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Awareness of Mammographic ScreeningAwareness of Mammographic Screening
Khin The Nu Aye
Assistant Lecturer
B.Med.Tech, M.Med.Tech (Medical Imaging Technology)
Department of Medical Imaging Technology
University of Medical Technology, Yangon
University of Medical Technology, Yangon
2
3
Medical Imaging Technology Students from UMT, Yangon
Outlines
• Introduction
• Breast Cancer Facts and Figures
• Imaging Modalities for Breast Tissue
• Data Analysis
• Conclusion
• Take Home Message
• References
• Acknowledgements
Awareness of Mammographic Screening 4
1. Introduction
Awareness of Mammographic Screening 5
http://wfmj.images.worldnow.com
• One of the major
leading causes of
mortality in women
• Serious Threat World
Wide
• Early diagnostic imaging
plays as primary role
Source: http://s3.amazonaws.com
Awareness of Mammographic Screening 6
• Screening ought to be done
in women aged 40 and
above, but may be in
younger ages with family
history
• Being educated about breast
cancer symptoms
• Getting screened regularly
• BSE and CBE
Awareness of Mammographic Screening 7
Image Source: www.medicinenet.com
Awareness of Mammographic Screening 8
Image Source: www.pinterest.com
 Smoking and Drinking
 Being over weight
 Exposure to Ionizing
Radiation
 Low Vit-D intakes
 Medications (Endo or
Exogenous Estrogen, HRT)
 Family History
 Unhealthy diet
 Environmental Pollutants
 Genetics (BRCA 1 and
BRCA 2)
 Race and ethnicity
9
Risks of Breast Cancer
• 1 million is diagnosed with Breast Cancer Every Year
globally
• 80% - Benign
• More frequent - LEFT side
• Early detection – Higher Survival Rate
• 90-95% survival rate
Awareness of Mammographic Screening 10Image Source: http://lifestyle.inquirer.net/174579/6-signs-of-possible-breast-cancer/
2. Breast Cancer Facts and Figures
Awareness of Mammographic Screening
Image Source: http://u.b5z.net
11
12
Data source: WHO research on cancer incidence, 2012
http://globocan.iarc.fr/Pages/fact_sheets_population.aspx
13
Data source: WHO research on cancer incidence, 2012
http://globocan.iarc.fr/Pages/fact_sheets_population.aspx
Estimated Number of New Cases for the Four Major
Cancers by Sex and Age Group, 2017
14
Awareness of Mammographic Screening 15
Image Source: http://www.nationalbreastcancer.org/male-breast-cancer
150 men will be diagnosed with Breast Cancer every year!
16
Data source: WHO research on cancer incidence, 2012
http://globocan.iarc.fr/Pages/fact_sheets_population.aspx
Estimated Number of Deaths for the Four Major
Cancers by Sex and Age Group, 2017
Awareness of Mammographic Screening 17
18
http://www.cancertherapyadvisor.com
2013
Awareness of Mammographic Screening 19
Image source: www.niehs.nih.gov
Date Source: Cancer Incidence Presentation by Professor Dr. Tint Lwin
Awareness of Mammographic Screening 20
Awareness of Mammographic Screening 21
Cancer Incidence in Myanmar 2014
22
World Health Organization –Cancer Country Profiles 2014
http://www.who.int/cancer/country-profiles/mmr_en.pdf
23
World Health Organization –Cancer Country Profiles 2014
http://www.who.int/cancer/country-profiles/mmr_en.pdf
3. Imaging Modalities for Breast Tissue
Awareness of Mammographic Screening 24
Image source: http://s3.amazonnaws.com
Awareness of Mammographic Screening 25
Awareness of Mammographic Screening 26
Awareness of Mammographic Screening 27
Awareness of Mammographic Screening 28
Awareness of Mammographic Screening 29
Awareness of Mammographic Screening 30
4. Data Analysis
Awareness of Mammographic Screening 31
Awareness of Mammographic Screening 32
Image source: www.asiaroyalhospital.com
Asia Royal Hospital
CR Mammographic Unit (Planmed)
Awareness of Mammographic Screening 33
Mammographic Questionnaire Form
Awareness of Mammographic Screening 34
• Patient Preparation
• Documentation
• Routine CC and MLO projections
Awareness of Mammographic Screening 35
Awareness of Mammographic Screening 36
Data Collection Period : 1.1.2017 to 31.5.2017
Data Collection : Any Gender between 21 and 90 years of age
No. of Patients Percentage
Common Reasons for
Examinations
Screening 79 15.25%
• Medical Check up
• Family History
Diagnosis 439 84.75%
• Recheck after
treatment /surgery
• Breast lumps or other
abnormalities on SBE
• Pain or discharges
• Others pathologies
related
Total 518 100 %
Percentage of Examinations by Age Group
Age Group No. of Patients Percentage
21 – 30 years 31 6 %
31 – 40 years 93 18 %
41 – 50 years 184 35.5 %
51 – 60 years 134 25.9 %
61 – 70 years 59 11.4 %
71 – 80 years 14 2.7 %
81 – 90 years 3 0.5 %
Total 518 100 %
Awareness of Mammographic Screening 37
Estimated Number of New Cases for the Four Major
Cancers by Sex and Age Group, 2017
Awareness of Mammographic Screening 38
Estimated Number of Deaths for the Four Major
Cancers by Sex and Age Group, 2017
Awareness of Mammographic Screening 39
Awareness of Mammographic Screening 40
5. Conclusion
• Very few percentage of Screening Mammography - 15 %
• Public Awareness is still needed
• Greatest Incidence - 41 and 50 years of age
Awareness of Mammographic Screening 41
Awareness of Mammographic Screening 42
6. Take Home Message
2nd Leading
Cause of
Death among
Women
Deaths from
Breast Cancer
Every Year
Globally
1 in 8
Women will
Develop
Breast Cancer
in their
Lifetime
Awareness of Mammographic Screening 43
Data Source : Mammography Solutions by Liz van de Sande (PHILIPS)
Top 5 to Prevent Breast Cancer
1: Stop smoking
2: Start moving
3: Minimize exposure
4: Stay vigilant
5: Limit medications
44Data Source: https://medmonks.com/blog/5-promising-things-can-prevent-breast-cancer
Awareness of Mammographic Screening 45
7. References
• http://wfmj.images.worldnow.com
• www.medicinenet.com
• www.s3.amazonnaws.com
• www.u.b5z.com
• www.niehs.nih.gov
• www.pinterest.com
• Data source: American Cancer Society
• Central Diseases Control
Awareness of Mammographic Screening 46
• www.worldbank.com
• www.globocan.iarc.fr
• www.clinicaladvisor.com
• www.breastcancer.org
• www.english.alarabiya.net
• www.flowershopnetwork.com
• www.timedot.com
• www.act4addenbrookes.org.uk
• www.googleusercontent.com
Awareness of Mammographic Screening 47
• www.i.pinimg.com
• www.medmonks.com
• www.vaidam.com
• www.bmccancer.biomedcentral.com
• www.worldlifeexpectancy.com
Awareness of Mammographic Screening 48
Awareness of Mammographic Screening 49
Awareness of Mammographic Screening 50
8. Acknowledgements
• U Khin Mg Tin
• Daw Khin Thandar Htun
• Colleagues in Imaging Department, Asia Royal
Hospital
Awareness of Mammographic Screening 51
Awareness of Mammographic Screening 52

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Awareness of mammographic screening

  • 1. Awareness of Mammographic ScreeningAwareness of Mammographic Screening Khin The Nu Aye Assistant Lecturer B.Med.Tech, M.Med.Tech (Medical Imaging Technology) Department of Medical Imaging Technology University of Medical Technology, Yangon
  • 2. University of Medical Technology, Yangon 2
  • 3. 3 Medical Imaging Technology Students from UMT, Yangon
  • 4. Outlines • Introduction • Breast Cancer Facts and Figures • Imaging Modalities for Breast Tissue • Data Analysis • Conclusion • Take Home Message • References • Acknowledgements Awareness of Mammographic Screening 4
  • 5. 1. Introduction Awareness of Mammographic Screening 5 http://wfmj.images.worldnow.com
  • 6. • One of the major leading causes of mortality in women • Serious Threat World Wide • Early diagnostic imaging plays as primary role Source: http://s3.amazonaws.com Awareness of Mammographic Screening 6
  • 7. • Screening ought to be done in women aged 40 and above, but may be in younger ages with family history • Being educated about breast cancer symptoms • Getting screened regularly • BSE and CBE Awareness of Mammographic Screening 7 Image Source: www.medicinenet.com
  • 8. Awareness of Mammographic Screening 8 Image Source: www.pinterest.com
  • 9.  Smoking and Drinking  Being over weight  Exposure to Ionizing Radiation  Low Vit-D intakes  Medications (Endo or Exogenous Estrogen, HRT)  Family History  Unhealthy diet  Environmental Pollutants  Genetics (BRCA 1 and BRCA 2)  Race and ethnicity 9 Risks of Breast Cancer
  • 10. • 1 million is diagnosed with Breast Cancer Every Year globally • 80% - Benign • More frequent - LEFT side • Early detection – Higher Survival Rate • 90-95% survival rate Awareness of Mammographic Screening 10Image Source: http://lifestyle.inquirer.net/174579/6-signs-of-possible-breast-cancer/
  • 11. 2. Breast Cancer Facts and Figures Awareness of Mammographic Screening Image Source: http://u.b5z.net 11
  • 12. 12 Data source: WHO research on cancer incidence, 2012 http://globocan.iarc.fr/Pages/fact_sheets_population.aspx
  • 13. 13 Data source: WHO research on cancer incidence, 2012 http://globocan.iarc.fr/Pages/fact_sheets_population.aspx
  • 14. Estimated Number of New Cases for the Four Major Cancers by Sex and Age Group, 2017 14
  • 15. Awareness of Mammographic Screening 15 Image Source: http://www.nationalbreastcancer.org/male-breast-cancer 150 men will be diagnosed with Breast Cancer every year!
  • 16. 16 Data source: WHO research on cancer incidence, 2012 http://globocan.iarc.fr/Pages/fact_sheets_population.aspx
  • 17. Estimated Number of Deaths for the Four Major Cancers by Sex and Age Group, 2017 Awareness of Mammographic Screening 17
  • 19. Awareness of Mammographic Screening 19 Image source: www.niehs.nih.gov
  • 20. Date Source: Cancer Incidence Presentation by Professor Dr. Tint Lwin Awareness of Mammographic Screening 20
  • 22. Cancer Incidence in Myanmar 2014 22 World Health Organization –Cancer Country Profiles 2014 http://www.who.int/cancer/country-profiles/mmr_en.pdf
  • 23. 23 World Health Organization –Cancer Country Profiles 2014 http://www.who.int/cancer/country-profiles/mmr_en.pdf
  • 24. 3. Imaging Modalities for Breast Tissue Awareness of Mammographic Screening 24 Image source: http://s3.amazonnaws.com
  • 31. 4. Data Analysis Awareness of Mammographic Screening 31
  • 32. Awareness of Mammographic Screening 32 Image source: www.asiaroyalhospital.com Asia Royal Hospital
  • 33. CR Mammographic Unit (Planmed) Awareness of Mammographic Screening 33
  • 34. Mammographic Questionnaire Form Awareness of Mammographic Screening 34
  • 35. • Patient Preparation • Documentation • Routine CC and MLO projections Awareness of Mammographic Screening 35
  • 36. Awareness of Mammographic Screening 36 Data Collection Period : 1.1.2017 to 31.5.2017 Data Collection : Any Gender between 21 and 90 years of age No. of Patients Percentage Common Reasons for Examinations Screening 79 15.25% • Medical Check up • Family History Diagnosis 439 84.75% • Recheck after treatment /surgery • Breast lumps or other abnormalities on SBE • Pain or discharges • Others pathologies related Total 518 100 %
  • 37. Percentage of Examinations by Age Group Age Group No. of Patients Percentage 21 – 30 years 31 6 % 31 – 40 years 93 18 % 41 – 50 years 184 35.5 % 51 – 60 years 134 25.9 % 61 – 70 years 59 11.4 % 71 – 80 years 14 2.7 % 81 – 90 years 3 0.5 % Total 518 100 % Awareness of Mammographic Screening 37
  • 38. Estimated Number of New Cases for the Four Major Cancers by Sex and Age Group, 2017 Awareness of Mammographic Screening 38
  • 39. Estimated Number of Deaths for the Four Major Cancers by Sex and Age Group, 2017 Awareness of Mammographic Screening 39
  • 40. Awareness of Mammographic Screening 40 5. Conclusion
  • 41. • Very few percentage of Screening Mammography - 15 % • Public Awareness is still needed • Greatest Incidence - 41 and 50 years of age Awareness of Mammographic Screening 41
  • 42. Awareness of Mammographic Screening 42 6. Take Home Message
  • 43. 2nd Leading Cause of Death among Women Deaths from Breast Cancer Every Year Globally 1 in 8 Women will Develop Breast Cancer in their Lifetime Awareness of Mammographic Screening 43 Data Source : Mammography Solutions by Liz van de Sande (PHILIPS)
  • 44. Top 5 to Prevent Breast Cancer 1: Stop smoking 2: Start moving 3: Minimize exposure 4: Stay vigilant 5: Limit medications 44Data Source: https://medmonks.com/blog/5-promising-things-can-prevent-breast-cancer
  • 45. Awareness of Mammographic Screening 45 7. References
  • 46. • http://wfmj.images.worldnow.com • www.medicinenet.com • www.s3.amazonnaws.com • www.u.b5z.com • www.niehs.nih.gov • www.pinterest.com • Data source: American Cancer Society • Central Diseases Control Awareness of Mammographic Screening 46
  • 47. • www.worldbank.com • www.globocan.iarc.fr • www.clinicaladvisor.com • www.breastcancer.org • www.english.alarabiya.net • www.flowershopnetwork.com • www.timedot.com • www.act4addenbrookes.org.uk • www.googleusercontent.com Awareness of Mammographic Screening 47
  • 48. • www.i.pinimg.com • www.medmonks.com • www.vaidam.com • www.bmccancer.biomedcentral.com • www.worldlifeexpectancy.com Awareness of Mammographic Screening 48
  • 50. Awareness of Mammographic Screening 50 8. Acknowledgements
  • 51. • U Khin Mg Tin • Daw Khin Thandar Htun • Colleagues in Imaging Department, Asia Royal Hospital Awareness of Mammographic Screening 51