Dr. Hanaa AlKhawariAl-Amiri Hospital, Kuwait
Title: Kuwait national mammography screening program: outcomes of 5 years of screening in kuwaiti women
Report the data of the Kuwait National Mammography Screening Program (KNMSP) for a 5-year period. We included mammography screens done for Kuwaiti women (age 40 years and older) who attended the KNMSP from 2014 to 2019 to screen for breast cancer. A full-field digital mammography system was used to acquire the mammographic images in craniocaudal and mediolateral oblique projections. Independent double-blind reading of the mammograms was performed by two radiologists.
The sample size was 14 773 asymptomatic women met inclusion criteria (mean [SD] age, 51.8 (8.2). Lesions were detected in 551 women (3.7%). These included 233 malignant lesions (233/551, 42.3%), 57 high-risk lesions (10.3%) and 261 benign lesions (47.4%). The participation rate was 7.8% of the target population of women 40-69 years of age. The majority of breast cancer cases were reported in the age group 45-49 years (23.2%). The KNMSP study recall rate for 5 consecutive years was in a range of 11.9-16.5% (mean, 14.3%). The detection rate of ductal/lobular carcinoma in situ and invasive breast cancer were 2.5 and 13.6 per 1000 screened women, respectively. Invasive ductal carcinoma was the most common type. Only 4314 women followed up within 12-15 months of the first mammography for a retention rate of 29.2%.
Hanaa AlKhawari is a diagnostic Consultant Radiologist specializing in Body Magnetic Resonance Imaging. She got graduated from the Faculty of Medicine, Kuwait University in 1989. She received a fellowship from the Royal College of Surgeons, Faculty of Radiologist in 1996 from Dublin, Ireland, a fellowship from the Royal College of Radiologist from London, UK in 1997, a Subspecialty fellowship in MRI from Middlesex Hospital, London, UK in 1997 and Subspecialty fellowship in pediatric radiology, Great Ormond street hospital, London, UK in 1997.