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Mike Mitka

JAMA. 2003;290:450-451.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To increase breast cancer survival, the second leading cause of cancer death among North American women, a patient's best hope is early detection and aggressive treatment. The current detection tool of choice is film-screen mammography—but clinicians and patients agree that it is a choice that falls considerably short of ideal.

This 3-dimensional magnetic resonance image reveals the presence of a breast tumor (arrow) in a young woman. (Photo credit: David Bluemke, MD, PhD, Johns Hopkins Hospital)

One of mammography's drawbacks is that it loses sensitivity when screening younger women or those with dense breasts. For a 1-year screening interval, according to US Agency for Healthcare Research and Quality, the sensitivity of first mammography ranges from 71% to 96%, but is substantially lower for women in their 40s compared with older women—as low as about 50% in some trials. Another study found mammogram sensitivity was 98.4% in women 50 . . . [Full Text of this Article]

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