Alejo-Martínez H, Wiesner-Ceballos C, Arciniegas-Álvarez MA, Poveda-Suárez CA, Puerto-Jiménez DN, Ardila-Hernández IT, Cotes-Millán JA

Language: Spanish
References: 23
Page: 164-174
PDF size: 190.31 Kb.

ABSTRACT

Introduction. In Colombia, breast cancer in the female population presents the highest rate of incidence and the second highest in mortality of all types of cancer, with a rising trend. The Ministry of Health and Social Protection, through the National Cancer Institute (Spanish acronym INC), has considered it necessary to strengthen programs for early detection with mammograms and clinical examination in women over 50 years of age. To that end, it has initiated quality assurance programs in mammogram services nationwide.
Objective. Present the results of an evaluation of the mammogram quality control program in Colombia.
Materials and methods. In six Colombian cities all the mammography centers found were invited to participate in a quality control evaluation. In two years, 39 mammography centers agreed to participate voluntarily. At each center visited infrastructure; x-ray acquisition, processing, and reading systems; radiological protection; and image quality was evaluated. In addition, measurements of all physical parameters were compared with national and international standards.
Results and discussion. Significant deficiencies were found in the evaluation parameters, particularly in conditions of film storage, dark room, x-ray equipment, automatic exposure control, negatoscopes, and image quality. The other physical parameters in general were within margins of tolerance.
Conclusions. Application of the quality control protocol at different mammography centers helped diagnose the quality of mammograms taken in six Colombian cities. For that reason, the need to implement quality assurance programs that raise the effectiveness of screening programs with mammography has been confirmed.

REFERENCES

1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM. Globocan 2008 v1.2. Cancer Incidence and Mortality Worldwide: IARC CancerBase No 10. Lyon: International Agency for Research on Cancer, 2010.

2. Pardo C, Cendales R. Incidencia estimada y mortalidad por cáncer en Colombia 2002-2006. Bogotá, DC: Instituto Nacional de Cancerología ESE, 2010.

3. Instituto Nacional de Cancerología ESE [Internet]. Bogotá DC: Cáncer en cifras, 2010 [consultado 2013 enero 20]. Disponible en: http://www.cancer.gov.co/contenido/contenido. aspx?catID=434&conID=790

4. Piñeros M, Pardo C, Gamboa O, Hernández G. Atlas de mortalidad por cáncer en Colombia. 3 ed. Bogotá, DC: Instituto Nacional de Cancerología ESE/Instituto Geográfico Agustín Codazzi, 2010.

5. Warner E. Clinical practice. Breast-cancer screening. N Engl J Med 2011;365:1025–32.

6. Chevarley F, White E. Recent trends in breast cancer mortality among white and black US women. Am J Public Health 1997;87:775–81.

7. Howe HL, Wingo PA, Thun MJ, et al. Annual report to the nation on the status of cancer (1973 through 1998), featuring cancers with recent increasing trends. J Natl Cancer Inst 2001;93:824–42.

8. Moss SM, Nyström L, Jonsson FH, et al. The impact of mammographic screening on breast cancer mortality in Europe: a review of trend studies. J Med Screen 2012;19:26-32.

9. Njor S, Nyström L, Moss S, et al. Breast cancer mortality in mammographic screening in Europe: a review of incidencebased mortality studies. J Med Screen 2012;19:33-41.

10. Diaz S, Piñeros M, Sanchez O. Detección temprana del cáncer de mama: aspectos críticos para un programa de tamizaje organizado en Colombia. Rev Colomb Cancerol 2005;9:93-105.

11. República de Colombia, Ministerio de la Salud y Protección Social, Instituto Nacional de Cancerología ESE. Guía de Atención Integral (GAI) para la Detección Temprana, Tratamiento Integral, Seguimiento y Rehabilitación del Cáncer de Mama. Bogotá, DC: Instituto Nacional de Cancerología ESE, 2012.

12. International Atomic Energy Agency. Control de Calidad en Mamografía. Vienna: IAEA-TECDOC-2006, 1517

13. Organización Mundial de la Salud y Organización Panamericana de la Salud. Garantía de Calidad en Radiodiagnóstico. Ginebra: OMS Publicación Científica 1984, 469.

14. Rubio AL, Piñeros M, Betancourt C. Evaluación de calidad en los estudios de radiodiagnóstico del Instituto Nacional de Cancerología, ESE. Rev Colomb Cancerol 2003;17:8-17.

15. República de Colombia, Ministerio de la Salud y Protección Social, Instituto Nacional de Cancerología. Plan Decenal para el control del Cáncer en Colombia Bogotá, DC; Instituto Nacional de Cancerología ESE 2013:2012-2021.

16. Arciniegas M, Poveda C. Control de calidad para los servicios de mamografía analógica. Bogotá, DC: Instituto Nacional de Cancerología ESE, 2011.

17. International Atomic Energy Agency. Optimization of the radiological protection of patients: Image quality and dose in mammography (coordinated research in Europe). Vienna: IAEA-TECDOC 2005, 1447.

18. Hendrick RE, Bassett L, Botsco MA, et al. Mammography quality control manual. Reston, Va: American College of Radiology, 1999.

19. Kopans DB, D’Orsi CJ, Adler DD. Breast imaging reporting and data system. Reston, Va: American College Radiology, 1993.

20. Hendrick RE, Klabunde C, Grivegnee A, Pou G, Ballard-Barbash R. Technical quality control practices in mammography screening programs in 22 countries. Int J Qual Health Care 2002;14:219-26.

21. NHS Cancer Screening Programmes. Quality Assurance Guidelines for Mammography Including Radiographic Quality Control. Sheffield: NHSBSP Publication 2006:63.

22. International Atomic Energy Agency. Quality Assurance Programme for Screen Film Mammography. Vienna: IAEA Human Health Series 2009:2.

23. International Atomic Energy Agency. Quality Assurance Programme for Digital Mammography. Vienna: IAEA Human Health Series 2011:17.