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X-Ray – Kanva Diagnostic at Rajajinagar, Bangalore

The addition of automated breast (AB) US to screening mammography in a generalizable cohort of women with dense breasts increases the cancer detection yield of clinically important cancers. In a multicenter observational study of 15 318 women who presented consecutively for screening mammography with heterogeneously or extremely dense breasts, Brem et al found the addition of AB US to screening mammography yielded an additional 1.9 detected cancers per 1000 women screened. Among the 82 cancers detected by using either screening mammography alone or the combined read, 17 were detected with screening mammography alone, 30 were detected with AB US alone, and 65 were detected with screening mammography and AB US. Improved detection through the use of AB US supplemented to screening mammography alone has the potential to lead to earlier treatment and better prognosis in patients with dense breasts.