PRELIM Flashcards
The most important innovation in breast cancer control since the radical mastectomy was introduced by
Halstead in 1898.
The primary goal
to detect breast cancer before it is palpable.
a group of male radiologists in Rochester, NY assembled around a view box admiring the chest x-ray of a buxom woman.
In 1924
Father of Mammography
Robert Egan, MD
1960s at M.D. Anderson Hospital
Reported the radiographic appearance of breast cancers.
Dr. Soloman - German physician
Using radiographic studies of cancerous breasts removed at surgery, he described the mechanism of how breast cancer spread.
Dr. Soloman - German physician
Made the first published radiograph of a living person’s breast in a German medical textbook on malignant tumors.
Otto Kleinschmidt 1927
publications on mammography appeared in South America, the United States, and Europe but still the use of mammography for the diagnosis of breast cancer received little clinical interest.
1930s
mammography was considered a reliable clinical tool because of such refinements as low-kilovoltage x-ray tubes with molybdenum targets and high-detail, industrial-grade x-ray film.
Mid 1950s
Xerography was introduced and was popularized by
Wolfe and Ruzicka. 1960s
substantially lowered the radiation dose received by the patient compared with the dose received using industrial grade x-ray film
Xerography
Many physicians found the xerographic images easier to understand and evaluate
xeromammography became widely used for evaluating breast disease.
The first attempts at widespread population screening began at this time.
1960s
first introduced the combination of higher resolution, faster-speed x-ray film and an intensifying screen.
duPont Company
The Breast Cancer Detection Demonstration Project (BCDDP) was implemented.
1973
(BCDDP
Breast Cancer Detection Demonstration Project
Kodak and duPont improved screen-film combinations.
By this time, extremely high-quality mammography images could be produced with very low patient radiation exposures.
Since then, faster lower-dose films, magnification techniques, and grids for scatter reduction have been introduced
1975
public perception was that radiation exposure from diagnostic x-rays would induce more breast cancers than would be detected.
Mid 1970s
Mammography Quality Standards Act (MQSA) was implemented to mandate the maintenance of high-quality breast cancer screening programs.
1992
Although this perception is false, fear of radiation exposure still causes some women to refuse mammography, and many women who undergo the examination are concerned about exposure levels and the resultant risk of carcinogenesis.
1970s