PMD80 Preferences for a New Imaging Technique to Detect Breast Cancer

J. Roelvink, J.M. Hummel, E.M. ten Tije, J.A.V. van Til, M.J. IJzerman

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Objectives Currently, new techniques for the detection of breast cancer are being developed that cause less patient discomfort than X-ray mammography. These techniques might increase screening attendance, and therefore increase the health gains of the population of women in the Netherlands. One of these techniques is photo acoustic mammography (PAM). However, it is still unknown how important attributes such as discomfort, risks and health gains are to its implementation in breast cancer screening. Methods The Analytic Hierarchy Process (AHP), a technique for multi-criteria analysis, was used to estimate patient and health care professionals' preferences for three scenarios of PAM. These scenarios differed in the diagnostic performance that could be achieved by PAM. Preferences for the scenarios of PAM were compared with the preferences for X-ray mammography. Criteria related to the efficiency in applying the technique, diagnostic performance, patient comfort and safety. We elicited preferences of around 30 health care professionals and 300 patients. Results Health care professionals considered the sensitivity of the imaging technique to be the criterion of utmost importance in the selection of a new imaging technique to detect breast cancer. Advantages of less discomfort have relatively less meaning according to the laboratory workers and radiologists involved. However, preferences among patients and health care providers differed. Conclusions New techniques to detect breast cancer in screening programs should at least equal the diagnostic performance of X-ray mammography. Additional advantages could slightly increase screening attendance. X-ray mammography has a relatively lower diagnostic performance for patients with dense breasts. This subpopulation of patients could be the most promising area for new detection techniques with a working principle that differs from X-ray mammography
Original languageEnglish
Pages (from-to)A359-A359
JournalValue in health
Issue number7
Publication statusPublished - 2012


  • IR-86325
  • METIS-296723


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