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Breast SonographyFrom: Terry J DuBose (tjdubose@juno.com)Sun Sep 29 09:41:34 2002
Folks, I need help finding some information. When I was in Austin, Tx and the mammography quality assurance (MQSA) federal mandate first came into being, I was involved in setting up a specialized computer software to track the mammographic results for a group of radiologists. This was a very complex system that allowed findings to be categorized, generated letters to the patient, referring physician, and at periodic intervals, requested follow-up on biopsies, surgery, etc. The idea, as I understood it, was to allow the calculation of false positives, negatives, the positive predictive rates and other statical analysis for the group as well as each interpreting physician. Since leaving Austin, I have had less to do with breast sonography, but due to the recent controversy around the efficacy of mammography and Dr. Thomas Kolb's findings in the adjunctive use of sonography with mammography, we are adding more breast to our DMS program's curriculum. Also, I have been asked to talk about the current controversy in breast screening at the SDMS conference next week, and have not been able to find this bit of information. My question is this, what ever happened to the data that was gathered as a result of the government's MQSA mandate? Was that data ever analyzed, published, or used in any way? This is that huge volume that was being generated in the late 80's to early 90's from the programs as described above? Is there an analysis of that data on the web or anywhere? There should have been 100's of 1000's of cases in those databases from across the USA. Any help apprecaited. peace, Terry J DuBose, M.S., RDMS Little Rock, Arkansas USA
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