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Cancer Screening Programmes

Dáil Éireann Debate, Wednesday - 26 February 2014

Wednesday, 26 February 2014

Questions (261, 262, 263)

Arthur Spring

Question:

261. Deputy Arthur Spring asked the Minister for Health if the clinical trial published in 2009 demonstrated a statistically significant increase in breast cancer on each occasion the digital mammogram machine was used; if it is reasonable to use this machine at all; and if he will make a statement on the matter. [9932/14]

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Arthur Spring

Question:

262. Deputy Arthur Spring asked the Minister for Health if the publication of the Swiss Medical Board might influence his decision; and if he will make a statement on the matter. [9933/14]

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Arthur Spring

Question:

263. Deputy Arthur Spring asked the Minister for Health if a phase one clinical trial has taken place here on digital mammography; if so, if the women were consulted on the risks involved in a clinical trial; where the trial was initiated; if the outcomes demonstrate an increase in breast cancer in the women screened with the digital machine; the corrective action taken at that point; and if he will make a statement on the matter. [9934/14]

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Written answers

I propose to take Questions Nos. 261 to 263, inclusive, together.

Prior to its introduction on a national scale, digital mammography was introduced on a pilot basis in Ireland. Based on the success of the pilot, BreastCheck transferred to digital mammography. Digital mammography gives enhanced image quality with improved visualisation of dense breast tissue. It allows images to be acquired more quickly and enables the manipulation of images to obtain better detail. Digital mammography also involves a significant reduction in the radiation dose associated with screening examinations.

A research study sponsored by the US National Cancer Institute, Digital Mammographic Imaging Screening Trial (DMIST), provides evidence to support the efficacy and safety of digital mammography. BreastCheck continues to review all relevant research as it is published. The extensive independent breast screening review for the United Kingdom (Marmot Review) published in 2012 demonstrated that breast screening leads to a reduction in mortality.

A clinical trial on digital mammography has not been carried out in Ireland.

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