New state law on Tuesday affected doctors needs to be suggested to women, while solid mammals are found in regular mammograms which increase the risk of women to breast cancer and make cancer more difficult to spot.
But it does not know that Illinois and 35 other states have adopted similar laws whether they save lives by their work or only more women are worried and potentially placed by unnecessary and harmful follow-up processes while women with solid breasts have additional testing for their doctors To force.
"I think this is positive, especially where we are in 2019," says Daniel Scheclaton, chief interpreter on breast imaging in the Memorial Medical Center in Springfield. "These days patients are more in control of their health care."
Shackleton said that he supported the House Bill 4392, which did not receive any opposition in the General Assembly and was signed by Law Minister Bruce Rooney.
He noted that however, Memorial patients have been notified about their condition in writing in clinical radiologists' physiographic group, in the last two years, for patients with severe breast tissue, voluntary steps by memorial and studying in 500-bed hospital.
In order to include special information to patients in the letters, the law requires the services of mammography services, if doctors treat those patients as 50% of women with close breast tissue.
There are glands, fibrous tissues and fats in the breast. Solid breasts have low fat fats and more fibrous tissues.
"Dance breast tissue is common," the law states that patients include the proposed term for letters.
This law also suggests this way: "Danes breast tissue makes mammogram more difficult to detect and can increase the risk of breast cancer, despite these limitations, maggrog screening has proved to save lives."
The law says women should continue regular exam mammograms, even if additional examinations are recommended for them.
This law adds that women should contact their breast imaging health care providers, "for more information on solid breast tissue, as well as risk factors for breast-cancer."
HSHS The patients who passed through mammography at St. John's Hospital, Dopa Daria Siriak, head of breast-imaging section of St. Johns and a member of the Center Dr. According to Deepa Siriak, if they are known to have close breast tissue, then they have been suggested in writing for almost three years. Illinois Radiological Associates.
Syriac said that the law is a good idea that more women can get information that will help doctors talk about their care with them.
"It's only to raise awareness," she said. "Many women with this additional information are more grateful."
Shakeleton and Syriac said that for decades women have been advised of primary care doctors and obstetricians / gynecologists, while mammograms find solid breast tissue in screening. That information will continue to share with the doctors, he said.
Shackleton states that it is not clear whether supplementary screening tests like ultrasound or magnetic resonance imaging are justified in women with severe breast tissue.
She said that women who need to come forward are not a simple solution.
Screening ultrasounds and MRI are more expensive than mammograms but are usually covered by health insurance.
The classification of breast tissues as dark is not a specific science, so the opinion of different doctors may change on the issue of specific patients, Shakeelton said.
He said, "There are many stupid issues."
Moreover, follow-up screens can lead to more aggressive processes that can detect cancer, but it also causes pain and complications, as well as worries.
Supplemental testing and related remediation are sometimes unavoidable results such as law taking effect in Illinois this month, Syriac said. Additional tests can lead to "false positive" as well as early diagnosis of breast cancer.
Illinois law makes it possible that most of the additional screening tests are covered by health insurance, he said.
Some additional supplemental screening tests have occurred but the noticeable number is not as a result of the instruction of thick breast tissues for Memorial patients, Shakeleton said.
He said that he has talked with the obstetrician / gynecologist at Springfield Clinic and Memorial Physician Services – both groups are given by clinical radiologists – make sure doctors and their patients are aware of the benefits and potential harm of the supplemental tests, while patients with solid breast tissue Ask questions about their instructional letters.
Syriac said that as part of the instructions introduced by St. Johns three years ago, more follow-up screening tests have been done for patients with severe breast tissue, but most of the patients are educating themselves on strict breast tissue.
"People have invented this technology," she said.
However, doctors wrote in the Medical Journal JAMA Internal Medicine in 2015, that state law requires breast density instruction, which does not improve breast-cancer risk, mammography limitations or the need for outcomes for patients.
In addition, laws make unnecessary expectations that extra tests for women are better, "doctors in Brigham and Women's Hospital in Boston, and a University of California medical journal in San Francisco wrote in the article.
Laws do not work with breast cancer such as age, family history breast or important risk factors for breast cancer such as ovarian cancer and genetic mutation; Jennifer Hass and Celia Kapla wrote.
Doctors wrote that "Breast Density Instruction Laws can limit the benefits and disadvantages of individual risks and discussions as well as the benefits and losses of various screening approaches."
They note that women with extremely hard breast tissue have twice the risk of developing breast cancer compared to women having average breast-density, but the risk of overall cancer is relatively small.
This article says that "The history of breast cancer is not a 0.7 percent rate of breast cancer, a family history of breast cancer, and 5.7 percent of breast cancer for a 45-year-old woman with an average density of" 1.3 percent of women with "very thick" breast tissue.
In addition, doctors wrote that focusing on breast cancer investigations "can draw attention from discussions of other health risks, such as risk factors for heart disease, which is the main cause of death for women."
Contact Dean Olsen at DeanOolen @ SJ-R.Com or Twitter / DiOnOlsSJR.