Image quality, reading, and mammography service in four diagnostic imaging centers in Manizales, Colombia
Abstract
Introduction: Mammography quality is directly related to the ability to detect an abnormality and, therefore, quality control is necessary for diagnostic imaging centers.
Objective: To evaluate image quality, reading, and mammography service in some diagnostic imaging centers in Manizales, Colombia.
Materials and methods: Four diagnostic imaging centers participated voluntarily in the study under confidentiality agreements. Out of 520 women attending the centers, 318 had a mammography. The infrastructure, technology, and human resources of each unit were evaluated based on visual inspections. A radiologist expert in reading and clinical interpretation of mammary images evaluated the quality of the image and the reading. We made the statistical analysis using anova, the kappa index, and the percentage of disagreement.
Results: We found images of diminished quality mainly due to the presence of artifacts in 75 % of those evaluated, as well as non-compliance with identification criteria and image labeling. There were difficulties in taking the lateral median oblique projection given the absence of the inframammary. The level of agreement in the BI-RADS reporting was low in the four centers with important differences in the report and description of findings.
Conclusion: The city’s diagnostic centers under evaluation are authorized for their operation. However, there are important deficiencies in image quality and reading, which highlights the need to seek quality standards starting from those aspects that can be improved upon.
Downloads
References
Globocan GC. Estimated number of incident cases worldwide, females, all ages. Fecha de consulta: 15 de junio de 2020. Disponible en: http://gco.iarc.fr/today/online-analysismulti-bars?v=2018&mode=cancer&mode_population=countries&population=900&populations=484&key=total&sex=0&cancer=39&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&nb_items=10
Organización Panamericana de la Salud. El cáncer de mama en las Americas. Washington, D.C.: OPS; 2012.
Organización Panamericana de la Salud, Organización Mundial de la Salud. Garantía de calidad de los servicios de mamografía: normas básicas para América Latina y El Caribe. Washington, D.C.; OPS, WHO; 2016. p. 60.
Departamento Administrativo Nacional de Estadística, DANE. Índice de mortalidad por cáncer de mama. Fecha de consulta: 15 de junio de 2020. Disponible en: http://www.dane.gov.co/index.php/estadisticas-por-tema/salud/nacimientos-y-defunciones/defunciones-nofetales/defunciones-no-fetales-2016
Živkovi MM, Stantic TJ, Ciraj-Njelac OF. Technical aspects of quality assurance in mammography: Preliminary results from Serbia. Nucl Technol Radiat Prot. 2010;25:55-61. https://doi.org/10.2298/NTRP1001055Z
Chevalier M, Torres R. Digital mammography. Rev Fis Med. 2010;11:11-26.
Instituto Nacional de Cancerología ESE. Guía de práctica clínica para la detección temprana, tratamiento integral, seguimiento y rehabilitación del cáncer de mama. Bogotá D.C.: INC; 2013. p. 1-930.
Shapiro S. Periodic screening for breast cancer: The HIP randomized controlled trial. J Natl Cancer Inst Monogr. 1997;22:27-30. https://doi.org/10.1093/jncimono/1997.22.27
Maria S, Souza PDE, Silva TB, Hidemi A, Watanabe U, Syrjänen K. Implementation of a clinical quality control program in a mammography screening service of Brazil. Anticancer Res. 2014;34:5057-65.
Martínez H, Wiesner C, Arciniegas M, Poveda C, Puerto D, Ardila I, et al. La calidad de la mamografía en Colombia: análisis de un estudio piloto. Anales de Radiología México. 2013;3:164-74.
Taplin SH, Rutter CM, Finder C, Mandelson MT, Houn F, White E. Screening mammography: Clinical image quality and the risk of interval. Am J Roentgenol. 2002;178:797-803. https://doi.org/10.2214/ajr.178.4.1780797
Farria DM, Bassett LW, Kimme-Smith C, DeBruhl N. Mammography quality assurance from A to Z. Radiographics. 1994;14:371-85. https://doi.org/10.1148/radiographics.14.2.8190960
Maita F, Llanos J, Panozo S, Galindo L, Gutiérrez C, Zegarra W. Valor diagnóstico de la ecografía y la mamografía en pacientes con neoplasias de mama del Hospital Obrero N°2 de la Caja Nacional de Salud. Gac Med Bol. 2012;35: 59-61.
Cataliotti L, De Wolf C, Holland R, Marotti L, Perry N, Redmond K, et al. Guidelines on the standards for the training of specialised health professionals dealing with breast cancer. Eur J Cancer. 2007;43:660-75. https://doi.org/10.1016/j.ejca.2006.12.008
Koch H, Castro MV. Quality of the interpretation of diagnostic mammographic images. Radiologia Brasileira. 2010;43: 97-101. https://doi.org/10.1590/S0100-39842010000200009
Ozsoy A, Aribal E, Araz L, Erdogdu MB, Sari A, Sencan I, et al. Mammography quality in Turkey: Auditors’ report on a nationwide survey. Iran J Radiol. 2017;14:10-4. https://doi.org/10.5812/iranjradiol.32936
American College of Radiology. ACR BI-RADS Atlas - Mammography. Reston: ACR; 2013.
The Royal Australian & New Zealand College of Radiologists. Breast imaging: A guide for practice. Camperdown: National Breast Cancer Centre; 2002.
The Royal Australian and New Zealand College of Radiologists. Guidelines for quality control testing for digital (CR DR) mammography. Wellington: The Royal Australian and New Zealand College of Radiologists; 2012. p. 8-71.
García-Luna KJ, Ocampo-Ramírez JD, Pardo-Bustamante M del P, Ruiz-Villa CA, Castaño-Vélez AP. Criterios, métodos y guías de análisis y evaluación para el control de calidad de la imagen y lectura de la mamografía: una revisión meta-narrativa. Anales de Radiología México. 2019;18:108-18. https://doi.org/10.24875/ARM.19000125
van Engen R, Young KC, Bosmans H. The European protocol for the quality control of the physical and technical aspects of mammography screening. Online. Part B: Digital mammography. In: European Guidelines for Breast Cancer Screening. 4th edition. Luxembourg: European Commission; 2006.
Biganzoli L, Cardoso F, Beishon M, Cameron D, Cataliotti L, Coles CE, et al. The requirements of a specialist breast centre. Breast. 2020;51:65-84. https://doi.org/10.1016/j.breast.2020.02.003
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-74. https://doi.org/10.2307/2529310
Abraira V. El índice de kappa. Semergen. 2000;27:247-9. https://doi.org/10.1016/S1138-3593(01)73955-X
Cotes JA. Tamizaje de base poblacional con mamografía para la detección temprana del cáncer de mama en el municipio de Soacha, Cundinamarca: experiencia exitosa. Revista Médica Sanitas. 2014;17:70-81.
Hospital Universitario Ramon y Cajal. Protocolo de cáncer de mama. 2013. Fecha de consulta:5 de abril de 2019. Disponible en: https://seoq.org/docs/protocolo_cancer_mama_huryc.pdf
Sanabria A, Romero J. La mamografía como método de tamizaje para el cáncer de seno en Colombia. Revista Colombiana de Cirugía. 2005;20:158-65.
Guertin MH, Théberge I, Dufresne MP, Zomahoun HT, Major D, Tremblay R, et al. Clinical image quality in daily practice of breast cancer mammography screening. Can Assoc Radiol J. 2014;65:199-206. https://doi.org/10.1016/j.carj.2014.02.001
Brnić Z, Blašković D, Klasić B, Ramač JP, Flegarić-Bradić M, Štimac D, et al. Image quality of mammography in Croatian nationwide screening program: Comparison between various types of facilities. Eur J Radiol. 2012;81: 478-85. https://doi.org/10.1016/j.ejrad.2011.06.020
Bassett LW, Hoyt AC, Oshiro T. Digital mammography: Clinical image evaluation. Radiol Clin North Am. 2010;48: 903-15. https://doi.org/10.1016/j.rcl.2010.06.006
Augusto C, Poveda S. Sistema Birads: descifrando el informe mamográfico. Repert Med Cir. 2010;19:18-27.
Ministerio de Salud y Protección Social, Instituto Nacional de Cancerología ESE. Control de calidad para los servicios de mamografía digital. Programa de detección temprana de cáncer de mama. Bogotá, D.C.; Minsalud, INC; 2013. p. 1-156.
Some similar items:
- Alberto Tobón, Danger signs in the malaria patient , Biomedica: Vol. 29 No. 2 (2009)
- Luz Elena Velásquez, Catalina Gómez, Erika Valencia, Laura Salazar, Eudoro Casas, Paragonimosis in the peri-urban zone of Medellín, Antioquia , Biomedica: Vol. 28 No. 3 (2008)
- Oscar Fernando Herrán, María F. Ardila, Categories of alcohol consumers and the criteria for classification , Biomedica: Vol. 29 No. 4 (2009)
- María Imaz, Sonia Allassia, Mónica Aranibar, Alba Gunia, Susana Poggi, Ana Togneri, Lidia Wolff, Group of Implementation of Fluorescence, Performance of LED fluorescence microscopy for the detection of acid-fast bacilli from respiratory samples in peripheral laboratories in Argentina , Biomedica: Vol. 37 No. 2 (2017)
- Antonio Miguel Cruz, Una mirada a la ingeniería clínica desde las publicaciones científicas , Biomedica: Vol. 30 No. 2 (2010)
- Juan Bernardo Pinzón, Norma Cecilia Serrano, Luis Alfonso Díaz, Gerardo Mantilla, Harvey Mauricio Velasco, Luz Ximena Martínez, Paula Andrea Millán, Sandra Milena Acevedo, Daniel Moreno, Impact of the new definitions in the prevalence of the metabolic syndrome in an adult population at Bucaramanga, Colombia , Biomedica: Vol. 27 No. 2 (2007)
- Claudia Llerena, Santiago Elías Fadul, María Consuelo Garzón, Graciela Mejía, Dora Leticia Orjuela, Luz Mary García, Hilda Beatriz Álvarez, Fernando Javier Ruiz, Drug-resistant Mycobacterium tuberculosis in children under 15 years , Biomedica: Vol. 30 No. 3 (2010)
- Sandra Milena Arias, Lina Marcela Salazar, Eudoro Casas, Alexandra Henao, Luz Elena Velásquez, Paragonimus sp. in crabs and awareness of the educational community to aquatic ecosystems in La Miel and La Clara, Caldas, Antioquia , Biomedica: Vol. 31 No. 2 (2011)
- Jaiberth Cardona-Arias, Luz Peláez-Vanegas, Juan López-Saldarriaga, Marcela Duque-Molina, Oscar Leal-Álvarez, Health related quality of life in adults with HIV/AIDS in Colombia , Biomedica: Vol. 31 No. 4 (2011)
- Juan Carlos Quintero, Andrés Felipe Londoño, Francisco J. Díaz, Piedad Agudelo-Flórez, Margarita Arboleda, Juan David Rodas, Ecoepidemiology of rickettsial infection in rodents, ectoparasites and humans in northeastern Antioquia, Colombia , Biomedica: Vol. 33 (2013): Suplemento 1, Fiebres hemorrágicas
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
