Early detection of breast cancer is critical. Yet efforts to cut back on mammography or even stop screening altogether have been gaining ground in the medical community's decades-long debate over testing and treatment. It is not a purely scientific debate--back-room politics and hidden agendas have played as much a role as clinical data, leading to some surprising conclusions. Written by one of the first physicians in the country to specialize in breast cancer risk assessment, genetic testing and high-risk interventions, this book focuses on the screening controversy and explains the arguments…mehr
Early detection of breast cancer is critical. Yet efforts to cut back on mammography or even stop screening altogether have been gaining ground in the medical community's decades-long debate over testing and treatment. It is not a purely scientific debate--back-room politics and hidden agendas have played as much a role as clinical data, leading to some surprising conclusions. Written by one of the first physicians in the country to specialize in breast cancer risk assessment, genetic testing and high-risk interventions, this book focuses on the screening controversy and explains the arguments used on both sides. The author covers the history of screening, from the first mobile unit on the streets of Manhattan to the cutting edge imaging technology of today.
Table of Contents Acknowledgments Preface 1. Last Word vs. Final Word 2. Early Diagnosis May Be the Key, but It's Not a Lock 3. Biology Can Trump, but Size Matters 4. Prostate Is Not Breast, So Give It a Rest 5. The Four Horsemen That Inflate the Power of Mammography 6. The Four Horsemen Are Throttled by Clinical Trials, but O Canada! 7. The Mammography Civil War (1993-1997) 8. The Number Games 9. The (Over)Selling of Mammography 10. The Evidence for Evidence-Based Medicine (or, How to Raise the Bar of Bias: An Editorial) 11. Blame It on Canada (and Something's Rotten in Denmark, Too) 12. Overdiagnosis: Embracing Your Inner Malignancy 13. Overdiagnosis Part 2: A Way Out of the Wet Paper Bag 14. The Task Force Opens Fire 15. The Zombies Among Us 16. Circumstantial Evidence-Based Medicine 17. The Social Tsunami of Anti-Screening 18. The 2015 ACS Peace Accord-Science or Societal Pressure? 19. A Journey to the Pathology Lab to View the By-Products of Screening 20. Risk-Based Screening-It Feels So Right, but Wait... 21. The Greatest Story Never Told 22. The Myth of Mammography 23. Do These Genes Make Me Look Dense? 24. The Emperor of All Modalities 25. The Bright Side of the Dark Side of the Force 26. The Crystal Ball Is Fair to Partly Cloudy Chapter Notes Bibliography Index
Table of Contents Acknowledgments Preface 1. Last Word vs. Final Word 2. Early Diagnosis May Be the Key, but It's Not a Lock 3. Biology Can Trump, but Size Matters 4. Prostate Is Not Breast, So Give It a Rest 5. The Four Horsemen That Inflate the Power of Mammography 6. The Four Horsemen Are Throttled by Clinical Trials, but O Canada! 7. The Mammography Civil War (1993-1997) 8. The Number Games 9. The (Over)Selling of Mammography 10. The Evidence for Evidence-Based Medicine (or, How to Raise the Bar of Bias: An Editorial) 11. Blame It on Canada (and Something's Rotten in Denmark, Too) 12. Overdiagnosis: Embracing Your Inner Malignancy 13. Overdiagnosis Part 2: A Way Out of the Wet Paper Bag 14. The Task Force Opens Fire 15. The Zombies Among Us 16. Circumstantial Evidence-Based Medicine 17. The Social Tsunami of Anti-Screening 18. The 2015 ACS Peace Accord-Science or Societal Pressure? 19. A Journey to the Pathology Lab to View the By-Products of Screening 20. Risk-Based Screening-It Feels So Right, but Wait... 21. The Greatest Story Never Told 22. The Myth of Mammography 23. Do These Genes Make Me Look Dense? 24. The Emperor of All Modalities 25. The Bright Side of the Dark Side of the Force 26. The Crystal Ball Is Fair to Partly Cloudy Chapter Notes Bibliography Index
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