Overcoming the limitations of screening mammography in Japan and Korea: a paradigm shift to personalized breast cancer screening based on ultrasonography

Bibliographic Details
Title: Overcoming the limitations of screening mammography in Japan and Korea: a paradigm shift to personalized breast cancer screening based on ultrasonography
Authors: Takayoshi Uematsu, Ayumi Izumori, Woo Kyung Moon
Source: Ultrasonography, Vol 42, Iss 4, Pp 508-517 (2023)
Publisher Information: Korean Society of Ultrasound in Medicine, 2023.
Publication Year: 2023
Collection: LCC:Medical technology
Subject Terms: breast, breast neoplasms, screening, ultrasonography, glandular tissue component, Medical technology, R855-855.5
More Details: Screening mammography programs have been implemented in numerous Western countries with the aim of reducing breast cancer mortality. However, despite over 20 years of population-based screening mammography, the mortality rates in Japan and Korea continue to rise. This may be due to the fact that screening mammography is not as effective for Japanese and Korean women, who often have dense breasts. This density decreases the sensitivity of mammography due to a masking effect. Therefore, the early detection of small invasive cancers requires more than just mammography, particularly for women in their 40s. This review discusses the limitations and challenges of screening mammography, as well as the keys to successful population-based breast cancer screening in Japan and Korea. This includes a focus on breast ultrasonography techniques, which are based on histopathologic anatomical knowledge, and personalized screening strategies that are based on risk assessments measured by glandular tissue components.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2288-5919
2288-5943
Relation: http://www.e-ultrasonography.org/upload/usg-23047.pdf; https://doaj.org/toc/2288-5919; https://doaj.org/toc/2288-5943
DOI: 10.14366/usg.23047
Access URL: https://doaj.org/article/9d8f4ecb6bf2428dafc9624d839e78d8
Accession Number: edsdoj.9d8f4ecb6bf2428dafc9624d839e78d8
Database: Directory of Open Access Journals
More Details
ISSN:22885919
22885943
DOI:10.14366/usg.23047
Published in:Ultrasonography
Language:English