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Institute of Medicine (US) Committee on New Approaches to Early Detection and Diagnosis of Breast Cancer; Herdman R, Norton L, editors. Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis: A Breast Cancer Research Foundation and Institute of Medicine Symposium. Washington (DC): National Academies Press (US); 2005.

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Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis: A Breast Cancer Research Foundation and Institute of Medicine Symposium.

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Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis

A Breast Cancer Research Foundation and Institute of Medicine Symposium

June 14, 2004

National Academy of Sciences

2100 C Street, N.W.

Washington, D.C.

8:30 – 9:00Continental Breakfast in the Great Hall
9:00 – 9:15Plenary Session—The Lecture Room
Introduction of Symposium
Evelyn H. Lauder, Founder and Chairman, The Breast Cancer Research Foundation
Ed Penhoet, Ph.D., Chair, Committee on Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis and Director Science and Higher Education Programs, Gordon and Betty Moore Foundation
9:15 – 9:45“The Pros and Cons of Screening Mammography: What Women Need to Know”
An Overview of the Report's Findings on Mammography
Laura Esserman, M.D., Director, Carol Franc Buck Breast Care Center and Professor of Surgery and Radiology, University of California, San Francisco
9:45 – 10:15“Challenges to Expanding Mammography Capacity” Better Quality for Women in Screening Sites
Reed Dunnick, M.D., Professor and Chair, Department of Radiology, University of Michigan
10:15 – 10:45“Better Models for U.S. Mammography Services: Implications for Accuracy and Encouragement of Screening”
Better Quality for Women Through Better Organized Mammography
Robert Smith, Ph.D., Director of Cancer Screening, American Cancer Society
10:45 – 11:05Q & A
11:05 – 11:35“Risk Stratification for Breast Cancer Detection”
Better Quality Mammography Through Better Focusing of Services
Suzanne Fletcher, M.D., Professor of Ambulatory Care and Prevention, Harvard Medical School
11:35 – 12:05“The Promise of Biomarkers in Early Detection of Breast Cancer”
Better Quality for Women Through New Ways of Detecting Breast Cancer
Samir Hanash, M.D., President and Chair, Human Proteome Initiative Committee and Professor, Department of Pediatrics, University of Michigan
12:05 – 12:35“Bringing New Technologies into Service”
Better Quality for Women Through New or Improved Technologies
Sean Tunis, M.D., M.Sc., Chief Medical Officer, and Director, Office of Clinical Standards and Quality, Centers for Medicare and Medicaid Services
12:35 – 1:00Q&A
1:00 – 1:45Lunch in the Great Hall for speakers and attendees
1:45-3:30Simultaneous group discussions with invited speakers
Moderators & Rapporteurs:Etta Pisano, M.D., Professor of Radiology and Biomedical Engineering, Chief of Breast Imaging and Director, Biomedical Research Imaging Center, University of North Carolina at Chapel Hill
Richard Bohmer, M.B.Ch.B., M.P.H., Assistant Professor, Harvard Business School.
Panelists: Up to 20 minute talks each, followed by group Q & A and discussion for the balance of the time.
1:45-3:30Delivering Better Breast Cancer Screening Services—Members Room
To discuss the report's findings and recommendations: about enhancing mammography quality, capacity, and interpretation; concerning regulation; regarding barriers to better mammography like liability, reimbursement, and access; and about advances in mammography in every day practice.
Panelists:Stephen Taplin, M.D., Senior Scientist, Applied Research Program, NCI
Rebecca Smith-Bindman, M.D., Associate Professor, Obstetrics, Gynecology and Reproductive Medicine, Radiology and Epidemiology/Biostatistics, UCSF
Charles Finder, M.D., Associate Director, Division of Mammography Quality and Radiation Programs, FDA
James Borgstede, M.D., Chairman, Board of Chancellors, American College of Radiology
1:45- 3:30Developing and Delivering New Detection Technologies—Board Room
To discuss the report's recommendations: that appropriate federal and other agencies consider ways to assemble expertise and funding toward a more comprehensive approach to the assessment, adoption, and comparison of multiple new technologies; and that sponsors should support research on technology adoption and monitoring of use in practice to identify both potential failures as well as opportunities for improvement.
Panelists:Dan Sullivan, M.D., Associate Director, Cancer Imaging Program, NCI
Kirby Vosburgh, Ph.D., Associate Director, Center for Integration of Medicine and Innovative Technologies, Partners Health Care
Carole Flamm, M.D. Technology Evaluation Center, Blue Cross Blue
Shield Association and Eric Baugh, M.D., Senior Vice President, Medical Affairs, Care First, Blue Cross Blue Shield
Diana Petitti, M.D., M.P.H., Director, Research and Evaluation, Kaiser Permanente
3:30 – 4:00Plenary Session—The Lecture Room

Summary of sessions and wrap-up with rapporteurs, Etta Pisano and Richard Bohmer
4:00Comments on the presentations and discussions from the per spective of survivors
Carolina Hinestrosa, M. A., M.P.H., Executive Vice President for Programs and Planning, National Breast Cancer Coalition


The Institute of Medicine acknowledges the generous support of this symposium by The Apex Foundation, The Breast Cancer Research Foundation and The Broad Reach Foundation. The Apex Foundation support was given in memory of Mabel Frost McCaw and Joan Morgan, and in honor of Sallie Nicholls, Beth Weibling, Jane Carlson Williams, Bonnie Main and Amy McGraw. Also acknowledged is the assistance of the American Cancer Society, Centers for Disease Control and Prevention, and National Cancer Institute in the planning and implementation of this symposium.

Register for the Symposium at

Copyright © 2005, National Academy of Sciences.
Bookshelf ID: NBK83866


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