Dr. László Tabár on the recent controversies in breast screening

Dec 3, 2013
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ACR, SBI issue joint criticism toward ACP breast screening guidelines
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Half of women oppose clinician metrics from breast screening attendance, and many oppose financial incentives from higher ratings.
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New guidelines by the American College of Physicians address age limits to start and stop breast cancer screening.
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Acute radiation-induced pneumonitis after SBRT (65 Gy, four fractions) in a 53-year-old woman with leiomyosarcoma of the uterus with a left lower lobe metastasis manifesting as a small nodule (not shown). (A) Axial dosimetric reconstruction of a CT image obtained for SBRT planning shows the metastasis receiving the maximal isodose (6500 cGy). (B) Axial CT image obtained 12 months after completion of RT shows focal ground-glass and consolidative opacities confined to the treatment plan (arrow). Note that acute lung injury with SBRT typically manifests later than with conventional RT (i.e., >12 weeks after completion of therapy), and in 25% of patients, the first CT manifestations occur more than one year after completion of RT.
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