"Medical imaging is an important part of health care and contributes to accurate disease diagnosis and treatment, but it also can lead to patient harms such as incidental findings, overdiagnosis
, anxiety and radiation exposure that is associated with an increased risk of cancer," said lead author Dr.
Some say users are at risk of overdiagnosis
and other medical mistakes.
To the Editor.--We read with interest Dr Schnadig's thought-provoking editorial on thyroid cancer overdiagnosis
in which she questions whether "pathologists are aiding and abetting the epidemic." (1) We wish to expand the discussion by highlighting an area where pathologists are directly responsible for cancer overdiagnosis
In doing so, we must lean toward overdiagnosis
and maintain a low threshold for treatment and intervention in the interest of the mother and infant.
A reader recently asked me to explain what's meant by overdiagnosis
. I wasn't surprised because it (and overtreatment) is the buzz word of the moment in medical circles.
The cancer researcher said indiscriminate screening of breast and prostate cancer resulted in overdiagnosis
, as early-stage cancer that would not otherwise be fatal would have been diagnosed.
Here he addressed the issue of overdiagnosis
which is a growing problem in all Western countries where the approach to medicine and examinations is extensive and where national screening programmes are prevalent.
Physicians universally recommended LCS, with almost no discussion of harms (such as false positives and their sequelae or overdiagnosis
A risk-stratified approach could improve the cost-effectiveness of breast cancer screening and reduce the 'cost' of overdiagnosis
to women, according to a modelling study published in JAMA Oncology.
He also endorsed a 2- to 4-year screening interval to help reduce false-positive test results and overdiagnosis
The calculations also do not account for overdiagnosis
in clinical practice.
Screening for thyroid cancer has been shown to result in enormous overdiagnosis
. A population-based trend study in Switzerland from 1998 to 2012 (2) showed that the age-standardized annual incidence of thyroid cancer increased from 5.9 to 11.7 cases/100,000 among women (annual mean absolute increase: +0.43/100,000/year) and from 2.7 to 3.9 cases/100,000 among men (+0.11/100,000/year).