The Breast Diaries

Montclair Breast Center Responds to Mammogram Controversy

February 14th, 2014

The physicians at Montclair Breast Center are extremely disappointed by the NY Times’ recent decision to run a front page article that cites an incredibly flawed study from the British Medical Journal as if it is actually legitimate science. The BMJ article is based on the deeply flawed and widely discredited Canadian National Breast Screening Study, which used a fundamentally corrupted allocation process for the two patient groups that were compared; it was also based on mammograms from the 1980’s that were of incredibly poor quality, even by the standards of…

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Q & A: How do I find a “good” breast imaging center? Does it make a difference where I go?

October 24th, 2012

By Stacey Vitiello, MD

  •    Yes, it matters where you choose to go for your mammogram! The most basic requirement is whether a facility is accredited under the MQSA (Mammography Quality Standards Act). The accrediting body for most states is the ACR (American College of Radiology), which has a list of requirements and tests that facilities must comply with in order for the centers to achieve accreditation. They look at things such as equipment and film quality, radiation dose, credentials of the mammography technologists and of the radiology doctors
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Q & A: Laws regarding breast density?

October 19th, 2012

By Stacey Vitiello, MD

Why are there laws in some states regarding women receiving their breast density information?

  •    A wonderful grass-roots organization has been founded by women personally affected by the lack of information given to them regarding the density of their breasts (, and they are doing everything they can to address this issue for all women. Because of their advocacy, laws have recently been passed in Connecticut, Texas, Virginia, New York and California, requiring that women be informed of their density
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Good News For Early Detection in New Jersey!

January 20th, 2012

Thanks to the tireless efforts of dedicated grassroots patient advocates, NJ State Senators Loretta Weinberg and Nia Gill have sponsored a bill that will be brought before the next legislative session.  This bill requires that all mammogram reports contain information on breast density, and requires insurers to cover comprehensive breast ultrasound screening if a mammogram demonstrates dense breast tissue.  Studies have shown that adding an ultrasound to the mammogram for women with dense breasts results in a 50% increase in breast cancer detection.

At …

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Response to NY Times article: Mammogram’s Role as Savior Is Tested

November 2nd, 2011

Tara Parker-Pope’s recent article in the New York Times Science Section discounts the role of mammography as an essential tool in the quest to save women from premature death due to breast cancer.  She reports on the conclusion drawn by researchers Welch and Frankel from Dartmouth, who published a statistical analysis using epidemiologic data and computer software in this article in  Archives of Internal Medicine this month.  Their conclusion:  “Most women with screen-detected breast cancer have not had their life saved by screening.  They are instead either…

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