Page 206 - Hospital Authority Convention 2017
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Corporate Scholarship Presentations
      HOSPITAL AUTHORITY CONVENTION 2017


              C3.2     Allied Health and Pharmacy                                       14:30  Room 428

            Be a Mammographer Who Interprets Mammograms
            Choi MNY
            Department of Imaging and Interventional Radiology, Prince of Wales Hospital, Hong Kong
            In  the  UK,  some  advanced  practices  are  well  established  among  radiographers.  Mammographic  image  interpretation  by
            qualified radiographers has enabled the UK National Health Service (NHS) Breast Screening Programme to provide double
            readings of mammograms as well as image interpretation for symptomatic patients since 2006.2,3,6 It has greatly improved
            their clinical services to the benefit of both patients and referring doctors in the UK.1

            Several studies showed that, double readings by radiographers improved cancer detection rate when compared with single
            reading.1 Although the sensitivity of reading mammograms in a diagnostic setting is higher than in a screening setting (about
            90%)5 with the use of additional diagnostic examinations, the risk of missing malignant lesions still exists. Therefore, pre-
            reading mammograms by a radiographer will most probably increase the sensitivity of the detection of malignancies in a
            diagnostic setting. In the Netherlands, about 70% of the patients receiving a mammogram in the hospital with either negative
            or clearly benign findings, are discharged without further evaluation. 5

            Attending systematic training programme is required before being qualified as a “first read” or “double read” radiographer
            in interpreting mammography. The trained mammographer can achieve a high sensitivity and specificity in the detection of
            malignancy and the ability to distinguish a benign condition, and also has the autonomy in deciding any additional views of
            mammography to provide further information for diagnosis.
            In this presentation, the journey of how the author achieved her wish in becoming a qualified mammographer recognised by
            the UK through the corporate scholarship programme will be shared. Her achievements and contributions such as further
            developing mammographer trainees at the Prince of Wales Hospital will also be shared.

            References
            The Society and College of Radiographers. Medical image interpretation by radiographers - definitive guidance. London;
            2010.
            NHS Cancer Screening Program. Advisory committee on breast cancer screening. Screening for breast cancer in England:
            past and future; 2006.
            Moran S, Warren-Forward H. A retrospective study of the performance of radiographers in interpreting screening
            mammograms. Radiography 2011; 17:126-31.
            Holt JJ, Pollard K. Radiographers’ ability to perceive and classify abnormalities on mammographic images - results of a pilot
            project. The Radiographer 2010; 57:8-14
            Flobbe K, Bosch AM, Kessels AG, et al. The additional diagnostic value of ultrasonography in the diagnosis of breast cancer.
            Arch Intern Med 2003; 163:1194 – 9.
            Judith Kelly, Peter Hogg, Suzanne Henwood. The role of a consultant breast radiographer: A description and a reflection
            Radiography 2008; 14, 2-10
      Wednesday, 17 May



































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