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Changes to mammography screening in Ontario Recent information received from Cancer Care Ontario (CCO) states that research has demonstrated that the digital Computed Radiography (CR) mammography technology that we currently use at the South Bruce Grey Health Centre’s Kincardine site is “significantly less effective” at detecting breast cancer than the digital Direct Radiography (DR) technology that is used at the Walkerton site. “In light of these findings and for the quality and safety of our patients who had mammographies in Kincardine in the last two years, SBGHC is taking the following steps immediately,” says Paul Rosebush, President and CEO: 1. Rebook all Kincardine patients currently scheduled for Kincardine site mammograms to our Walkerton site. 2. Discontinue doing any further mammograms in Kincardine on a temporary basis until we receive further information from Cancer Care Ontario. 3. Contact all Kincardine mammography patients who had a mammogram done within the past two years and offer them a screening appointment in Walkerton. Please note that the chance of having an undiagnosed cancer in women who have been screened with mammography using CR is extremely low. The decision to provide CR mammography in Kincardine was made five years ago based on the most reliable Health Canada information available at the time and the mammography equipment purchased at that time was considered state-ofthe-art. “We have posted the information from Cancer Care Ontario on our website (http://www.sbghc.on.ca/Programs___Services/Specialized_Services/Outpatient _Clinics/Diagnostic_Imaging/Mammography),” says Kate McKague, Diagnostics Imaging Manager. “If anyone has any concerns, they can contact me by phone (see below) or through the Contact Us section on our website (http://www.sbghc.on.ca/Contact_Us).” About mammogram screening technology Mammography is the primary test used to screen for breast cancer. Traditionally, women were screened with screen film mammography, in which an image was captured on, and viewed on a film. With advances in technology, digital mammography was developed, where images of the breast were no longer viewed on film, but were viewed and assessed on a computer screen. There are two types of digital mammography systems that are referred to as DR and CR. – the image is captured and is immediately electronically processed as a digital image. – the image is captured within a cassette on an image plate and processed as a digital image. An external reading device is needed to generate the digital image. Mammography with CR technology is used nationally and internationally, and currently accounts for 24 percent of all mammography machines in the province of Ontario. About the effectiveness of screening mammograms * Mammography remains the most effective way to detect breast cancer in average risk women. * Mammography screening finds breast cancer earlier, leading to more treatment options and an improved chance of survival. Breast cancer death rates for Ontario women have decreased by 37 percent between 1990 and 2008 for women 50 to 74 years of age. This reduction may be the result of better treatments and increased screening with mammography. * Mammograms are the best way to find breast cancer early. But, they are not perfect: me cancers. Also, some cancers develop in the interval between screens. However, many studies have shown that regular mammograms reduce the risk of dying from breast cancer. where a woman has symptoms during her lifetime. Therefore, some women may have surgery or treatment for a breast cancer that would never have been life threatening. women (88 percent) are alive and well five years after the diagnosis of breast cancer. **************************************************** South Bruce Grey Health Centre (SBGHC) is a hospital corporation located across Grey and Bruce counties with a budget of in excess of $42 million. SBGHC has four rural hospital sites located in Chesley, Durham, Kincardine and Walkerton. Our staff of close to 400 provides high quality care and all of our sites offer 24-hour emergency care. Other services include acute care, coronary care, obstetrical, surgical and a full range of diagnostic and ambulatory care services. For more information contact: Loretta Dunn, Communications Coordinator 21 McGivern Street, Walkerton, ON N0G 2V0 Phone: (519) 370-2400 ext. 2281 Email: [email protected] Kate McKague, Diagnostic Imaging Manager: (519) 370-2400 ext. 2393