{"id":2854,"date":"2023-02-04T05:09:04","date_gmt":"2023-02-04T05:09:04","guid":{"rendered":"https:\/\/pinkpromise.org\/india\/?p=2854"},"modified":"2023-02-04T05:20:43","modified_gmt":"2023-02-04T05:20:43","slug":"digital-or-film-based-analog-mammography","status":"publish","type":"post","link":"https:\/\/pinkpromise.org\/india\/digital-or-film-based-analog-mammography\/","title":{"rendered":"Digital or Film Based (Analog) Mammography?"},"content":{"rendered":"<section id=\"bt_section69f309a1104e8\"  class=\"boldSection gutter\" ><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<h2>Digital or Film Based (Analog) Mammography?<\/h2>\n<p><strong>Dr. Mona Mehta, Senior Consultant &amp; Functional Head<\/strong><br \/>\nIndia&#8217;s Leading Mammography Expert<\/p>\n<p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" style=\"font-size:16px;\"><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft inherit\" style=\"margin-top:30px;\" ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p><span style=\"font-weight: 400;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-2858\" src=\"https:\/\/pinkpromise.org\/india\/wp-content\/uploads\/2023\/02\/digital-mammography-320x213.jpg\" alt=\"\" width=\"320\" height=\"213\" srcset=\"https:\/\/pinkpromise.org\/india\/wp-content\/uploads\/2023\/02\/digital-mammography-320x213.jpg 320w, https:\/\/pinkpromise.org\/india\/wp-content\/uploads\/2023\/02\/digital-mammography.jpg 500w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/>What\u2019s better- the old film based (analog) mammography or digital?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The question is similar to asking if you prefer the old film-roll-based camera or the modern digital camera- the one which is also in your phone, for your everyday pictures. If your answer is digital, the\u00a0same holds true for mammography too. Let\u2019s understand why:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mammography technology has made rapid progress in recent years from analog to digital to enable speedier and more comfortable mammograms at much lower radiation doses than ever before.\u00a0<\/span><\/p>\n<p><em><b>A<\/b><b>dvantages of digital mammography over analog machines:<\/b><\/em><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In older analog mammography, the films were used to capture images. In the newer digital mammography, the image is directly captured by the computer, which can be magnified, enhanced, etc., for further evaluation when needed.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The cancer detection rate is significantly higher (21% more) in digital mammography than in analog.<sup>[1]<\/sup><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Much less radiation (averaging 22% lower) is used by digital mammography vs analog.<sup>[2]<\/sup><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Digital imaging is faster than analog which means a woman&#8217;s breasts are compressed for less time.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Digital images are immediately available for the doctors. There is no waiting time for film development.\u00a0<\/span><\/li>\n<\/ul>\n<p><em><b>Why routine mammography is important even if you are healthy?\u00a0<\/b><\/em><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breast cancer is India\u2019s most common women\u2019s cancer now.<sup>[3]<\/sup><\/span><span style=\"font-weight: 400;\"> Earlier it used to be cervical cancer. Not anymore.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There is no way to prevent breast cancer. Early detection \u2013 when it\u2019s too small to pose any serious threat to your life and treating it \u2013 is the best protection.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">About 50% of breast cancers develop in women with no identifiable risks other than gender and age.<sup>[4]<\/sup><\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Women with dense breast tissue are more prone to breast cancer,<sup>[5]<\/sup><\/span><span style=\"font-weight: 400;\"> while it&#8217;s common to have dense breasts, especially at a younger age.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The gold standard for early detection of breast cancer is mammography.<sup>[6]<\/sup><\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<\/ul>\n<p><em><b>Why not other modalities such as breast self-examination, ultrasound, or MRI?\u00a0<\/b><\/em><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/pinkpromise.org\/india\/does-self-examination-really-detect-breast-cancer-early\/\"><span style=\"font-weight: 400;\">Breast self-examination is not recommended<\/span><\/a><span style=\"font-weight: 400;\"> by most medical organizations across the world<sup>[7]<\/sup><\/span><span style=\"font-weight: 400;\"> because it does not help early detection. By the time the lump is big enough to be felt by your or your doctor&#8217;s hands, it&#8217;s already too big, and too late.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ultrasound is more useful for further diagnosing a suspicious finding than for regular screening because it can neither capture the whole image of the breast nor see deep like a mammogram.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">MRI\u2019s high cost and lower ability to correctly exclude women without breast cancer prohibit its routine use for screening.<sup>[8]<\/sup><\/span><\/li>\n<\/ul>\n<p><em><b>Why never miss your annual mammogram?\u00a0<\/b><\/em><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breast cancer deaths are reduced by 30% to 50% with annual screening mammography performed on all women beginning at age 40 years.<sup>[9]<\/sup><\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Annual screening mammograms can substantially reduce your stress &amp; medical expenses:<\/span> <span style=\"font-weight: 400;\">Just like car insurance<\/span> <span style=\"font-weight: 400;\">premiums, spending a small amount on mammography every year may help you save 30% to over 100% of the treatment costs of breast cancer compared to the women who are diagnosed with advanced-stage breast cancers<sup>[<\/sup><\/span><span style=\"font-weight: 400;\">7]<\/span><span style=\"font-weight: 400;\">. You may avoid the need for chemotherapy, removing the entire breasts, etc., with early detection with mammography.\u00a0<\/span><\/li>\n<\/ul>\n<p><em><b>How to select an appropriate center for your mammogram?\u00a0<\/b><\/em><\/p>\n<p><span style=\"font-weight: 400;\">You deserve access to the best of technology &amp; facilities when it\u2019s time for your annual mammogram.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are three easy steps to help you navigate well in choosing the right Mammography Centre, whether it&#8217;s in a hospital, a diagnostic lab, or a breast clinic:<\/span><br \/>\n<b><\/b><\/p>\n<ol>\n<li aria-level=\"1\"><b>Is at least Digital or the latest 3D Mammography available at the center?\u00a0<\/b><\/li>\n<\/ol>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Please check if the center has a digital or the latest 3D mammography machine.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The latest 3D mammography machines in the digital family are designed to deliver the fastest and the highest resolution mammograms, with more comfort, and at the lowest radiation dose within the allowable limits.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Studies have shown that <\/span><a href=\"https:\/\/pinkpromise.org\/india\/why-3d-mammography-protects-better-against-breast-cancer\/\"><span style=\"font-weight: 400;\">3D mammography significantly helps in early breast cancer detection,<\/span><\/a><span style=\"font-weight: 400;\"> enabling the detection of more cancer cells<\/span><span style=\"font-weight: 400;\">,<sup>[10]<\/sup> and significantly reducing recall rates<sup>[11]<\/sup><\/span><span style=\"font-weight: 400;\"> for any additional tests.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">3D mammography is<\/span><b> especially useful in high-risk women<\/b><span style=\"font-weight: 400;\">, i.e., including those with:<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Changes or lumps in the breasts\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">A family history of breast or ovarian cancer<sup>[12]<\/sup><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Dense breast tissue (nearly half of all women above the age of 40 have dense breasts)<sup>[13]<\/sup><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">A previous diagnosis of breast disease<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ol start=\"2\">\n<li aria-level=\"1\"><b>Does the center have other relevant capabilities for mammography?<\/b><\/li>\n<\/ol>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Radiologists are specialist medical doctors who study your mammograms and interpret the scans for you. Usually, the website of the center will have detailed information about the doctor&#8217;s qualifications, experience, advanced training or fellowship in radiology, etc. This may give you a good idea about the professional expertise at the Centre.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mammography is only an imaging test that has no cuts, pricks, or admission to the hospital, etc. You can either take a prior appointment or walk-in if the center advises so for mammography that usually takes only a few minutes excluding waiting time. Within those few minutes too, your breast tissue will be compressed only for less than 10 seconds in the latest 3D Mammography machines to take clear images and avoid recalls.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Most health plans cover the cost of mammography if you are insured for diagnostic tests. Even if not, the cost of mammography is negligible compared to the benefits it provides.\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you are eligible for breast screening either by age (<\/span><a href=\"https:\/\/pinkpromise.org\/india\/at-what-age-should-a-woman-start-mammograms\/\"><span style=\"font-weight: 400;\">40 years and above<\/span><\/a><span style=\"font-weight: 400;\">) or due to high-risk factors such as family history (in which case even if you are younger than 40 years), <\/span><b>subscribe to an Annual Screening Mammography Plan right away<\/b><span style=\"font-weight: 400;\">&#8211; <\/span><b>A simple ritual that can save your life!\u00a0<\/b><\/p>\n<p>\n<\/div><div class=\"boldRow boldInnerRow  \" style=\"margin-bottom:30px;margin-top:30px;\"><div class=\"rowItem rowInnerItem col-md-4  btTextLeft inherit\" style=\"max-width:150px\" ><div class=\"rowItemContent\"><div class=\"bpgPhoto btTextCenter\"  style=\"max-width:150px\"><div class=\"btImage\"><img decoding=\"async\" src=\"https:\/\/pinkpromise.org\/india\/wp-content\/uploads\/2023\/02\/dr-mona-mehta-160x160.jpg\" alt=\"\" title=\"\"><\/div><\/div><\/div><\/div><div class=\"rowItem rowInnerItem col-md-8  btTextLeft inherit\" style=\"margin-top:10px;\" ><div class=\"rowItemContent\"><div class=\"btText\" ><\/p>\n<p><strong>Dr. Mona Mehta, Senior Consultant &amp; Functional Head<br \/>\n<\/strong><i style=\"font-size: 13px;\">Dept of X-ray, Mammography &amp; Ultrasound,<br \/>\nLilavati Hospital and Research Centre, Bandra, Mumbai<\/i><\/p>\n<p>\n<\/div><\/div><\/div><\/div><div class=\"btText\" ><\/p>\n<ol class=\"referenceLinks\">\n<li><span style=\"font-weight: 400;\">Hambly NM, McNicholas MM, Phelan N, Hargaden GC, O\u2019Doherty A, Flanagan FL. Comparison of Digital Mammography and Screen-Film Mammography in Breast Cancer Screening: A Review in the Irish Breast Screening Program. <\/span><span style=\"font-weight: 400;\">American Journal of Roentgenology<\/span><span style=\"font-weight: 400;\">. 2009;193(4):1010-1018. doi:10.2214\/ajr.08.2157<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Hendrick RE, Pisano ED, Averbukh A, et al. Comparison of Acquisition Parameters and Breast Dose in Digital Mammography and Screen-Film Mammography in the American College of Radiology Imaging Network Digital Mammographic Imaging Screening Trial. AJR American journal of roentgenology. 2010;194(2):362. doi:10.2214\/AJR.08.2114<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Mathur P, Sathishkumar K, Chaturvedi M, et al. Cancer Statistics, 2020: Report from National Cancer Registry Programme, India.\u00a0<\/span><i><span style=\"font-weight: 400;\">JCO Global Oncology<\/span><\/i><span style=\"font-weight: 400;\">. 2020;6(6):1063-1075. doi:10.1200\/go.20.00122<\/span><\/li>\n<li>&#8211;<\/li>\n<li><span style=\"font-weight: 400;\">Boyd NF, Guo H, Martin LJ, et al. Mammographic Density and the Risk and Detection of Breast Cancer.\u00a0<\/span><i><span style=\"font-weight: 400;\">New England Journal of Medicine<\/span><\/i><span style=\"font-weight: 400;\">. 2007;356(3):227-236. doi:10.1056\/nejmoa062790<\/span><\/li>\n<li><a href=\"https:\/\/www.webmd.com\/breast-cancer\/features\/mammography-still-gold-standard-for-breast-cancer\"><span style=\"font-weight: 400;\">https:\/\/www.webmd.com\/breast-cancer\/features\/mammography-still-gold-standard-for-breast-cancer<\/span><\/a><span style=\"font-weight: 400;\">. Accessed on 19 Dec 2022.<\/span><\/li>\n<li><a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/breast-exam\/about\/pac-20393237\"><span style=\"font-weight: 400;\">https:\/\/www.mayoclinic.org\/tests-procedures\/breast-exam\/about\/pac-20393237<\/span><\/a><span style=\"font-weight: 400;\">. Accessed on 19 Dec 2022.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Elmore JG, Armstrong K, Lehman CD, Fletcher SW. Screening for breast cancer.\u00a0<\/span><i><span style=\"font-weight: 400;\">JAMA<\/span><\/i><span style=\"font-weight: 400;\">. 2005;293(10):1245-1256. doi:10.1001\/jama.293.10.1245<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u00a0Feig S. Comparison of Costs and Benefits of Breast Cancer Screening with Mammography, Ultrasonography, and MRI.\u00a0<\/span><i><span style=\"font-weight: 400;\">Obstetrics and Gynecology Clinics of North America<\/span><\/i><span style=\"font-weight: 400;\">. 2011;38(1):179-196. doi: 10.1016\/j.ogc.2011.02.009<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Skaane P, Bandos AI, Gullien R, et al. Comparison of Digital Mammography Alone and Digital Mammography Plus Tomosynthesis in a Population-based Screening Program. Radiology. 2013;267(1):47-56. doi:10.1148\/radiol.12121373<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Rose SL, Tidwell AL, Bujnoch LJ, Kushwaha AC, Nordmann AS, Sexton R. Implementation of Breast Tomosynthesis in a Routine Screening Practice: An Observational Study. American Journal of Roentgenology. 2013;200(6):1401-1408. doi:10.2214\/ajr.12.9672<\/span><\/li>\n<li><a href=\"https:\/\/www.canceraustralia.gov.au\/sites\/default\/files\/publications\/breast-cancer-risk-factors-review-evidence\/pdf\/rfrw-breast-cancer-risk-factors-a-review-of-the-evidence_1.15.pdf\"><span style=\"font-weight: 400;\">https:\/\/www.canceraustralia.gov.au\/sites\/default\/files\/publications\/breast-cancer-risk-factors-review-evidence\/pdf\/rfrw-breast-cancer-risk-factors-a-review-of-the-evidence_1.15.pdf<\/span><\/a><span style=\"font-weight: 400;\">\u00a0 Accessed 16 Sep 2022<\/span><\/li>\n<li><a href=\"https:\/\/www.cancer.gov\/types\/breast\/breast-changes\/dense-breasts\"><span style=\"font-weight: 400;\">https:\/\/www.cancer.gov\/types\/breast\/breast-changes\/dense-breasts<\/span><\/a><span style=\"font-weight: 400;\"> Accessed 16 Sep 2022<\/span><\/li>\n<\/ol>\n<p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"<p>What\u2019s better- the old film based (analog) mammography or digital?<\/p>\n<p><span>Author<\/span><br \/>\n<strong>Dr. Mona Mehta, Senior Consultant &#038; Functional Head<\/strong> Dept of X-ray, Mammography &#038; Ultrasound, <br \/>\nLilavati Hospital and Research Centre, Bandra, Mumbai<\/p>\n","protected":false},"author":6,"featured_media":2858,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[55],"tags":[],"class_list":["post-2854","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pink-promise"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Digital or Film Based (Analog) Mammography? - PinkPromise<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pinkpromise.org\/india\/digital-or-film-based-analog-mammography\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Digital or Film Based (Analog) Mammography? - PinkPromise\" \/>\n<meta property=\"og:description\" content=\"What\u2019s better- the old film based (analog) mammography or digital?  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