Advanced telecommunications in breast imaging - Streamlining telemammography, telepathology and teleoncology services to improve patient care

Teleradiology services are very common worldwide, and Full Field Digital Mammography (FFDM) systems have made it possible to include mammography. This is important because breast cancer is the most common cancer in women in many parts of the world and it is the second leading cause of cancer deaths. In rural and medically underserved areas, mammography rates are lower than in urban areas for a variety of reasons, including lack of dedicated screening facilities and/or personnel, poor compliance, and large distances between patients and clinics (making it difficult to return for follow-up care). Once possible cancers are detected, biopsies are performed but in many cases reports are very slow to get back to the patient and/or local clinician impacting treatment and follow-up. Telepathology can address this situation. Patients may also require oncology services and in rural areas they are often limited or non-existent. Real-time teleoncology services can facilitate treatment and counseling. Finally, breast care support and education can be facilitated by virtual support groups and broadcasting education lectures.