-term use PSP. First, an acrylic phantom and an in-house-made phantom for visual evaluation were imaged using X-ray PSPs under the same exposure conditions. They were then scanned under the same conditions to generate images. The mean values of the digital signals were measured in the 35 locations of region of interest present in the images of the acrylic phantom. The images of the in-house-made phantom were then visually evaluated by five certified experts, who examined 22 clinical images taken with both PSPs while referring to a visual evaluation scale. Differences were detected in all the evaluated items: the short-term use PSP gave a higher rate than the long-term use PSP (p<0.01), suggesting that long-term use PSPs might adversely affect the results of diagnostic mammography. (author)

  4. The Transition from Analog to Digital Mammography: Overall Considerations

    Directory of Open Access Journals (Sweden)

    A. Sardo

    2007-05-01

    Full Text Available In the last decades a continuous growth of the infor-matics process around the world has been observed: paper documents, data, images…, converted into a “digital format” allow an easier and safer manage-ment, making possible its compatibility and access to internet networking. This migration confirms the huge technology progresses made especially in the image capture ways: from photography to graphic arts, from movie to healthcare imaging, where the end user/radiologist requires, at least, a digital clinical image with a quality equivalent to the previous ana-log film image. In women’s breast imaging care mammography is acknowledged as the most effective method to detect a breast cancer at an earlier stage and it is currently the only imaging modality, which has been proven to reduce mortality in women screened from 50 to 69 years. The transition to Digital Mammography represents a challenge to decide when to change the first concern is to get the money availability to purchase a Digital Mammography system and the well-trained human resources (radiologist, technician and physicist for using it. A digital system must satisfy actual needs such as the diagnostic accuracy, dose and regulatory requirements, productivity and archive issues. The new digital modality must be integrated in a fully digital environment (PACS and the presence of CR or DR systems for general radiography could condi-tion the choice of CR or DR Digital Mammography system. The Primary goal of mammography (both analog and digital is to provide to the radiologist clinical images for confident interpretation. Certainly the confidence derives from radiologist’s experience in reading mammograms, but many other factors can increase it, for instance correct patient positioning, excellent and consistent image quality (photographic and artifacts free, easy use and interpretation aid (e.g. lens, CAD use of imaging system. However, the habit in read-ing film-images on view box

  5. Solid-state dosimeters: A new approach for mammography measurements

    Energy Technology Data Exchange (ETDEWEB)

    Brateman, Libby F., E-mail: bratel@radiology.ufl.edu [Department of Radiology, University of Florida College of Medicine Box 100374, Gainesville, Florida 32610-0374 (United States); Heintz, Philip H. [Department of Radiology, University of New Mexico, MSC10 5530, Albuquerque, New Mexico 87131 (United States)

    2015-02-15

    Purpose: To compare responses of modern commercially available solid-state dosimeters (SStDs) used in mammography medical physics surveys for two major vendors of current digital mammography units. To compare differences in dose estimates among SStD responses with ionization chamber (IC) measurements for several target/filter (TF) combinations and report their characteristics. To review scientific bases for measurements of quantities required for mammography for traditional measurement procedures and SStDs. Methods: SStDs designed for use with modern digital mammography units were acquired for evaluation from four manufacturers. Each instrument was evaluated under similar conditions with the available mammography beams provided by two modern full-field digital mammography units in clinical use: a GE Healthcare Senographe Essential (Essential) and a Hologic Selenia Dimensions 5000 (Dimensions), with TFs of Mo/Mo, Mo/Rh; and Rh/Rh and W/Rh, W/Ag, and W/Al, respectively. Measurements were compared among the instruments for the TFs over their respective clinical ranges of peak tube potentials for kVp and half-value layer (HVL) measurements. Comparisons for air kerma (AK) and their associated relative calculated average glandular doses (AGDs), i.e., using fixed mAs, were evaluated over the limited range of 28–30 kVp. Measurements were compared with reference IC measurements for AK, reference HVLs and calculated AGD, for two compression paddle heights for AK, to evaluate scatter effects from compression paddles. SStDs may require different positioning from current mammography measurement protocols. Results: Measurements of kVp were accurate in general for the SStDs (within −1.2 and +1.1 kVp) for all instruments over a wide range of set kVp’s and TFs and most accurate for Mo/Mo and W/Rh. Discrepancies between measurements and reference values were greater for HVL and AK. Measured HVL values differed from reference values by −6.5% to +3.5% depending on the SStD and

  6. Solid-state dosimeters: A new approach for mammography measurements

    International Nuclear Information System (INIS)

    Purpose: To compare responses of modern commercially available solid-state dosimeters (SStDs) used in mammography medical physics surveys for two major vendors of current digital mammography units. To compare differences in dose estimates among SStD responses with ionization chamber (IC) measurements for several target/filter (TF) combinations and report their characteristics. To review scientific bases for measurements of quantities required for mammography for traditional measurement procedures and SStDs. Methods: SStDs designed for use with modern digital mammography units were acquired for evaluation from four manufacturers. Each instrument was evaluated under similar conditions with the available mammography beams provided by two modern full-field digital mammography units in clinical use: a GE Healthcare Senographe Essential (Essential) and a Hologic Selenia Dimensions 5000 (Dimensions), with TFs of Mo/Mo, Mo/Rh; and Rh/Rh and W/Rh, W/Ag, and W/Al, respectively. Measurements were compared among the instruments for the TFs over their respective clinical ranges of peak tube potentials for kVp and half-value layer (HVL) measurements. Comparisons for air kerma (AK) and their associated relative calculated average glandular doses (AGDs), i.e., using fixed mAs, were evaluated over the limited range of 28–30 kVp. Measurements were compared with reference IC measurements for AK, reference HVLs and calculated AGD, for two compression paddle heights for AK, to evaluate scatter effects from compression paddles. SStDs may require different positioning from current mammography measurement protocols. Results: Measurements of kVp were accurate in general for the SStDs (within −1.2 and +1.1 kVp) for all instruments over a wide range of set kVp’s and TFs and most accurate for Mo/Mo and W/Rh. Discrepancies between measurements and reference values were greater for HVL and AK. Measured HVL values differed from reference values by −6.5% to +3.5% depending on the SStD and

  7. Magnification mammography: a comparison of full-field digital mammography and screen-film mammography for the detection of simulated small masses and microcalcifications

    Energy Technology Data Exchange (ETDEWEB)

    Hermann, K.P.; Obenauer, S.; Funke, M.; Grabbe, E.H. [Department of Diagnostic Radiology, University of Goettingen, Robert-Koch-Strasse 40, 37075 Goettingen (Germany)

    2002-09-01

    The objective of this study was a comparison of a full-field digital mammography (FFDM) system and a conventional screen-film mammography (SFM) system with respect to the detectability of simulated small masses and microcalcifications in the magnification mode. All images were obtained using 1.8 times magnification. The FFDM images were obtained at radiation dose levels of 1.39, 1.0, 0.7, 0.49 and 0.24 times that of the SFM images. A contrast-detail phantom was used to compare the detection of simulated lesions using a four alternative forced-choice reader study with three readers. The correct observation ratio (COR) was calculated as the fraction of correctly identified lesions to the total number of simulated lesions. Soft-copy reading was performed for all digital images. Direct magnification images acquired with the digital system showed a lower object contrast threshold than those acquired with the conventional system. For equal radiation dose, the digital system provided a significantly increased COR (0.95) compared with the screen-film system (0.82). For simulated microcalcifications, the corresponding difference was 0.90 to 0.72. The digital system allowed equal detection to screen-film at 40% of the radiation dose used for screen film. Digital magnification images are superior to screen-film magnification images for the detection of simulated small masses and microcalcifications even at a lower radiation dose. (orig.)

  8. Magnification mammography: a comparison of full-field digital mammography and screen-film mammography for the detection of simulated small masses and microcalcifications

    International Nuclear Information System (INIS)

    The objective of this study was a comparison of a full-field digital mammography (FFDM) system and a conventional screen-film mammography (SFM) system with respect to the detectability of simulated small masses and microcalcifications in the magnification mode. All images were obtained using 1.8 times magnification. The FFDM images were obtained at radiation dose levels of 1.39, 1.0, 0.7, 0.49 and 0.24 times that of the SFM images. A contrast-detail phantom was used to compare the detection of simulated lesions using a four alternative forced-choice reader study with three readers. The correct observation ratio (COR) was calculated as the fraction of correctly identified lesions to the total number of simulated lesions. Soft-copy reading was performed for all digital images. Direct magnification images acquired with the digital system showed a lower object contrast threshold than those acquired with the conventional system. For equal radiation dose, the digital system provided a significantly increased COR (0.95) compared with the screen-film system (0.82). For simulated microcalcifications, the corresponding difference was 0.90 to 0.72. The digital system allowed equal detection to screen-film at 40% of the radiation dose used for screen film. Digital magnification images are superior to screen-film magnification images for the detection of simulated small masses and microcalcifications even at a lower radiation dose. (orig.)

  9. Performance of systematic and non-systematic ('opportunistic') screening mammography: a comparative study from Denmark

    DEFF Research Database (Denmark)

    Bihrmann, Kristine; Jensen, Allan; Olsen, Anne Helene;

    2008-01-01

    OBJECTIVES: Evaluation and comparison of the performance of organized and opportunistic screening mammography. METHODS: Women attending screening mammography in Denmark in 2000. The study included 37,072 women attending organized screening. Among these, 320 women were diagnosed with breast cancer...

  10. Contrast-enhanced spectral mammography in patients referred from the breast cancer screening programme

    International Nuclear Information System (INIS)

    Feasibility studies have shown that contrast-enhanced spectral mammography (CESM) increases diagnostic accuracy of mammography. We studied diagnostic accuracy of CESM in patients referred from the breast cancer screening programme, who have a lower disease prevalence than previously published papers on CESM. During 6 months, all women referred to our hospital were eligible for CESM. Two radiologists blinded to the final diagnosis provided BI-RADS classifications for conventional mammography and CESM. Statistical significance of differences between mammography and CESM was calculated using McNemar's test. Receiver operating characteristic (ROC) curves were constructed for both imaging modalities. Of the 116 eligible women, 113 underwent CESM. CESM increased sensitivity to 100.0 % (+3.1 %), specificity to 87.7 % (+45.7 %), PPV to 76.2 % (+36.5 %) and NPV to 100.0 % (+2.9 %) as compared to mammography. Differences between conventional mammography and CESM were statistically significant (p < 0.0001). A similar trend was observed in the ROC curve. For conventional mammography, AUC was 0.779. With CESM, AUC increased to 0.976 (p < 0.0001). In addition, good agreement between tumour diameters measured using CESM, breast MRI and histopathology was observed. CESM increases diagnostic performance of conventional mammography, even in lower prevalence patient populations such as referrals from breast cancer screening. (orig.)

  11. Attitudes and Beliefs Associated with Mammography in a Multiethnic Population in Israel

    Science.gov (United States)

    Baron-Epel, Orna

    2010-01-01

    This article highlights beliefs, attitudes, and barriers that are associated with mammography use in four distinct cultural and ethnic groups in Israel: veteran, ultra-orthodox, and immigrant Jewish and Arab women. A random telephone survey of 1,550 women was performed. Information from claims records concerning mammography use was obtained for…

  12. Cultural Views, Language Ability, and Mammography Use in Chinese American Women

    Science.gov (United States)

    Liang, Wenchi; Wang, Judy; Chen, Mei-Yuh; Feng, Shibao; Yi, Bin; Mandelblatt, Jeanne S.

    2009-01-01

    Mammography screening rates among Chinese American women have been reported to be low. This study examines whether and how culture views and language ability influence mammography adherence in this mostly immigrant population. Asymptomatic Chinese American women (n = 466) aged 50 and older, recruited from the Washington, D.C. area, completed a…

  13. Mammography in Norway: Image quality and total performance; Mammografivirksomhet i Norge: Bildekvalitet og totalytelse

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, J.B.; Skretting, A. [Norske Radiumhospital, Oslo (Norway); Widmark, A. [Statens Straalevern, Oesteraas (Norway)

    1997-04-01

    This report describes a method for assessing the total performance in mammography based on Receiver Operating Characteristic (ROC) analysis. In the time period from December 1993 to March 1994 the method was applied to assess the total performance of all the 45 Norwegian mammography laboratories operative at that time. Image quality characteristics in each laboratory was established by use of well-known phantoms.

  14. Contrast-enhanced spectral mammography in patients referred from the breast cancer screening programme

    Energy Technology Data Exchange (ETDEWEB)

    Lobbes, Marc B.I.; Wildberger, Joachim E. [Maastricht University Medical Center, Department of Radiology, Maastricht (Netherlands); GROW School for Oncology and Developmental Biology, Maastricht (Netherlands); Lalji, Ulrich; Houwers, Janneke; Nijssen, Estelle C. [Maastricht University Medical Center, Department of Radiology, Maastricht (Netherlands); Nelemans, Patty J. [Maastricht University, Department of Epidemiology, Maastricht (Netherlands); Roozendaal, Lori van; Heuts, Esther [Maastricht University Medical Center, Department of Surgical Oncology, Maastricht (Netherlands); Smidt, Marjolein L. [Maastricht University Medical Center, Department of Surgical Oncology, Maastricht (Netherlands); GROW School for Oncology and Developmental Biology, Maastricht (Netherlands)

    2014-07-15

    Feasibility studies have shown that contrast-enhanced spectral mammography (CESM) increases diagnostic accuracy of mammography. We studied diagnostic accuracy of CESM in patients referred from the breast cancer screening programme, who have a lower disease prevalence than previously published papers on CESM. During 6 months, all women referred to our hospital were eligible for CESM. Two radiologists blinded to the final diagnosis provided BI-RADS classifications for conventional mammography and CESM. Statistical significance of differences between mammography and CESM was calculated using McNemar's test. Receiver operating characteristic (ROC) curves were constructed for both imaging modalities. Of the 116 eligible women, 113 underwent CESM. CESM increased sensitivity to 100.0 % (+3.1 %), specificity to 87.7 % (+45.7 %), PPV to 76.2 % (+36.5 %) and NPV to 100.0 % (+2.9 %) as compared to mammography. Differences between conventional mammography and CESM were statistically significant (p < 0.0001). A similar trend was observed in the ROC curve. For conventional mammography, AUC was 0.779. With CESM, AUC increased to 0.976 (p < 0.0001). In addition, good agreement between tumour diameters measured using CESM, breast MRI and histopathology was observed. CESM increases diagnostic performance of conventional mammography, even in lower prevalence patient populations such as referrals from breast cancer screening. (orig.)

  15. Added value of one-view breast tomosynthesis combined with digital mammography according to reader experience

    Energy Technology Data Exchange (ETDEWEB)

    Thomassin-Naggara, Isabelle, E-mail: isabelle.thomassin@tnn.aphp.fr [Sorbonne Universités, UPMC Univ Paris 06, IUC, 75005 Paris (France); INSERM, UMR970, Equipe 2, Imagerie de l’angiogenèse, 75005 Paris (France); AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Perrot, Nicolas [AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Centre Pyramides, Paris (France); Dechoux, Sophie [Sorbonne Universités, UPMC Univ Paris 06, IUC, 75005 Paris (France); AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Ribeiro, Carine [Centre Pyramides, Paris (France); Chopier, Jocelyne [AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Bazelaire, Cedric de [APHP, Department of Radiology, Hôpital Saint Louis, 75010 Paris (France)

    2015-02-15

    Highlights: • Breast tomosynthesis improves diagnostic performance especially for radiologists with lower experience in mammography. • Adding only one-view digital breast tomosynthesis to mammography improves the cancer detection rate. • Breast tomosynthesis is mainly useful for helping radiologists to detect architectural distortion. - Abstract: Purpose: To retrospectively evaluate the added value of one-view breast tomosynthesis in adjunct with mammography to characterize breast lesions. Materials and methods: Our institutional ethics committees approved the study and granted a waiver of informed consent. One hundred fifty-five women (mean age, 51.3 years, range: 24–92 years) who systematically underwent mammography and breast tomosynthesis with subsequent percutaneous biopsy were analyzed. Four radiologists (two seniors, R1 and R2, and two juniors, R3 and R4 with 30, 10, 3 and 1 years of experience in breast imaging, respectively) independently reviewed exams in two steps: mammography alone and tomosynthesis in adjunct with mammography. The lesions in the cohort included 39.3% (61/155) cancers, 2.5% (4/155) high-risk lesions and 58.1% (90/155) benign lesions. A receiver operating characteristic (ROC) curve analysis was performed to compare the results of the two readings. Results: There was almost perfect agreement irrespective of reader experience for the reading of the mammography in adjunct with tomosynthesis, whereas agreement was poor between junior and senior readers for the reading of mammography alone. Area under the ROC (Az) values for the tomosynthesis in adjunct with mammography were significantly better than Az values for mammography alone for all readers except the most experienced, for whom only a tendency was noted. The proportion of cancers undiagnosed by mammography alone that were well diagnosed by tomosynthesis in adjunct with mammography was 6.5% (4/61), 13.1% (8/61), 27.8% (17/61) and 26.2% (16/61) for Readers 1, 2, 3 and 4

  16. Descriptive study of the quality control in mammography; Estudio descriptivo del control de calidad en mamografia

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Perdigon C, G.M.; Casian C, G.A.; Azorin N, J.; Diaz G, J.A.I.; Arreola, M. [UAM, Xochimilco 14000 Mexico D.F. (Mexico)

    2005-07-01

    The goal of mammography is to provide contrast between a lesion that is possible residing within the breast and normal surrounding tissue. Quality control is essential for maintaining the contrast imaging performance of a mammography system and incorporate tests that are relevant in that they are predictive of future degradation of contrast imaging performance. These tests will also be done at frequency that is high enough to intercept most drifts in quality imaging or performance before they become diagnostically significant. The quality control study has as objective to describe the results of the assessment of quality imaging elements (film optical density, contrast (density difference), uniformity, resolution and noise) of 62 mammography departments without quality control program and comparison these results with a mammography reference department with a quality control program. When comparing the results they allow seeing the clinical utility of to have a quality control program to reduce the errors of mammography interpretation. (Author)

  17. Cultural views, language ability, and mammography use in Chinese American women.

    Science.gov (United States)

    Liang, Wenchi; Wang, Judy; Chen, Mei-Yuh; Feng, Shibao; Yi, Bin; Mandelblatt, Jeanne S

    2009-12-01

    Mammography screening rates among Chinese American women have been reported to be low. This study examines whether and how culture views and language ability influence mammography adherence in this mostly immigrant population. Asymptomatic Chinese American women (n = 466) aged 50 and older, recruited from the Washington, D.C. area, completed a telephone interview. Regular mammography was defined as having two mammograms at age-appropriate recommended intervals. Cultural views were assessed by 30 items, and language ability measured women's ability in reading, writing, speaking, and listening to English. After controlling for risk perception, worry, physician recommendation, family encouragement, and access barriers, women holding a more Chinese/Eastern cultural view were significantly less likely to have had regular mammograms than those having a Western cultural view. English ability was positively associated with mammography adherence. The authors' results imply that culturally sensitive and language-appropriate educational interventions are likely to improve mammography adherence in this population.

  18. Characterization tests of a homemade ionization chamber in mammography standard radiation beams

    International Nuclear Information System (INIS)

    A mammography homemade ionization chamber was developed to be applied for mammography energy range dosimetry. This chamber has a sensitive volume of 6 cm3 and is made of a Lucite body and graphite coated collecting electrode. Characteristics such as saturation, ion collection efficiency, linearity of chamber response versus air kerma rate and energy dependence were determined. The results obtained with the mammography homemade ionization chamber are within the limits stated in international recommendations. This chamber can be used in quality control programs in the diagnostic radiology area. All measurements were carried out at the Calibration Laboratory of IPEN. - Highlights: • We constructed a mammography homemade ionization chamber. It was submitted to standard mammography X-rays beam qualities. • The results obtained showed good agreement with international standards. • This chamber can be used in quality control programs of diagnostic radiology area

  19. Use of Iodine-based contrast media in digital full-field mammography - initial experience

    International Nuclear Information System (INIS)

    Aim: To investigate the use of iodine-based contrast media in digital full-field mammography. Methods: After performing initial phantom studies, seven patients underwent digital mammography (Senographe 2000D, GE Medical Systems, Milwaukee, USA) using a specially filtered beam before as well as 60, 120, and 180 seconds after injection of 80 ml of iodine contrast medium (Ultravist 370, Schering AG, Germany). The precontrast mammograms were then subtracted from the postcontrast mammograms and the resulting images compared with a contrast-enhanced dynamic MRI study, performed on all women. Results: Contrast medium accumulation within the tumors was visualized with a good quality in all cases. The conditions under which successful contrast-enhanced digital mammography can be performed were determined in phantom studies. Conclusions: Contrast-enhanced digital mammography has a potential for improving the visualization of breast tumors in mammography using special beam filtering, adjusted X-ray parameters, proper timing, and suitable subtraction software. (orig.)

  20. Performance of combined clinical mammography and needle biopsy: a nationwide study from Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Rank, Fritz; Dyreborg, Uffe;

    2006-01-01

    Clinical mammography and needle biopsy are key tools for non-operative assessment of breast lesions. We evaluated the performance of all combined tests undertaken in Denmark in 2000. Clinical mammography and needle biopsy data were collected and linked to final cancer outcome, to determine...... sensitivity, specificity, and predictive values of clinical mammography, needle biopsy, and combined test. In 2000, 6709 combined tests were performed in 36 mammography clinics in Denmark. The combined test was consistently more sensitive than any single test, increasing the proportion of women correctly...... identified with breast cancer by 9% compared with clinical mammography alone. For concordant combined tests (i.e. either both benign or both malignant), specificity and positive predictive value were 100%, sensitivity was 99.1%, and positive predictive value was 99.6%. Therefore, Danish patients...

  1. Is mammography screening history a predictor of future breast cancer risk?

    DEFF Research Database (Denmark)

    Andersen, Sune Bangsbøll; Törnberg, Sven; Kilpeläinen, Sini;

    2015-01-01

    was not a predictor of a low remaining breast cancer risk in women participating in the mammography screening programmes in Stockholm, Sweden, Copenhagen and Funen, Denmark. The history of previous negative screens is therefore not suitable for personalisation of mammography screening.......Inspired by the model by Walter and Day for risk of cervical cancer following negative screens, one might hypothesize that women in a mammography screening programme with a certain number of negative screens had a lower remaining breast cancer risk than that of women in general. We studied whether...... number of negative screens was a predictor for a low remaining breast cancer risk in women participating in the mammography screening programmes in Stockholm, Copenhagen and Funen. Data were collected from the mammography screening programmes in Stockholm, Sweden (1989-2012), Copenhagen, Denmark (1991...

  2. Dosimetry and kVp standardization for quality assurance of mammography

    International Nuclear Information System (INIS)

    Breast cancer mortality rates were significantly reduced in Taiwan after achieving early-stage monitoring with mammography screening. This study establishes an appropriate and traceable calibration infrastructure, which offers calibration services for mammography X-ray quality assurance instrumentation, which is performed clinically on a regular basis. The entrance air kerma, HVL, and kVp of mammography equipment with five different target/filter combinations can be taken as adequate indicators for the level of average glandular dose (AGD). The primary dose standard in mammography uses a free-air ionization chamber to estimate the rate of air kerma. Several correction factors were determined by Monte Carlo simulations and experiments. A secondary kVp standard in mammography is in accordance with the IEC 61676 recommendations. The calibration system of kVp meter uses a high-voltage divider, which is traceable to ITRI primary standard in Taiwan. Dose and kVp verifications were conducted by mammography instruments, which were previously calibrated by NIST and PTB. The evaluation results indicate that the capabilities of this irradiation system met the ISO 4037-1 requirements. The expanded uncertainties (k=2) were 1.03% and 1.6% when the mammography X-ray air kerma rate and kVp meter calibration factors were evaluated using ISO GUM. Experimental verification and a comparison with NIST using transfer ionization chambers yielded differences in calibration factors. Comparison with the PTB using kVp meter indicated a less than 1% difference. The results showed that dose and kVp standards were in reasonable agreement with standard uncertainty. The low uncertainties associated with the obtained results in this work show that the standardization employed can be accurately used for calibration of instrument in mammography in Taiwan. - Highlights: • We established calibration infrastructure for mammography X-ray quality assurance. • The expanded uncertainty of calibration

  3. Performance comparison of single-view digital breast tomosynthesis plus single-view digital mammography with two-view digital mammography

    International Nuclear Information System (INIS)

    To determine the performance of combined single-view mediolateral oblique (MLO) digital breast tomosynthesis (DBT) plus single-view cranio-caudal (CC) mammography (MX) compared with that of standard two-view digital mammography. A multi-reader multi-case (MRMC) receiver-operating characteristic (ROC) study was conducted, involving six breast radiologists. Two hundred fifty patients underwent bilateral MX and DBT imaging. MX and DBT images with the adjunct of the CC-MX view from 469 breasts were evaluated and rated independently by six readers. Differences in mean areas under the ROC curves (AUCs), mean sensitivity and mean specificity were analysed by analysis of variance (ANOVA) to assess clinical performance. The combined technique was found to be non-inferior to standard two-view mammography (MX(CC+MLO)) in mean AUC (difference: +0.021;95 % LCL = -0.011), but was not statistically significant for superiority (P = 0.197). The combined technique had equivalent sensitivity to standard mammography (76.2 % vs. 72.8 %, P = 0.269) and equivalent specificity (84.9 % vs. 83.0 %, P = 0.130). Specificity for benign lesions was significantly higher with the combination of techniques versus mammography (45.6 % vs. 36.8 %, P = 0.002). In this enriched study population, the combination of single-view MLO tomosynthesis plus single-view CC mammography was non-inferior to that of standard two-view digital mammography in terms of ROC curve area, sensitivity and specificity. circle Breast tomosynthesis (DBT) has emerged as a valuable adjunct to mammography (MX). (orig.)

  4. Performance comparison of single-view digital breast tomosynthesis plus single-view digital mammography with two-view digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Gennaro, Gisella; Pescarini, Luigi; Polico, Ilaria; Proietti, Alessandro; Baldan, Enrica; Bezzon, Elisabetta; Pomerri, Fabio; Muzzio, Pier Carlo [Veneto Institute of Oncology (IOV)-IRCCS, Padua (Italy); Hendrick, R.E. [University of Colorado-Denver, School of Medicine, Department of Radiology, Aurora, CO (United States); Ruppel, Patricia [Innovative Analytics, Kalamazoo, MI (United States); Chersevani, Roberta [Private Clinical Practice, Gorizia (Italy); Di Maggio, Cosimo [Private Clinical Practice, Padua (Italy); La Grassa, Manuela [Oncological Reference Center (CRO)-IRCCS, Aviano, (Pordenone) (Italy)

    2013-03-15

    To determine the performance of combined single-view mediolateral oblique (MLO) digital breast tomosynthesis (DBT) plus single-view cranio-caudal (CC) mammography (MX) compared with that of standard two-view digital mammography. A multi-reader multi-case (MRMC) receiver-operating characteristic (ROC) study was conducted, involving six breast radiologists. Two hundred fifty patients underwent bilateral MX and DBT imaging. MX and DBT images with the adjunct of the CC-MX view from 469 breasts were evaluated and rated independently by six readers. Differences in mean areas under the ROC curves (AUCs), mean sensitivity and mean specificity were analysed by analysis of variance (ANOVA) to assess clinical performance. The combined technique was found to be non-inferior to standard two-view mammography (MX{sub (CC+MLO)}) in mean AUC (difference: +0.021;95 % LCL = -0.011), but was not statistically significant for superiority (P = 0.197). The combined technique had equivalent sensitivity to standard mammography (76.2 % vs. 72.8 %, P = 0.269) and equivalent specificity (84.9 % vs. 83.0 %, P = 0.130). Specificity for benign lesions was significantly higher with the combination of techniques versus mammography (45.6 % vs. 36.8 %, P = 0.002). In this enriched study population, the combination of single-view MLO tomosynthesis plus single-view CC mammography was non-inferior to that of standard two-view digital mammography in terms of ROC curve area, sensitivity and specificity. circle Breast tomosynthesis (DBT) has emerged as a valuable adjunct to mammography (MX). (orig.)

  5. 76 FR 68167 - National Medal of Technology and Innovation Nomination Evaluation Committee Meeting

    Science.gov (United States)

    2011-11-03

    ... meeting. SUMMARY: The National Medal of Technology and Innovation (NMTI) Nomination Evaluation Committee... NMTI Nomination Evaluation Committee, chartered to the United States Department of Commerce, will meet... Nomination Evaluation Committee evaluates the nominations received pursuant to public solicitation and...

  6. SU-E-I-88: Mammography Imaging: Does Positioning Matter?

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, J; Szabunio, M [University of Kentucky, Lexington, KY (United States)

    2014-06-01

    Purpose: In mammography, compression is imperative for quality images and glandular radiation exposure dose. The thickness of the compressed breast directly determines mammography acquisition parameters. The compressed thickness varies due to variation in technologist practice, even for the same patient imaged at different time. This study is to investigate potential effect of the variation in breast positioning on radiation dose and image quality. Methods: Radiation dose at different thicknesses was measured with a BR-12 breast phantom for both conventional craniocaudal view and tomosynthesis in a Hologic Tomosynthesis mammography system. The CIRS stereotactic needle biopsy training phantom embedded dense masses and microcalcification in various sizes were imaged for image quality evaluation. Radiologists evaluated images. Clinical mammograms from the same patient but acquired at different time were retrospectively retrieved to evaluate potential effects of variation in positioning. Results: Acquisition parameters (kVp and mAs) increase with the increased phantom thickness. Radiation exposure increases following an exponential trend. The stereotactic phantom images showed loss of spatial and contrast resolution with inappropriate positioning. The compressed pressure may not be a good indicator for appropriate positioning. The inclusion of different amount of pectoralis muscle may lead to the same compressed pressure but different compressed thickness. The initial retrospective study of 3 patients showed that there were potential large variations in positioning the same patient at different examination time, resulting in large variations in patient radiation dose and image quality. Conclusion: Variations in patient positioning potentially influence patient radiation dose and image quality. The technologist has the critical responsibility to position patient to provide quality images in spite of different breast and body types. To reduce intra and inter practice

  7. Using Mammography Screening: Hmong Women’s Perceptions and Beliefs

    Directory of Open Access Journals (Sweden)

    Pang Vang

    2010-01-01

    Full Text Available Breast cancer is the second leading cause of cancer deaths among all women in the United States. Although mammography screening has been shown to be effective in detecting breast cancer, Hmong women, one of the Asian American/Pacific Islander subgroups, have a very low screening rate. The purpose of this study was to explore factors that influence Hmong women‘s willingness to be screened for breast cancer. Grounded Theory methodology guided the analysis of fifteen qualitative interviews with Midwestern Hmong women between the ages of40-64. Regardless of age, length of US residency, and language spoken, the results showed one core theme and three interrelated themes regarding the women‘s decision to seek mammographyscreening. The three interrelated themes of Breast Health Messages, Screening Barriers, and Screening Facilitators can have negative and/or positive influences on the core theme of mammography-screening decision-making processes. The first related theme of Breast HealthMessages included professional and lay breast health messages. The second related theme, Screening Facilitators, included breast health messages from professionals, abnormal findings, social support, risk for getting breast cancer, doctor‘s recommendations, and insurance. The third related theme, Screening Barriers, identified symptomatic health seeking behavior, instrumental barriers, fear, social influence (which included lay breast health messages, use of traditional Hmong healing practices, embarrassment, and perception of breast cancer risk. This study suggested that the healthcare professionals need to use a culturally sensitive and multidisciplinaryapproach to provide breast health education as well as to assess and provide instrumental support, while encouraging social support to influence Hmong women to attain mammography screening.

  8. 12 CFR 715.6 - Audit of Federally-insured State-chartered credit unions.

    Science.gov (United States)

    2010-01-01

    ... AFFECTING CREDIT UNIONS SUPERVISORY COMMITTEE AUDITS AND VERIFICATIONS § 715.6 Audit of Federally-insured... Committee audit responsibility, a federally-insured State-chartered credit union having total assets of $500... Committee audit responsibility, a federally-insured State-chartered credit union having total assets of...

  9. Work Environments and Labor Markets: Explaining Principal Turnover Gap between Charter Schools and Traditional Public Schools

    Science.gov (United States)

    Sun, Min; Ni, Yongmei

    2016-01-01

    Purpose: Knowledge about principals' leadership roles in charter schools' success has become more important as the number of charter schools increases and as we have learned more about the influence of principal leadership on school effectiveness. To contribute to the limited empirical literature on the principal labor market, this study explores…

  10. A Meta-Analysis of the Literature on the Effect of Charter Schools on Student Achievement

    Science.gov (United States)

    Betts, Julian R.; Tang, Y. Emily

    2016-01-01

    Charter schools represent an increasingly important form of school choice in the United States. Charter schools are public schools, with a difference. Compared to traditional public schools, they are exempted from some of the state laws and regulations that govern traditional public schools. In this way, parents come to have a greater number of…

  11. The Strategic Management of Charter Schools: Frameworks and Tools for Educational Entrepreneurs. Educational Innovations

    Science.gov (United States)

    Frumkin, Peter; Manno, Bruno V.; Edgington, Nell

    2011-01-01

    "The Strategic Management of Charter Schools" addresses the challenges facing such schools by mapping out, in straightforward and highly pragmatic terms, a management framework for them. The first charter school law in the United States was enacted in Minnesota in 1991. In the twenty years since that modest beginning, the movement has burgeoned…

  12. Legal and Policy Issues Regarding Niche Charter Schools: Race, Religion, Culture, and the Law

    Science.gov (United States)

    Eckes, Suzanne E.; Fox, Robert A.; Buchanan, Nina K.

    2011-01-01

    A growing number of ethnocentric or culturally oriented niche charter schools have opened around the country. These ethnic or culture-oriented models raise legal and policy concerns about church/state entanglement as well as concerns about diversity. Indeed, there has already been litigation focused on racial and ethnic aspects of charter schools…

  13. Financial Management of New York's Charter Schools: A Normative, Descriptive, and Prescriptive Analysis

    Science.gov (United States)

    Brent, Brian O.; Finnigan, Kara S.

    2009-01-01

    Surprisingly little is known about the financial management practices of charter schools. The literature offer policymakers only anecdotal answers to the following important questions: Who manages charter school finances and what educational and previous employment experiences do they bring to their positions? What do audited financial statements…

  14. 78 FR 18415 - Notice of Amendment to the Advisory Committee on International Law Charter

    Science.gov (United States)

    2013-03-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Notice of Amendment to the Advisory Committee on International Law Charter The Department of State has amended the Charter of the Advisory Committee on International Law to add three additional membership positions. The Committee is comprised of all...

  15. Considering Legal Identity as a Critical Variable of Interest in Charter Schools Research

    Science.gov (United States)

    Rhim, Lauren Morando; Ahearn, Eileen; Lange, Cheryl

    2006-01-01

    Fifteen years ago charter schools were considered a radical addition to the public education landscape. Today they present a viable educational choice in 40 states and the District of Columbia. Much has been written about charter schools, their purpose, effectiveness, and future. However, to date, much of the dialogue has focused on ideology and…

  16. Special Education in Charter Schools: The View from State Education Agencies

    Science.gov (United States)

    Lange, Cheryl M.; Rhim, Lauren Morando; Ahearn, Eileen M.

    2008-01-01

    Charter schools, although a stage for potential educational reform and innovation, remain subject to federal laws regarding the education of students with disabilities. As they intersect with federal law, the variance of state charter laws and policy surrounding the provision of special education creates a challenging context for helping charters…

  17. Beyond the Schoolhouse Door: How Charter Schools Are Transforming U.S. Public Education.

    Science.gov (United States)

    Manno, Bruno V.; Finn, Chester E., Jr.; Vanourek, Greg

    2000-01-01

    Discusses evolutionary stages in the education establishment's reaction to charter schools: stopping them cold, keeping them few and weak, competing with them, and accepting and using them. Charters are not revolutionary. They embody three time-tested features: community rootedness; resemblance to magnet and alternative schools; and institutional…

  18. Making Americans: UNO Charter Schools and Civic Education. Policy Brief 6

    Science.gov (United States)

    Feith, David

    2013-01-01

    This policy brief is the third in a series of in-depth case studies exploring how top-performing charter schools have incorporated civic learning in their school curriculum and school culture. The UNO Charter School Network includes 13 schools serving some 6,500 students across Chicago. Located in predominantly Hispanic neighborhoods, the…

  19. A Closer Look at Charter Schools and Segregation: Flawed Comparisons Lead to Overstated Conclusions

    Science.gov (United States)

    Ritter, Gary; Jensen, Nathan; Kisida, Brian; McGee, Joshua

    2010-01-01

    In January 2010, the UCLA-based Civil Rights Project (CRP) released "Choice without Equity: Charter School Segregation and the Need for Civil Rights Standards." The study intended to report on, among other things, levels of racial segregation in charter schools across the United States. The authors use 2007-08 data from the U.S. Department of…

  20. For-Profit Charter Schools: What the Public Needs to Know.

    Science.gov (United States)

    Dykgraaf, Christy Lancaster; Lewis, Shirley Kane

    1998-01-01

    For-profit charter-school managers may be removing the "public" from public education. A study of 11 Michigan charter schools showed that cost-cutting strategies are adversely affecting student transportation, special education, and the socioeconomic mix of students. Corporations' superimposed bureaucracies have eradicated educators' freedom to…

  1. California Charter Schools Serving Low-SES Students: An Analysis of the Academic Performance Index.

    Science.gov (United States)

    Slovacek, Simeon P.; Kunnan, Antony J.; Kim, Hae-Jin

    This report presents the findings of an analysis of the Academic Performance Index (API) scores based on SATs taken in 1999, 2000, and 2001. It focuses on charter schools in California that serve students from low socioeconomic-status (SES) families. The purpose of the study was to see how standardized test scores from charter schools serving…

  2. 78 FR 22593 - The United States Advisory Commission on Public Diplomacy Notice of Charter Renewal

    Science.gov (United States)

    2013-04-16

    ... United States Advisory Commission on Public Diplomacy Notice of Charter Renewal The Department of State has renewed the charter of the United States Advisory Commission on Public Diplomacy. The Commission... public diplomacy activities (activities intended to understand, inform, and influence foreign...

  3. Urban School Choice and Integration: The Effect of Charter Schools in Little Rock

    Science.gov (United States)

    Ritter, Gary W.; Jensen, Nathan C.; Kisida, Brian; Bowen, Daniel H.

    2016-01-01

    We examine the impact of charter schools on school integration in the Little Rock, Arkansas metropolitan area. We find that charters are less likely to be hyper-segregated than traditional public schools (TPS), but TPS have compositions more closely reflecting the region. However, differences in each case are slight. Using student-level data to…

  4. Examining Charter School Policy and Public School District Resource Allocation in Ohio

    Science.gov (United States)

    Linick, Matthew A.

    2016-01-01

    This project focuses on the competitive pressure, or the threat of competitive pressure, generated by charter school policy. This paper uses longitudinal district-level data and multiple quasi-experimental designs to examine the relationship between two Ohio charter school policies and changes in public school district instructional resource…

  5. Unlocking the Secrets of High-Performing Charters: Tight Management and "No Excuses"

    Science.gov (United States)

    Peyser, James A.

    2011-01-01

    Charter schools are approaching the ripe old age of 20. Although more work remains if one is to fully understand this complex education reform "movement," a growing body of data and research is being compiled about its strengths, weaknesses, and impact. An important subset of the charter school sector is just now receiving a similar level of…

  6. 77 FR 63337 - Renewal of Charter of Advisory Committee on Actuarial Examinations

    Science.gov (United States)

    2012-10-16

    ... Joint Board for the Enrollment of Actuaries announces the renewal of the charter of the Advisory... From the Federal Register Online via the Government Publishing Office JOINT BOARD FOR THE ENROLLMENT OF ACTUARIES Renewal of Charter of Advisory Committee on Actuarial Examinations AGENCY:...

  7. 75 FR 48742 - Renewal of the Regional Resource Stewardship Council Charter

    Science.gov (United States)

    2010-08-11

    ... Renewal of the Regional Resource Stewardship Council Charter AGENCY: Tennessee Valley Authority (TVA). ACTION: Notice of Charter Renewal. SUMMARY: Pursuant to the Federal Advisory Committee Act (FACA) (5 U.S.C. Appendix), the TVA Board of Directors has renewed the Regional Resource Stewardship...

  8. 75 FR 22559 - Federal Advisory Committee; Air University Board of Visitors; Charter Renewal

    Science.gov (United States)

    2010-04-29

    ... of the Secretary Federal Advisory Committee; Air University Board of Visitors; Charter Renewal AGENCY... the charter for the Air University Board of Visitors (hereafter referred to as the Board). FOR FURTHER..., 703-601-6128. SUPPLEMENTARY INFORMATION: The Board is a discretionary Federal advisory committee...

  9. 75 FR 22754 - Federal Advisory Committee; Chief of Engineers Environmental Advisory Board; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... of the Secretary Federal Advisory Committee; Chief of Engineers Environmental Advisory Board; Charter... that it is renewing the charter for the Chief of Engineers Environmental Advisory Board (hereafter referred to as the Board). FOR FURTHER INFORMATION CONTACT: Jim Freeman, Deputy Advisory...

  10. 77 FR 32088 - EPA Board of Scientific Counselors Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2012-05-31

    ... AGENCY EPA Board of Scientific Counselors Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of Charter Renewal. Notice is hereby given that the Environmental... Committee Act (FACA), 5 U.S.C. App.2, the EPA Board of Scientific Counselors Advisory Board (BOSC) is...

  11. 75 FR 22756 - Federal Advisory Committee; United States Army Science Board; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... of the Secretary Federal Advisory Committee; United States Army Science Board; Charter Renewal AGENCY... the charter for the United States Army Science Board (hereafter referred to as the Board). FOR FURTHER..., 703-601-6128. SUPPLEMENTARY INFORMATION: The Board is a discretionary Federal advisory committee...

  12. 75 FR 65614 - Federal Advisory Committee Act; Standards Board Charter Renewal

    Science.gov (United States)

    2010-10-26

    ... COMMISSION Federal Advisory Committee Act; Standards Board Charter Renewal AGENCY: Election Assistance... (EAC) has renewed the charter for the Standards Board for a two-year period through October 18, 2012...-463, as amended, this notice advises interested persons of the renewal of the Standards Board...

  13. 75 FR 22753 - Federal Advisory Committee; Defense Science Board; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... of the Secretary Federal Advisory Committee; Defense Science Board; Charter Renewal AGENCY... the charter for the Defense Science Board (hereafter referred to as the Board). FOR FURTHER..., 703-601-6128. SUPPLEMENTARY INFORMATION: The Board is a discretionary Federal advisory committee...

  14. 78 FR 44946 - Environmental Laboratory Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2013-07-25

    ... AGENCY Environmental Laboratory Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of Charter Renewal. Notice is hereby given that the Environmental... Committee Act (FACA), 5 U.S.C. App. 2, the Environmental Laboratory Advisory Board (ELAB) is a...

  15. 75 FR 29338 - EPA Board of Scientific Counselors Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2010-05-25

    ... AGENCY EPA Board of Scientific Counselors Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of charter renewal. Notice is hereby given that the Environmental... Committee Act (FACA), 5 U.S.C. App.2, the EPA Board of of Scientific Counselors Advisory Board (BOSC) is...

  16. 75 FR 22754 - Federal Advisory Committee; Department of Defense Board of Actuaries; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... of the Secretary Federal Advisory Committee; Department of Defense Board of Actuaries; Charter... Defense gives notice that it is renewing the charter for the Department of Defense Board of Actuaries (hereafter referred to as the Board). FOR FURTHER INFORMATION CONTACT: Jim Freeman, Deputy Advisory...

  17. 75 FR 11534 - Notice of Charter Renewal for the Environmental Financial Advisory Board (EFAB)

    Science.gov (United States)

    2010-03-11

    ... AGENCY Notice of Charter Renewal for the Environmental Financial Advisory Board (EFAB) AGENCY: Environmental Protection Agency (EPA). ACTION: Notice. The Charter for the Environmental Protection Agency's Environmental Financial Advisory Board (EFAB) will be renewed for an additional two- year period, as a...

  18. 75 FR 22560 - Federal Advisory Committee; U.S. Air Force Scientific Advisory Board; Charter Renewal

    Science.gov (United States)

    2010-04-29

    ... of the Secretary Federal Advisory Committee; U.S. Air Force Scientific Advisory Board; Charter... that it is renewing the charter for the U.S. Air Force Scientific Advisory Board (hereafter referred to as the Board). FOR FURTHER INFORMATION CONTACT: Jim Freeman, Deputy Advisory Committee...

  19. 50 CFR 648.89 - Recreational and charter/party vessel restrictions.

    Science.gov (United States)

    2010-10-01

    ... no gear other than rod and reel or handline gear on board; and (iv) For the GOM charter/party closed... 50 Wildlife and Fisheries 8 2010-10-01 2010-10-01 false Recreational and charter/party vessel... Management Measures for the NE Multispecies and Monkfish Fisheries § 648.89 Recreational and...

  20. 78 FR 19355 - Announcement of Charter Renewal of the Radio Technical Commission for Aeronautics (RTCA), Inc.

    Science.gov (United States)

    2013-03-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Announcement of Charter Renewal of the Radio Technical Commission for Aeronautics (RTCA), Inc. SUMMARY: The FAA is issuing this notice to advise the public of the charter...