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Scientific papers and poster sessions on “breast tomosynthesis” presented at RSNA 2013 
  63% Year over year increase in scientific articles on “breast tomosynthesis” listed in PubMed from 2012 to 2013
  76% Year over year increase in mentions of “breast tomosynthesis” in Google from 2012 to 2013
  750+ Number of Hologic tomosynthesis systems in use in the U.S.

Making the Case for Tomo to the C-Suite

There comes a time in the evolution of a new medical technology when everything comes together to show the compelling evidence of its worth.

For breast tomosynthesis, that time is now.

The clinical evidence is clear. In multiple large-scale clinical studies, adding tomosynthesis to screening exams has been shown to significantly reduce recalls sparing millions of women the anxiety and cost of being called back for unnecessary testing. The same studies show how tomosynthesis significantly increases the detection of cancers, particularly invasive breast cancers, allowing lifesaving treatment to begin earlier.

As more and more women become aware of the benefits of breast tomosynthesis, they seek out facilities that provide the technology. Referring physicians are increasingly ordering tomosynthesis for their patients and sending them to sites that can provide what they believe will become the new standard of care in mammography.

While the clinical benefits have become more apparent, C-suite administrators are looking for evidence that tomosynthesis makes business sense. Click here to watch a 5-minute video designed to introduce the importance of breast tomosynthesis to members of the hospital management team.


  Breast Tomosynthesis Takes Center Stage at RSNA

57 scientific papers and poster sessions on breast tomosynthesis were presented at RSNA this year.
The Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA) is the largest medical show in the United States and the largest radiology show in the world. Over 700 vendors exhibited this year, but only Hologic focused almost exclusively on women’s imaging.

With a footprint of 12,800 square feet, the Hologic exhibit showcased innovative technologies that identify diseases earlier, improve patient outcomes and optimize workflow efficiencies. These included breast tomosynthesis for screening and diagnosis, 3D-guided breast biopsy, lower dose breast tomosynthesis exams and works in progress including CAD for generated 2D images.

Fifty-seven RSNA scientific presentations and poster sessions focused on breast tomosynthesis. Although all major breast health vendors are working on breast tomosynthesis products, the majority of the studies presented at RSNA used the Hologic Selenia Dimensions breast tomosynthesis system. Hologic offers the only FDA-approved tomosynthesis system in the United States, with systems in every state but one and installations in 59 countries.

A number of the 57 papers and posters sessions on breast tomosynthesis presented at RSNA received significant media pick up.

>>   Researchers at the Hospital of the University of Pennsylvania in Philadelphia report their findings using tomosynthesis as a first-line screening option.

>>   Researchers from King's College Hospital in London find digital breast tomosynthesis offers superior pre-surgical staging.

>>   A study from the Massachusetts General Hospital in Boston finds tomosynthesis superior to mammography in breast cancer detection.

>>   Study from the University of Oslo suggests that for tomosynthesis, 2D synthetic images could replace FFDM.

>>   Click here for a listing of ten tomosynthesis scientific papers of particular note from RSNA.

>>   Click here to download a white paper on the clinical benefits of breast tomosynthesis.

AuntMinnie Readers Pick “Breast Tomosynthesis”
as Hottest Clinical Procedure for the 4th Straight Year


In the 2013 annual ranking of the best in radiology, breast tomosynthesis was named the Hottest Clinical Procedure by the readers and editors of AuntMinnie.com for the fourth consecutive year.
Brian Casey, Editorial Director at IMV Publishing, the publisher of AuntMinnie.com noted, "In a year dominated by CT, it's remarkable that the ‘Minnies’ expert panel bucked the trend by choosing digital breast tomosynthesis (DBT) as the Hottest Clinical Procedure, making this the fourth year in a row that tomosynthesis has won the category in a streak that began in 2010. But on second thought, perhaps it's no surprise, considering the effect breast tomosynthesis is already having on mammography. New research papers continued to pour out in 2013 pointing to the clinical benefits of tomosynthesis, from an improved ability to detect cancer to sharply lower recall rates."

Also recognized was Hologic's Affirm 3D-guided breast biopsy procedure, which came in second in the Best New Radiology Device category.

The "Minnies" awards recognize excellence in radiology. Candidates are selected from nominations submitted by AuntMinnie.com members, and winners are chosen through two rounds of voting by expert panelists. This year there were over 200 candidates and 15 categories.

>> Read more

  Hologic’s Breast Tomosynthesis System
Wins 2013 Best in KLAS Award
  Hologic's Selenia Dimensions breast tomosynthesis system was named "Best in KLAS" in the digital mammography category in the 2013 KLAS annual customer satisfaction survey of medical imaging products. The Hologic tomosynthesis system also received the highest rating out of the 140 imaging products evaluated.

Hologic’s 2D Selenia and its 2D Dimensions systems were ranked second and third, respectively, in the digital mammography category. 2013 is the second consecutive year that Hologic mammography systems have been ranked in the top three places in the digital mammography category and the fourth year in a row that a Hologic mammography system has been ranked in the highest position in the digital mammography category.

The Best in KLAS awards are an annual ranking of the best-performing medical equipment and infrastructure vendors, based on evaluations submitted by thousands of healthcare providers throughout the United States and Canada. KLAS is a research firm specializing in monitoring and reporting on the performance of healthcare vendors.

>> Read more

USPSTF to Review Breast Screening Guidelines


In November, the U.S. Preventive Services Task Force (USPSTF) announced it had begun a "systematic review" of evidence on breast screening, and that will form the basis for a new task force recommendation on the topic. The last time USPSTF changed its recommendation on breast screening was in 2009, when the group rescinded its previous recommendation that women in their 40s receive regular breast screening. The decision touched off a firestorm of controversy, not only on the recommendation itself but also on the lack of transparency of the USPSTF's process in issuing guidelines.

>> Read more

>> The documents outlining the draft research plan can be reached by clicking here.


Tomo Is More Accurate in Measuring Invasive Breast Cancer

At RSNA British researchers discussed how breast tomosynthesis can help clinicians identify the size of invasive cancers and therefore choose the most appropriate treatment. Dr. Asif Iqbal, from King's College Hospital in London, and colleagues conducted a study that compared tomosynthesis with digital mammography and ultrasound for measuring the size of invasive breast cancer. Digital breast tomosynthesis was the most accurate in measuring the size of the cancers, followed by digital mammography and ultrasound. Tomosynthesis performed particularly well in identifying parenchymal distortion and asymmetric density, according to the researchers.

>> Read more

Customer Stories of Note


3D Mammography Provides Earlier Detection, Draws New Patients

Methodist Hospitals, Merrillville, Indiana

The cornerstones of the Northwest Indiana Breast Care Center are their three Hologic breast tomosynthesis systems. “We built our entire breast imaging concept around 3D imaging because we knew it was a landmark opportunity,” states Ian McFadden, President and CEO of the not-for-profit healthcare system.

Methodist Hospitals was the first site in Indiana and one of the first 50 sites in the U.S. to offer breast tomosynthesis.

>> Read more
Providing Comprehensive Bone Density Testing Isn't Just Good for Patients, It's Also Great for Business
Northwest Family Medical Center, Tampa, Florida

For Northwest Family Medical Center, the largest practice of its kind in Hillsborough County, Florida, providing comprehensive bone density testing isn't just good for patients, it's also great for business. Dr. Cromer, the Center's founder saw a need to incorporate DXA examinations into his practice and he did. "How often does a doctor suggest having a test done, and there's no follow-through?"

>> Read more

Educational Courses, Workshops & Webinars of Interest

Hologic offers and supports many comprehensive educational programs and events that provide clinicians the opportunity to learn the most up-to-date information on their own field and, when possible, gain hands-on experience on the most technologically advanced tools available in women's health.

Hologic Supported CME Live Radiologist Training*

Breast Tomosynthesis Workshop
December 11–12
Lake Buena Vista, Florida

Exclusively Breast Ultrasound 2014
(physician & technologist training)

January 25–26
San Antonio, Texas

The New Age of Tomosynthesis

January 10–11
Richmond, Virginia

Breast Imaging Boot Camp

January 30–February 1  
Reston, Virginia

Breast MR with Guided Biopsy

February  4–5
Reston, Virginia

Breast Imaging Boot Camp

April 10–12
Reston, Virginia

Breast MR with Guided Biopsy

May 1–2
Reston, Virginia
Hologic Live Technologist Training

Building Your Skills as a Breast MRI Technologist: An Interactive Program
March 8
San Diego, California

Basics of Breast Tomosynthesis

March 15
San Diego, California

Stereotactic Breast Biopsy: Upright & Prone Procedural Tracks

April 10
Bedford, Massachusetts 

Stereotactic Breast Biopsy for Affirm Users
April 10
Bedford, Massachusetts

Positioning in Mammography Matters & Radiation Concerns

April 23
Bedford, Massachusetts

Understanding Breast Tomosynthesis
April 24
Bedford, Massachusetts

Master DXA: Workshops to Improve Your Skills & Grow Your Practice

May 1
San Diego, California

Complimentary CE/CME – Upcoming Online Programs*

ICPME: Emerging Concepts in Atypical Femoral Fracture - Causes, Characteristics & Imaging
December 10
AMA PRA Category 1 Credit & 1.0 ARRT Category A Credit
Presenters: Dr. Angela Man-Wei Cheung and Dr. Robert Bleakney of the University Health Network and University of Toronto, Canada

Complimentary Archived On-Demand Webinars of Interest*
ICPME: Breast Tomosynthesis Case Studies and Tomo Guided Biopsy
1.0 AMA PRA Category 1 Credit
Presenters: Jules H. Sumkin, DO, FACR, and Margarita L. Zuley, MD, University of Pittsburgh School of Medicine and the Magee-Womens Hospital of UPMC

Applied Radiology: Breast Tomosynthesis & Synthesized 2D Imaging Part I & II
1.0 AMA PRA Category 1 Credit & 1.0 ARRT Category A Credit
Presenters: Dr. Elizabeth A. Rafferty, Massachusetts General Hospital, and Dr. Aron J. Belfer, CDB-Premium, one of Brazil's largest private imaging centers

Applied Radiology:
Digital Breast Tomosynthesis Part 1 & II
1.0 AMA PRA Category 1 Credit & 1.0 ARRT Category A Credit
Presenters: Dr. Liane Philpotts, Professor of Diagnostic Radiology and Chief of Breast Imaging, and Dr. Melissa Durand, Assistant Professor of Diagnostic Radiology, both from the Yale School of Medicine

Breast Tomosynthesis
1.0 AMA PRA Category 1 Credit
Presenter: Dr. Kara Carlson, Evergreen Health Breast Center, Kirkland, Washington

Technologist's Introduction to Breast Tomosynthesis
1.0 ARRT Category A Credit
Presenter: Marcy Adcox, RT R M, San Diego, California

Bone Densitometry
Presenter: Dr. Michael Cromer, Northwest Family Medical Center, Tampa, Florida

Breast MRI
1.0 AMA PRA Category 1 Credit
Presenter: Dr. Catherine M. Appleton, Washington University School of Medicine, St. Louis, Missouri

Prostate Webinar Case Review
1.0 AMA PRA Category 1 Credit
Presenter: Dr. Clare M.C. Tempany, Brigham and Women's Hospital, Boston, Massachusetts

Stereotactic Breast Biopsy
1.0 AMA PRA Category 1 Credit & 1.0 ARRT Category A Credit
Presenter: Dr. Mary Hayes, Radiology Associates, Hollywood, Florida

Ultrasound-Guided Breast Biopsy
1.0 AMA PRA Category 1 Credit & 1.0 ARRT Category A+ Credit
Presenter: Dr. Rachael Brem, GW Medical Faculty Associates, Washington, DC

Complimentary Hologic Non-Accredited Webinars

Breast Tomosynthesis - Dr. Sonnenschein

Breast Tomosynthesis Biopsy- Dr. Sonnenschein

Breast Tomosynthesis (French) - Dr. Gignier

Breast Tomosynthesis Biopsy (French) - Dr. Gignier

Breast Tomosynthesis & C-View Tutorial - Dr. Andrew Smith

Click here to learn more about Hologic Medical Education offerings.

This newsletter is intended for medical professionals and/or specific product users residing in the United States and other countries and should not be considered as a solicitation or promotion of any product or of an indication of any product that is not authorized by the laws and regulations of another country where the reader resides. This newsletter could refer to products that are or may not be available in any particular country, and/or may not have received market clearance by a governmental regulatory body for indications and restrictions in different countries.

* Programs are supported by Hologic with an unrestricted educational grant.

Hologic, Affirm, C-View, Dimensions, Discovery and Selenia are trademarks and/or registered trademarks of Hologic and/or its subsidiaries in the U.S. and/or other countries.
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