Abstract
The 4-tier model for new ways of working in breast radiography has now been in place for 2 years. The role of the assistant practitioner is established and eight practitioners are in post. Advanced practitioners remain diverse, with differences in role extension appropriate to the departments where they work. The role of the lead practitioner has yet to be clearly defined. I will explore the experiences of the four pilot sites, particularly with regard to their differing needs for advanced practitioners. I will discuss the training and continuing professional development for radiographers undertaking this role extension.
Highlights
Histological analysis of core biopsy of breast lesions takes a minimum of 24 h, but imprint cytology of a core biopsy can be reported within an hour
The cancer mortality of Australian indigenous people is higher than non-indigenous people, but at the same time the reported incidence of cancer is broadly similar for both groups
A total of 450,425 women were screened by BreastScreen Western Australia (BSWA) from January 1990 to December 2000. 2,314 cancers were detected with a total cancer detection rate of 5.1 cancers per 1,000 women screened. 4,916 women of ATSI origin were screened during this interval. 31 breast cancers were diagnosed, with a total cancer detection rate of 6.3 cancers per 1,000 women screened
Summary
Histological analysis of core biopsy of breast lesions takes a minimum of 24 h, but imprint cytology of a core biopsy can be reported within an hour. This study validates the accuracy of imprint cytology from core biopsy of breast lesions obtained under ultrasound control. Full field digital mammography (FFDM) seems set to replace conventional film-screen technique. Concern has been raised over FFDM diminished spatial resolution (5–6 Ip/mm). If valid, this could compromise detection of calcification and diagnosis of ductal carcinoma in situ (DCIS). In our centre we were not able to perceive any difference between microfocus magnification and on-screen magnification when assessing microcalcification. We subsequently compared these results with average scores for over 90 film-screen mammography systems
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