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Meta-Analysis
. 2013 Jun;22(3):217-24.
doi: 10.1016/j.breast.2013.02.013. Epub 2013 Mar 11.

Is full-field digital mammography more accurate than screen-film mammography in overall population screening? A systematic review and meta-analysis

Fabiano H Souza  1 , Eliana M Wendland, Maria I Rosa, Carisi A Polanczyk
Affiliations
Free article
Meta-Analysis

Is full-field digital mammography more accurate than screen-film mammography in overall population screening? A systematic review and meta-analysis

Fabiano H Souza et al. Breast. 2013 Jun.
Free article

Abstract

Objective: To compare the accuracy of screen-film mammography (SFM) and full-field digital mammography (FFDM) for population-based breast cancer screening.

Study design and setting: A quantitative systematic review was performed including randomized controlled trials and cohort studies.

Results: Ten studies (comprising 667,649 women, 82,573 of whom underwent SFM and FFDM) were included. The area under the summary receiver operating characteristic (SROC) curve was 0.92 (SE ± 0.06) for SFM and 0.91 (SE ± 0.11) for FFDM. The results in the random-effects model were 0.95 (95% CI, 0.72-1.24) and 0.52 (95% CI, 0.28-0.95) for SFM versus FFDM in all age and younger groups, respectively.

Conclusion: FFDM is more accurate than SFM only in women less than 50 years old.

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